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Incidence Rates and Predictors of Recurrent Long-Term Mental Sickness Absence Due to Common Mental Disorders.
Mulder, Matthew; Kok, Robin; Aben, Bart; de Wind, Astrid.
Afiliación
  • Mulder M; Department of Research and Development, HumanTotalCare B.V., Zwarte Woud 10, Utrecht, 3524 SJ, The Netherlands. matthewimulder@gmail.com.
  • Kok R; Department of Research and Development, HumanTotalCare B.V., Zwarte Woud 10, Utrecht, 3524 SJ, The Netherlands.
  • Aben B; Department of Research and Development, HumanTotalCare B.V., Zwarte Woud 10, Utrecht, 3524 SJ, The Netherlands.
  • de Wind A; Amsterdam UMC Location University of Amsterdam, Public and Occupational Health, Amsterdam, The Netherlands.
J Occup Rehabil ; 2024 Jul 27.
Article en En | MEDLINE | ID: mdl-39066861
ABSTRACT

PURPOSE:

Several predictors have been identified for mental sickness absence, but those for recurrences are not well-understood. This study assesses recurrence rates for long-term mental sickness absence (LTMSA) within subgroups of common mental disorders (CMDs) and identifies predictors of recurrent LTMSA.

METHODS:

This historical prospective cohort study used routinely collected data from 16,310 employees obtained from a nationally operating Dutch occupational health service (ArboNed). Total follow-up duration was 23,334 person-years. Overall recurrence rates were assessed using Kaplan-Meier estimators. Recurrence rates within subgroups of CMDs were calculated using person-years. Univariable and multivariable Cox proportional hazards models were used to identify predictors.

RESULTS:

15.6% of employees experienced a recurrent LTMSA episode within three years after fully returning to work after a previous LTMSA episode. Highest recurrence rates for LTMSA were observed after a previous LTMSA episode due to mood or anxiety disorders. Mood or anxiety disorders and shorter previous episode duration were predictors of recurrent LTMSA. No associations were found for age, gender, company size, full-time equivalent and job tenure.

CONCLUSION:

Employees should be monitored adequately after they fully returned to work after LTMSA. It is recommended to monitor high-risk employees (i.e. employees with mood or anxiety disorders and short LTMSA episode) more intensively, also beyond full return to work. Moreover, diagnosis of anxiety and depressive symptoms should be given a higher priority in occupational healthcare.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Occup Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Occup Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Países Bajos