The validity and reliability of diagnoses of work-related mental ill-health

O’Neill, Elizabeth A.; McNamee, Roseanne; Agius, Raymond; Gittins, Matthew; Hussey, Louise; Turner, Susan

doi:10.1136/oem.2008.039008

Cited by 23 publications

(11 citation statements)

References 15 publications

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“…In a pilot study of 8,500 post sorters working for the post companies, all 546 employees who reported sick in 2003 consulted an OP and a psychiatrist [40]. Between OPs and psychiatrists, an agreement of 81% was found with regard to the group diagnosis of CMDs, confirming the results reported by O'Niell et al[41]. However, the OPs frequently diagnosed distress or adjustment disorders, whereas the psychiatrists more often diagnosed depressive disorders and anxiety disorders.…”

Section: Discussionsupporting

confidence: 75%

Gender and age differences in the recurrence of sickness absence due to common mental disorders: a longitudinal study

et al. 2010

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BackgroundCommon mental disorders (CMDs) are an important cause of sickness absence and long-term work disability. Although CMDs are known to have high recurrence rates, little is known about the recurrence of sickness absence due to CMDs. The aim of this study was to investigate the recurrence of sickness absence due to CMDs, including distress, adjustment disorders, depressive disorders and anxiety disorders, according to age, in male and female employees in the Netherlands.MethodsData on sickness absence episodes due to CMDs were obtained for 137,172 employees working in the Dutch Post and Telecommunication companies between 2001 and 2007. The incidence density (ID) and recurrence density (RD) of sickness absence due to CMDs was calculated per 1000 person-years in men and women in the age-groups of < 35 years, 35-44 years, 45-54 years, and ≥ 55 years.ResultsThe ID of one episode of CMDs sickness absence was 25.0 per 1000 person-years, and the RD was 76.7 per 1000 person-years. Sickness absence due to psychiatric disorders (anxiety and depression) does not have a higher recurrence density of sickness absence due to any CMDs as compared to stress-related disorders (distress and adjustment disorders): 81.6 versus 76.0 per 1000 person-years. The ID of sickness absence due to CMDs was higher in women than in men, but the RD was similar. Recurrences were more frequent in women < 35 years and in women between 35 and 44 years of age. We observed no differences between age groups in men. Recurrences among employees with recurrent episodes occurred within 3 years in 90% of cases and the median time-to-onset of recurrence was 11 (10-13) months in men and 10 (9-12) months in women.ConclusionsEmployees who have been absent from work due to CMDs are at increased risk of recurrent sickness absence due to CMDs and should be monitored after they return to work. The RD was similar in men and in women. In women < 45 years the RD was higher than in women ≥ 45 years. In men no age differences were observed.

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Section: Discussionsupporting

confidence: 75%

Gender and age differences in the recurrence of sickness absence due to common mental disorders: a longitudinal study

et al. 2010

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“…O'Niell et al (15) found no systematic difference between OP and psychiatrists in their diagnostic labelling of mental ill-health, although within-group reliabilities were low for some diagnoses, particularly 'stress'. We limited potential diagnostic misclassification by using main ICD-10 (eg, 'neurotic disorders') instead of specific (eg, burnout, adjustment disorder, or anxiety disorder) diagnoses.…”

Section: Methodological Considerationsmentioning

confidence: 98%

Shift work and mental health sickness absence: a 10-year observational cohort study among male production workers

Norder¹,

Roelen²,

Bültmann³

et al. 2015

Scand J Work Environ Health

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“…However, more studies are needed to confirm these findings in other settings and countries, Strengths and Weaknesses of the Study An asset of this study was the large number of employees included in the occupational health service register and the availability of recorded SA data free from recall bias [37][38][39]. Although the validity of mental diagnoses in occupational medicine is still being discussed [40], the use of OP-certified SA is better than relying on employee-reported mental health. In a pilot study among 8,500 post sorters working for the Dutch Postal Services, all 546 employees who reported sick in 2003 consulted an OP and a psychiatrist.…”

Section: Practical Implicationsmentioning

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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The validity and reliability of diagnoses of work-related mental ill-health

Abstract: Objectives: To establish the reliability and validity of work-related mental ill-health diagnoses.

Cited by 23 publications

References 15 publications

Gender and age differences in the recurrence of sickness absence due to common mental disorders: a longitudinal study

Gender and age differences in the recurrence of sickness absence due to common mental disorders: a longitudinal study

Shift work and mental health sickness absence: a 10-year observational cohort study among male production workers

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

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