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Predictors of time until return to work and duration of sickness absence in sick-listed precarious workers with common mental disorders: a secondary data-analysis of two trials and one cohort study.
- Source :
- International Journal of Mental Health Systems; 12/8/2023, Vol. 17 Issue 1, p1-13, 13p
- Publication Year :
- 2023
-
Abstract
- Background: Common mental disorders (CMD) are highly prevalent among sick-listed precarious workers and often lead to long-term sickness-absence, work disability and unemployment. This study aimed to identify predictors of a longer time until return to work (RTW) and prolonged duration of sickness absence in sick-listed precarious workers with CMD. Methods: We conducted a secondary Cox regression analysis using existing data from two Dutch randomized controlled trials and one cohort study among sick-listed precarious workers with CMD (N = 681). Age, gender, baseline employment status, study allocation, severity of psychological symptoms and RTW self-efficacy were evaluated for their predictive value on time until sustainable (≥ 28 days) RTW and duration of sickness absence during 12-month follow-up. In this study, time until sustainable RTW and duration of sickness absence are distinct dependent variables, because they are not mutually exclusive. Results: Age above 50 years (HR 0.57, 95% CI 0.39–0.82), severe psychological symptoms (HR 0.64, 95% CI 0.43–0.93), unemployment (HR 0.19 95% CI 0.11–0.33) and loss of employment contract during sickness absence (HR 0.25, 95% CI 0.14–0.47) were predictive of a longer time until RTW. Male gender (HR 0.77, 95% CI 0.62–0.97), severe psychological symptoms (HR 0.64, 95% CI 0.46–0.87), unemployment (HR 0.47, 95% CI 0.27–0.84) and loss of employment contract (HR 0.48, 95% CI 0.26–0.90) predicted a prolonged duration of sickness absence. Conclusions: Unemployment at the moment of sick-listing, loss of employment contract during sickness absence, and severe psychological symptoms are predictors of both a longer time until RTW and prolonged duration of sickness absence among sick-listed precarious workers with CMD. This knowledge assists occupational health and mental health professionals in the early identification of workers at risk of long-term sickness absence, enabling them to arrange targeted occupational rehabilitation support and mental health care. Trial registration: The included randomized controlled trials were prospectively registered in the Dutch national trial register under NTR4190 (September 27, 2013) and NTR3563 (August 7, 2012). [ABSTRACT FROM AUTHOR]
- Subjects :
- EMPLOYEE psychology
SICK leave
DISMISSAL of employees
UNEMPLOYMENT
CONFIDENCE intervals
TIME
AGE distribution
SELF-evaluation
MULTIVARIATE analysis
REGRESSION analysis
RISK assessment
SEX distribution
SEVERITY of illness index
SELF-efficacy
OCCUPATIONAL therapy
T-test (Statistics)
PEARSON correlation (Statistics)
EMPLOYMENT
QUESTIONNAIRES
KAPLAN-Meier estimator
DESCRIPTIVE statistics
CHI-squared test
RESEARCH funding
EMPLOYMENT reentry
DATA analysis software
MENTAL illness
SECONDARY analysis
PROPORTIONAL hazards models
PSYCHOSOCIAL factors
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 17524458
- Volume :
- 17
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Mental Health Systems
- Publication Type :
- Academic Journal
- Accession number :
- 174064132
- Full Text :
- https://doi.org/10.1186/s13033-023-00613-7