Recurrence of sickness absence due to common mental disorders

被引：139

作者：

Koopmans, Petra C. ^{[1
,2
]}

Bueltmann, Ute ^{[2
]}

Roelen, Corne A. M. ^{[2
,3
]}

Hoedeman, Rob ^{[2
,4
]}

van der Klink, Jac J. L. ^{[2
]}

Groothoff, Johan W. ^{[2
]}

机构：

[1] ArboNed Occupat Hlth Serv Stat, NL-9700 AC Groningen, Netherlands

[2] Univ Groningen, Univ Med Ctr Groningen, Dept Hlth Sci, NL-9700 AD Groningen, Netherlands

[3] ArboNed Occupat Hlth Serv Corp Accounts, NL-8000 AD Zwolle, Netherlands

[4] ArboNed Occupat Hlth Serv Corp Accounts, NL-3508 AB Utrecht, Netherlands

来源：

INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH | 2011年 / 84卷 / 02期

关键词：

Recurrent sickness absence; Common mental disorders; Stress-related symptoms; Depressive symptoms; Anxiety symptoms; GENERALIZED ANXIETY DISORDER; MAJOR DEPRESSIVE DISORDER; PSYCHIATRIC-DISORDERS; HEALTH-CARE; DISABILITY PENSION; FOLLOW-UP; ADJUSTMENT DISORDERS; RISK; POPULATION; EMPLOYEES;

D O I：

10.1007/s00420-010-0540-4

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Common mental disorders (CMDs) are an important cause of work disability. Although CMDs are known to have high recurrence rates, little is known about the recurrence of sickness absence due to CMDs. This study examines the recurrence risk of sickness absence due to CMDs. A cohort of 9,904 employees with a sickness absence due to CMDs, working in the Dutch Post or Telecommunication company, was studied over a 7-year period. Recurrence was defined as the start of at least one new episode of sickness absence with CMDs after complete return to work for at least 28 days. The recurrence density (RD) of sickness absence with CMDs was calculated per 1,000 person-years. Of the 9,904 employees with a first absence due to CMDs 1,925 (19%) had a recurrence, 90% of recurrences occurred within 3 years. The RD of sickness absence due to CMDs was 84.5 employees per 1,000 person-years (95% CI = 80.7-88.3). The RD of sickness absence due to CMDs was similar in women and in men. In men, depressive symptoms were related to higher recurrence of sickness absence due to CMDs than distress symptoms and adjustment disorders. In women, no difference by diagnostic category was found. Employees with a previous episode of sickness absence with CMDs are at increased risk of recurrent sickness absence with CMDs. Relapse prevention consultations are recommended for a period of 3 years after return to work.

引用

页码：193 / 201

页数：9

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