Multidisciplinary investigations recognize high prevalence of co-morbidity of psychiatric and somatic diagnoses in long-term sickness absentees

Salmi, Peter; Svedberg, Pia; Hagberg, Jan; Lundh, G; Linder, Jürgen; Alexanderson, Kristina

doi:10.1177/1403494808095954

Cited by 19 publications

(21 citation statements)

References 15 publications

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“…In the lack of multidisciplinary team assessment for patients with CMP, psychiatric disorders have been commonly undiagnosed [2,6,20]. This study confirms that patients on long-term sick-leave with incomplete examinations may suffer from untreated co-morbidities.…”

Section: Discussionsupporting

confidence: 76%

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Biopsychosocial function analyses changes the assessment of the ability to work in patients on long-term sick-leave due to chronic musculoskeletal pain: The role of undiagnosed mental health comorbidity

Olaya‐Contreras

Styf

2013

Scand J Public Health

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Section: Discussionsupporting

confidence: 76%

“…Untreated medical disorders and comorbidities have been seen in patients on long-term sick-leave [6].…”

Section: Introductionmentioning

confidence: 99%

Biopsychosocial function analyses changes the assessment of the ability to work in patients on long-term sick-leave due to chronic musculoskeletal pain: The role of undiagnosed mental health comorbidity

Olaya‐Contreras

Styf

2013

Scand J Public Health

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“…Additionally, psychiatric disorders in patients with chronic musculoskeletal pain have commonly been undiagnosed 32. The combination of depression and pain is associated with worse clinical outcomes than either condition alone.…”

Section: Discussionmentioning

confidence: 99%

Physical functioning after occupational rehabilitation and returning to work among employees with chronic musculoskeletal pain and comorbid depressive symptoms

Ernstsen¹,

Lillefjell²

2014

JMDH

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BackgroundThe aim of this investigation was to assess whether measures of physical functioning after multidisciplinary rehabilitation are associated with return to work among individuals with chronic musculoskeletal pain conditions and comorbid depressive symptoms.MethodsIncluded were 92 employees with chronic musculoskeletal disorders who had participated in a 57- week multidisciplinary rehabilitation program. Their ages ranged from 25–59 years. The Hospital Anxiety and Depression Scale was used to assess depressive symptoms. Different aspects of physical functioning (muscle strength, mobility, endurance capacity, and balance) were measured with single-item visual analog scales, and physical fitness was measured with the validated COOP/WONCA charts. Being on “active work strategies,” such as receiving rehabilitation benefit/vocational rehabilitation or being reported partly or completely fit, was defined as “on their way into/in work”. Cross-sectional associations were measured using logistic regression models, estimating odds ratio with 95% confidence intervals.ResultsThere were no differences between the “on their way into/in work” group (n=70) and the “on their way out/out of work” group (n=22) regarding age, sex, or levels of anxiety or pain. Surprisingly, regression analyses showed that those with higher levels of physical functioning had significantly lower odds of returning to work.ConclusionThe findings of an inverse relationship between self-reported physical function and returning to work in this sample illustrate that the return-to-work process among employees with chronic musculoskeletal pain and comorbid depressive symptoms is multifactorial and influenced by factors other than physical functioning at the individual level. Further research, especially longitudinal studies, is needed to assess the occupational trajectories among employees with chronic musculoskeletal pain and comorbid depressive symptoms after participation in a multidisciplinary rehabilitation program.

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“…The risk of having a psychiatric diagnosis was higher among men and unemployed people. This indicates the importance of clarifying the diagnosis as well as the social circumstances of long-term sickness absentees [38].…”

Section: Additional Factors Of Importance To the Success Of Rehabilitmentioning

confidence: 99%

How equitable is vocational rehabilitation in Sweden? A review of evidence on the implementation of a national policy framework

Burström

Nylén

Clayton

et al. 2010

Disability and Rehabilitation

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Purpose. Under the national framework law in Sweden, all eligible people should have equal chances of receiving vocational rehabilitation. We aimed to review the evidence on (1) whether access to vocational rehabilitation is equitable in practice and (2) whether the outcomes vary for different groups in the population. Method. Systematic review of studies in Sweden that reported diagnostic or socio-demographic characteristics of people offered or taking up rehabilitation programmes and outcomes of such programmes for different diagnostic and sociodemographic groups. Searches of 11 relevant electronic databases, 15 organisational websites, citation searching and contact with experts in the field, for the period 1990-2009. Results. A total of 11 studies were included in the final review, six of which addressed review question (1) and seven addressed review question (2). All the six observational studies of access reported biased selection into vocational rehabilitation: greater likelihood for men, younger people, those with longer-term sick leave, those with lower income, employed rather than unemployed people and those with musculoskeletal and mental disorders or alcohol abuse. Having had a rehabilitation investigation also increased the likelihood of receiving vocational rehabilitation. Differential outcome of rehabilitation was reported in seven studies: outcomes were better for men, younger people, employed individuals, those with shorter sick leave and those with higher income. Selection into vocational rehabilitation was perceived as important for successful outcomes, but success also depended on the state of the local labour market. Conclusions. There is evidence of socio-demographic differences in access to and outcomes of vocational rehabilitation in Sweden, even though the national framework law is meant to apply to everyone. Few studies have deliberately measured differential access or outcomes, and there is a need for this kind of equity analysis of population-wide policies. Studies evaluating the effects of vocational rehabilitation must consider selection into the programmes for adequate interpretation of impact results.

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Multidisciplinary investigations recognize high prevalence of co-morbidity of psychiatric and somatic diagnoses in long-term sickness absentees

Abstract: Long-term sickness absentees referred to multidisciplinary investigations display high co-morbidity of psychiatric and somatic diagnoses and are a heterogeneous group with diverse sociodemographic and medical characteristics.

Cited by 19 publications

References 15 publications

Biopsychosocial function analyses changes the assessment of the ability to work in patients on long-term sick-leave due to chronic musculoskeletal pain: The role of undiagnosed mental health comorbidity

Biopsychosocial function analyses changes the assessment of the ability to work in patients on long-term sick-leave due to chronic musculoskeletal pain: The role of undiagnosed mental health comorbidity

Physical functioning after occupational rehabilitation and returning to work among employees with chronic musculoskeletal pain and comorbid depressive symptoms

How equitable is vocational rehabilitation in Sweden? A review of evidence on the implementation of a national policy framework

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