Variables moduladoras de la discapacidad asociada al trastorno depresivo

Romero, C. Catalina; Sierra, M. Cabrera; Gutiérrez, J.C. Sainz; Albarrán, J.L. Barrenechea; Conesa, A. Madrid; Calvo-Bonacho, Eva

doi:10.1016/j.cali.2010.11.006

Cited by 7 publications

(1 citation statement)

References 21 publications

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“…Guided by the results from observational studies evaluating predictors of recovery in patients receiving disability benefits due to depression [19], [20], [21], and a systematic review evaluating prognostic factors of long term disability due to mental disorders [22], we selected, a priori , 14 variables from the database that we judged may be associated with claim closure and receipt of psychotherapy, and predicted the direction of anticipated effects. In addition to the variables we chose from previous evidence, we included and predicted the direction of anticipated effects of two additional variables (time to claim approval and disability funding policy) in our model, as per recommendations by content experts in our research team and the administrative team at Sun Life.…”

Section: Methodsmentioning

confidence: 99%

Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression

et al. 2013

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BackgroundDepression is the most frequent reason for receiving disability benefits in North America, and treatment with psychotherapy is often funded by private insurers. No studies have explored the association between the provision of psychotherapy for depression and time to claim closure.MethodsUsing administrative data from a Canadian disability insurer, we evaluated the association between the provision of psychotherapy and short-term disability (STD) and long-term disability (LTD) claim closure by performing Cox proportional hazards regression.ResultsWe analyzed 10,508 STD and 10,338 LTD claims for depression. In our adjusted analyses, receipt of psychotherapy was associated with longer time to STD closure (HR [99% CI] = 0.81 [0.68 to 0.97]) and faster LTD claim closure (1.42 [1.33 to 1.52]). In both STD and LTD, older age (0.90 [0.88 to 0.92] and 0.83 [0.80 to 0.85]), per decade), a primary diagnosis of recurrent depression versus non-recurrent major depression (0.78 [0.69 to 0.87] and 0.80 [0.72 to 0.89]), a psychological secondary diagnosis (0.90 [0.84 to 0.97] and 0.66 [0.61 to 0.71]), or a non-psychological secondary diagnosis (0.81 [0.73 to 0.90] and 0.77 [0.71 to 0.83]) versus no secondary diagnosis, and an administrative services only policy ([0.94 [0.88 to 1.00] and 0.87 [0.75 to 0.996]) or refund policy (0.86 [0.80 to 0.92] and 0.73 [0.68 to 0.78]) compared to non-refund policy claims were independently associated with longer time to STD claim closure.ConclusionsWe found, paradoxically, that receipt of psychotherapy was independently associated with longer time to STD claim closure and faster LTD claim closure in patients with depression. We also found multiple factors that were predictive of time to both STD and LTD claim closure. Our study has limitations, and well-designed prospective studies are needed to establish the effect of psychotherapy on disabling depression.

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Section: Methodsmentioning

confidence: 99%

Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression

et al. 2013

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Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders: A Scoping Review

et al. 2017

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Purpose To present an overview of the existing evidence on prognostic factors of (recurrent) sickness absence (SA) and return to work (RTW) among workers with a common mental disorder (CMD). This scoping review provides information about determinants for SA and RTW, which could be used to develop better interventions aimed at the prevention of SA and promotion of RTW among workers with a CMD. Methods Relevant articles were identified in PubMed, Embase, PsycINFO, PSYNDEX, and SINGLE up to October 2016. In order to be included, studies should provide insight into prognostic factors of SA or RTW of workers with a CMD. We classified all factors according to the domains of the International Classification of Functioning, Disability and Health. Results Our searches identified 2447 possible relevant articles, of which 71 were included for data extraction. There is consistent evidence in ≥3 studies that previous episodes of CMD, higher symptom severity, previous absenteeism, co-morbidity, high job demands, low job control, high job strain, female gender, lower educational level, smoking behavior, and low perceived general health are predictors of SA in people with CMDs. Earlier RTW is consistently predicted by lower symptom severity, having no previous absenteeism, younger age, and positive expectations concerning sick-leave duration or RTW. Conclusions The amount of research on determinants for SA and RTW in workers with CMD has increased dramatically in recent years, although most studies are from the Netherlands and Scandinavia. There are some research gaps identified in this scoping review that need further attention in primary and secondary studies. Based on the summary of the evidence, we provide guidance for policy, practice and research.Electronic supplementary materialThe online version of this article (doi:10.1007/s10926-017-9730-1) contains supplementary material, which is available to authorized users.

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Impacto económico y carga de los trastornos mentales comunes en España: una revisión sistemática y crítica

et al. 2017

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Variables moduladoras de la discapacidad asociada al trastorno depresivo

Cited by 7 publications

References 21 publications

Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression

Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression

Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders: A Scoping Review

Impacto económico y carga de los trastornos mentales comunes en España: una revisión sistemática y crítica

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