Disorders of Functions and Disorders of Capacity in Relation To Sick Leave in Mental Disorders

Abstract

Disorders of capacity are more closely related to disorders of participation/sick leave than disorders of functions.

Relationship between Work-Related Attitudes, Performance and Capacities according to the ICF in Patients with Mental Disorders

“…In the field of mental disorders, the relation between dysfunctions, incapacities, and problems with participation poses special problems [9,10] . The first question is how to delineate these dimensions from each other.…”

Different work capacity impairments in patients with different work-anxieties

“…The sociomedical work ability decisions (i.e., the medical decision whether the person can go to work or not) cannot be made based on an illness symptom or diagnosis only. They must be based on a description what kind of required activities the person cannot fulfill due to his/her illness (Baron and Linden 2009;Linden et al 2010;Wahlin-Norgren et al 2011). Work ability has often been described globally, in the sense that a person has "problems of keeping up his work performance" to a certain degree (Hannula et al 2006), or with a distinction into "physical" and "mental" work ability (Work ability index WAI, Tuomi et al 1998).…”

“…Since symptoms mostly do not disappear enduringly, lots of psychotherapeutic interventions are capacity trainings by their nature (Muschalla 2014), e.g., social competency trainings, problem solving, activity planning and stress management interventions. In socio-medical practice dealing with patients with work-anxieties and mental disorders, an approach for describing work capacity impairment on 13 dimensions has been developed and until now widely evaluated (Mini-ICF-APP, Baron and Linden 2009;Linden et al 2010). …”

“…The Mini-ICF-APP capacity rating is a short observer rater instrument for the description of (work) capacity impairment. It is internationally validated (Balestrieri et al 2013; Baron and Linden 2009;Linden et al 2015;Molodynski et al 2013) and has become a recommended instrument in socio-medical work ability description (DGPM 2012;DRV 2012;Schneider et al 2012;SGVP 2012). The Mini-ICF-APP covers 13 dimensions of psychological capacities which are often impaired due to mental disorders: adherence to regulations, planning and structuring of tasks, flexibility, applying expertise, capacity to judge and decide, endurance, assertiveness, contacts with others, teamwork capacity, self-care, mobility and the non-work domains of non-work recreational activities, familiar and intimate relationships.…”

“…Instead, improvement of the capacity status of a person may be possible (Baron and Linden 2009), as well as workplace adjustment referring to the capacity impairments. When describing work capacity, it must be noticed that this comprises different capacities of a person (Baron and Linden 2009), which may be impaired to different degrees. It is until now unknown if and if so which work capacities of patients with different work-anxieties are impaired.…”