Health, work, and personal-related predictors of time to return to work among employees with mental health problems

Nielsen, Maj Britt Dahl; Bültmann, Ute; Madsen, Ida E. H.; Martin, Marie H. T.; Christensen, Ulla; Diderichsen, Finn; Rugulies, Reiner

doi:10.3109/09638288.2011.641664

Cited by 65 publications

(53 citation statements)

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“…Earlier studies have shown that mental disorders reduce the chance of RTW [10,[25][26][27]. Most studies on mental disorders focus on common mental disorders such as depression or mood disorders (F30-F39) and anxiety disorders (F40-F43) [10,13].…”

Section: Discussionmentioning

confidence: 99%

“…Earlier studies have, in general, focused either on broad categories of diagnoses due to limited study size [6,8] or on more specific categories such as mental disorders or musculoskeletal diseases, which are the most common causes of prolonged sick leave [9][10][11][12][13][14][15]. Even though differences in recovery due to different diseases and disorders are supposedly common knowledge in the medical profession and clinical practice, no thorough description across different diagnoses as regards RTW is at hand.…”

Section: Introductionmentioning

confidence: 99%

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Sick leave diagnoses and return to work: a Swedish register study

Lidwall

2014

Disability and Rehabilitation

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sick leave diagnoses and return to work: a Swedish register study

Lidwall

2014

Disability and Rehabilitation

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“…Several studies have investigated predictors of first SA and return to work (RTW) among workers with CMD (7)(8)(9)(10)(11), but limited evidence is available on factors predicting recurrent SA among such workers. Recent studies have shown that recurrent SA is a frequent problem among this worker population: 20-30% of workers who returned to work after SA due to a CMD experience a recurrence of sick leave (12,13).…”

mentioning

confidence: 99%

“…However, these two studies did not investigate other potential predictors. Several studies (7,8,10,11,(17)(18)(19) have identified predictors of first SA and RTW among workers with CMD, such as disease-related factors (eg, Predictors of recurrent sickness absence in common mental disorders severity of mental health problems, problem duration, SA) and work-related factors (eg, decision authority, skill discretion, work motivation). Nevertheless, research is needed that specifically focuses on predictors of recurrent SA as these could differ from predictors for first SA.…”

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confidence: 99%

Predictors of recurrent sickness absence among workers having returned to work after sickness absence due to common mental disorders

Arends¹,

Klink²,

Rhenen³

et al. 2013

Scand J Work Environ Health

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Predictors of recurrent sickness absence among workers having returned to work after sickness absence due to common mental disorders by Arends I, van der Klink JJL, van Rhenen W, de Boer MR, Bültmann U A broad range of possible predictors of recurrent sickness absence (SA) among workers with common mental disorders (CMD) is investigated over 12 months follow-up. The results show that work-related factors, especially conflicts with supervisor and company size >100 employees, rather than disease-related factors predict recurrent SA among workers who returned to work after SA due to CMD. Affiliation 195Original article Scand J Work Environ Health. 2014;40(2):195-202 doi:10.5271/sjweh.3384 Predictors of recurrent sickness absence among workers having returned to work after sickness absence due to common mental disorders Objective The aim of this study was to investigate whether sociodemographic, disease-related, personal, and work-related factors -measured at baseline -are predictors of recurrent sickness absence (SA) at 6 and 12 months follow-up among workers who returned to work after SA due to common mental disorders (CMD).Methods Based on a cluster-randomized controlled trial, this prospective study comprised 158 participants, aged 18-63 years, with partial or full return to work (RTW) and an occupational physician-diagnosed CMD. Data on predictors were collected with questionnaires and administrative data. Outcome was the incidence of recurrent SA (ie, decreased work for ≥30% of contract hours due to all-cause SA regardless of partial or full RTW) at 6 and 12 months follow-up. Longitudinal logistic regression analysis with backward elimination was used.Results We found that company size >100 [odds ratio (OR) 2.59, 95% confidence interval (95% CI) 1. 40-4.80] and conflicts with the supervisor (OR 2.21, 95% CI 1.21-4.04) were predictive of recurrent SA. Having ≥1 chronic diseases decreased the risk of recurrent SA (OR 0.54, 95% CI 0.30-0.96).Conclusions Two work-and one disease-related factor predicted the incidence of recurrent SA among workers with CMD. Healthcare providers can use these findings to detect and help workers who have returned to work and are at higher risk for recurrent SA. Furthermore, future interventions to prevent recurrent SA could focus on supervisor conflicts.Key terms mental health problem; prognostic factor; prospective study; return to work; RTW; sustainable return to work.

