Predictors of return to work in employees sick-listed with mental health problems: findings from a longitudinal study

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

doi:10.1093/eurpub/ckq171

Cited by 79 publications

(73 citation statements)

References 30 publications

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“…Así, la visión que tenga el trabajador con respecto al aporte de su labor determinará el progreso de su reintegro al trabajo [19][20][21][22] . Por otra parte, Clausen y col. 23 , plantean que la motivación del trabajo es un recurso para el reintegro, pues refuerza la voluntad de los empleados de volver al trabajo después de largos períodos de ausencia por enfermedad 20,21,24 .…”

Section: Workunclassified

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Facilitadores del reintegro laboral en trabajadores con patología mental de origen laboral: una revisión sistemática

et al. 2015

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Section: Workunclassified

“…En relación con procesos de reposo previo y/o recaídas, se refiere que la ausencia de recaída, o bien, la ausencia en el trabajador de la experiencia subjetiva de estar proclive a una recaída, facilitarían el proceso de reintegro 22 .…”

Section: Workunclassified

Facilitadores del reintegro laboral en trabajadores con patología mental de origen laboral: una revisión sistemática

et al. 2015

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“…Recently, Nielsen et al [11] investigated RTW rates of employees with longterm ([3 weeks) sickness absence (SA) due to mental health problems and reported that 26 % of Danish employees had resumed work at 10 weeks, 56 % at 20 weeks, 73 % at 30 weeks, and 81 % at 40 weeks after reporting sick; 12.7 % of employees had not resumed work after 1 year and applied for disability benefits. The authors based their results on employee-reported mental health problems, which were neither medically verified nor categorized according to an international classification system.…”

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confidence: 99%

Employees Sick-Listed with Mental Disorders: Who Returns to Work and When?

et al. 2012

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Purpose To investigate return to work (RTW) in employees sick-listed with mental disorders classified according to the International Classification of Diseases (ICD). Methods Sickness absences (SA) medically certified as emotional disturbance (ICD-10 R45) or mental and behavioral disorders (ICD-10 F00-F99) were retrieved from an occupational health service register. RTW was associated with age, gender, and socioeconomic position (SEP) by parametric survival analysis. Results Emotional, neurotic, somatoform, stress-related, and mood disorders encompassed 94 % of all mental SA. Employees with emotional disturbance had the highest RTW rates: after 1 year 95 % had resumed work and after 2 years 98 % compared to 89 and 96 % of employees with neurotic, somatoform and stress-related disorders, and 70 and 86 % of employees with mood disorders. The probability of RTW decreased after 1 month of SA due to emotional disturbance, 2 months of SA with neurotic, somatoform and stress-related disorders, and 3 months of SA with mood disorders. Women resumed their work later than men. Young employees presenting with emotional disturbance, neurotic, somatoform, and stress-related disorders had earlier RTW than older employees and low-SEP employees had earlier RTW than high-SEP employees. Conclusions RTW rates and probabilities differed across categories of mental disorders. Age and SEP were associated with RTW of employees with emotional, neurotic, somatoform, and stress-related disorders, but not with RTW of employees experiencing mood disorders. To maximize the likelihood of RTW, a focus on RTW is important in the first months after reporting sick with mental disorders.

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“…Most RTW interventions focus on specific target groups, mostly sick-listed individuals with musculoskeletal health problems (3)(4)(5)(6)(7)(8)(9)(10), whereas RTW interventions addressing mental health problems are scarce (11,12). A recent systematic review of the effectiveness of RTW interventions for persons sick-listed due to musculoskeletal problems concluded that most interventions appeared beneficial.…”

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Effect of the Danish return-to-work program on long-term sickness absence: results from a randomized controlled trial in three municipalities

Poulsen¹,

Aust²,

Bjørner³

et al. 2013

Scand J Work Environ Health

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This is the largest RCT ever conducted on effects of a multiple component return-to-work intervention (coordinated, tailored, and multidisciplinary). The effects of the intervention on duration of sickness absence were remarkably different between the three municipalities examined indicating that contextual factors are of major importance for success or failure of this complex intervention. 47Original article Scand J Work Environ Health. 2014;40(1):47-56. doi:10.5271/sjweh.3383 Effect of the Danish return-to-work program on long-term sickness absence: results from a randomized controlled trial in three municipalities Objectives The aim of this study was to evaluate the effect of the Danish return-to-work (RTW) program on long-term sickness absence in a randomized controlled trial in three municipalities. MethodsThe intervention group comprised 1948 participants while the control group comprised 1157 participants receiving ordinary sickness benefit management (OSM). Study participants were working-age adults receiving long-term (≥8 weeks or more) benefits, included regardless of reason for sickness absence or employment status. Each beneficiary was followed-up for a maximum period of 52 weeks. Cox proportional hazards model was used to estimate hazard ratios (HR) for return to work (RTW) with 95% confidence intervals (95% CI). ResultsThe intervention effect differed significantly between the municipalities (P=0.00005). In one municipality (M2) the intervention resulted in a statistically significant increased rate of recovery from long-term sickness absence (HR 1.51, 95% CI 1.31-1.74). In the other two municipalities, the intervention did not show a statistically significant effect (HR M1 1.12, 95% CI 0.97-1.29, and HR M3 0.80, 95% CI 0.63-1.03, respectively). Adjustment for a series of possible confounders only marginally altered the estimated HR. ConclusionThe effect of the intervention differed substantially between the three municipalities, indicating that that contextual factors are of major importance for success or failure of this complex intervention.Key terms coordinated case management; Denmark; effect evaluation; intervention; multidisciplinary; RTW; work resumption. In 2008, the annual level of sickness absence in Denmark corresponded to approximately 5% of the workforce, and reimbursement costs per year were estimated to be around €5 billion (approximately €1350 per capita age 18-64 years) not including treatment costs or loss of productivity (1). Promoting labor market participation is essential for Denmark and other European countries facing a decline in the proportion of people of working age due to an aging workforce (2). To reduce sickness absence and improve labor market participation, the Danish Government launched an action plan in 2008 encompassing 39 initiatives including the Danish returnto-work (RTW) program. The Danish National Research Centre for the Working Environment (NRCWE) was appointed to develop the program in accordance with the action plan, existing sickness management leg...

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Predictors of return to work in employees sick-listed with mental health problems: findings from a longitudinal study

Cited by 79 publications

References 30 publications

Facilitadores del reintegro laboral en trabajadores con patología mental de origen laboral: una revisión sistemática

Facilitadores del reintegro laboral en trabajadores con patología mental de origen laboral: una revisión sistemática

Employees Sick-Listed with Mental Disorders: Who Returns to Work and When?

Effect of the Danish return-to-work program on long-term sickness absence: results from a randomized controlled trial in three municipalities

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