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
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 si...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | International Journal of Mental Health Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13033-023-00613-7 |
| _version_ | 1797398125774635008 |
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| author | Yvonne B. Suijkerbuijk Frederieke G. Schaafsma Lyanne P. Jansen Selwin S. Audhoe Lieke Lammerts Johannes R. Anema Karen Nieuwenhuijsen |
| author_facet | Yvonne B. Suijkerbuijk Frederieke G. Schaafsma Lyanne P. Jansen Selwin S. Audhoe Lieke Lammerts Johannes R. Anema Karen Nieuwenhuijsen |
| author_sort | Yvonne B. Suijkerbuijk |
| collection | DOAJ |
| description | 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). |
| first_indexed | 2024-03-09T01:21:13Z |
| format | Article |
| id | doaj.art-25870743186a4a248af5d336b1a1b087 |
| institution | Directory Open Access Journal |
| issn | 1752-4458 |
| language | English |
| last_indexed | 2024-03-09T01:21:13Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Mental Health Systems |
| spelling | doaj.art-25870743186a4a248af5d336b1a1b0872023-12-10T12:07:53ZengBMCInternational Journal of Mental Health Systems1752-44582023-12-0117111310.1186/s13033-023-00613-7Predictors 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 studyYvonne B. Suijkerbuijk0Frederieke G. Schaafsma1Lyanne P. Jansen2Selwin S. Audhoe3Lieke Lammerts4Johannes R. Anema5Karen Nieuwenhuijsen6Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, location University of AmsterdamDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, location University of AmsterdamDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, location University of AmsterdamResearch Center for Insurance Medicine, AMC-UMCG-VUmc-UWVDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, location Vrije Universiteit AmsterdamResearch Center for Insurance Medicine, AMC-UMCG-VUmc-UWVDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, location University of AmsterdamAbstract 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).https://doi.org/10.1186/s13033-023-00613-7Mental HealthVocational RehabilitationReturn to workSick leaveSocial Security |
| spellingShingle | Yvonne B. Suijkerbuijk Frederieke G. Schaafsma Lyanne P. Jansen Selwin S. Audhoe Lieke Lammerts Johannes R. Anema Karen Nieuwenhuijsen 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 International Journal of Mental Health Systems Mental Health Vocational Rehabilitation Return to work Sick leave Social Security |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Mental Health Vocational Rehabilitation Return to work Sick leave Social Security |
| url | https://doi.org/10.1186/s13033-023-00613-7 |
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