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“…They found that anxiety was common during the study time, and represents a risk of stagnation in professional development. Increased psychological distress is also associated with increased sick leave (Nielsen et al, 2012;Nystuen, Hagen, & Herrin, 2001). In a recent study, individuals working in the so-called "life professions" are more likely to be at risk for a disability pension in Norway (Tufte, 2013).…”

Section: Ethicsmentioning

confidence: 99%

Vol 6, No 3 (2016)

Issue¹

2016

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Abstract:The regulation of professional groups has often been justified as being in the public interest. In recent decades, policymakers in Anglo-American countries have questioned whether self-regulating professions have truly served the public interest, or whether they have merely acted in their own interests. This paper draws on legislative records and policy reports to explore meanings attached to professional self-regulation and the public interest in Canada by state actors over the past 150 years. The findings point to a shift in the definition of the public interest away from service quality and professional interests, towards efficiency, human rights, consumer choice, and in some contexts business interests. Changing views of the public interest contribute to regulatory change.Keywords: Professions, public interest, self-regulation, Canada, historical change, state actors.Over the last 50 years there has been considerable debate amongst Anglo-American policymakers and academics alike about whether professional self-regulation is truly in the public interest (Devlin & Chang, 2010; Rees, 2013; Paton, 2008). Selfregulating professions including medicine and law have been rocked by scandals. Formerly among the most trusted people in society, increasingly the public views lawyers, medical doctors, and other professionals more cynically, as individuals who too often put their own interests above those of their clients (Paton, 2008). The rising costs of professional services, combined with scandals surrounding professional misconduct, have provoked a complete restructuring of professional regulation in law and medicine in the UK (Flood, 2011; Paton, 2008;Dixon-Woods, Yeung, & Bosk, 2011). Here, medical doctors, lawyers, and other professionals are no longer technically self-regulating; while they have a voice in the regulatory process, the majority of people on regulatory boards are non-professionals (Dixon-Woods et al., 2011; Paton, 2008). Australia has recently implemented similar legislative change to reduce self-regulation and enhance government oversight (Rees, 2013; Paton, 2008). Threats to professional self-regulation have also been identified within the US (Paton, 2008). Regulatory change has been justified on the grounds that it is necessary to serve the public interest. Despite these challenges, professional self-regulation persists in Canada (Rees, 2013; Paton, 2008), which some law scholars have labelled "the last bastion of unfettered self-regulation" in the world (Rhode & Woolley, 2012, p. 2774. Legislation regulating professions in Canada charges professional bodies with the responsibility of upholding the public interest.In debates about professional regulation, many commentators write about the "public interest" as if it is easily and objectively defined; however, the elasticity with which the term is used suggests that it is a social construction and therefore subject to contest and change. Both defenders and challengers of professional self-regulation make their case on public interest grou...

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Health, work, and personal-related predictors of time to return to work among employees with mental health problems

Abstract: Our results indicate that time to RTW is determined by both health- and work-related factors.

Cited by 65 publications

References 23 publications

Sick leave diagnoses and return to work: a Swedish register study

Sick leave diagnoses and return to work: a Swedish register study

Predictors of recurrent sickness absence among workers having returned to work after sickness absence due to common mental disorders

Vol 6, No 3 (2016)

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