학술논문
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.
Document Type
Article
Author
Source
Subject
*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
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Language
ISSN
1752-4458
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]