Sustainable return to work after depression - A comparative study among occupational physicians and affected employees

IntroductionThe number of sick days taken from work due to depression is steadily rising. A successful return to work (RTW) is essential for sustainable reintegration. This study aims to identify factors to optimize RTW and to investigate approaches for sustainable RTW (sRTW) after depressive episod...

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Main Authors: Richard Paulinus Ersel, Roman Pauli, Petra Maria Gaum, Jessica Lang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.946396/full
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author Richard Paulinus Ersel
Roman Pauli
Petra Maria Gaum
Jessica Lang
author_facet Richard Paulinus Ersel
Roman Pauli
Petra Maria Gaum
Jessica Lang
author_sort Richard Paulinus Ersel
collection DOAJ
description IntroductionThe number of sick days taken from work due to depression is steadily rising. A successful return to work (RTW) is essential for sustainable reintegration. This study aims to identify factors to optimize RTW and to investigate approaches for sustainable RTW (sRTW) after depressive episodes.MethodsSemi-structured expert interviews with senior occupational physicians (OPs, N = 5) served to develop two surveys among OPs (N = 180) and employees after depressive episode (N = 192). Predictors of RTW rating, workplace-based RTW interventions and sRTW interventions were analyzed using multiple hierarchical regression, chi-square difference and t-tests.ResultsFor OPs, employee training on mental illness prevention was found to be the strongest predictor of overall RTW rating, whereas understanding and appreciation in conversations and stigmatization were strongest predictors of overall RTW rating by the employees. Compared to the employees, OPs reported significantly more availability of workplace-based interventions. To prevent relapse, the employees prioritized sufficient time and financial security during the RTW process more than OPs.ConclusionsThe study identified facilitating and hindering factors that can inform further research and practice to improve RTW after depressive episodes. To redress the awareness gap about the availability of workplace-based interventions, regular contact between OPs and employees is crucial. Several factors were considered to be of varying importance for relapse prevention by the two groups. Multiple perceptions and needs ought to be taken into account during RTW.
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spelling doaj.art-309205459f4e4cf58e7aa8e195845e7e2022-12-22T03:54:36ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.946396946396Sustainable return to work after depression - A comparative study among occupational physicians and affected employeesRichard Paulinus ErselRoman PauliPetra Maria GaumJessica LangIntroductionThe number of sick days taken from work due to depression is steadily rising. A successful return to work (RTW) is essential for sustainable reintegration. This study aims to identify factors to optimize RTW and to investigate approaches for sustainable RTW (sRTW) after depressive episodes.MethodsSemi-structured expert interviews with senior occupational physicians (OPs, N = 5) served to develop two surveys among OPs (N = 180) and employees after depressive episode (N = 192). Predictors of RTW rating, workplace-based RTW interventions and sRTW interventions were analyzed using multiple hierarchical regression, chi-square difference and t-tests.ResultsFor OPs, employee training on mental illness prevention was found to be the strongest predictor of overall RTW rating, whereas understanding and appreciation in conversations and stigmatization were strongest predictors of overall RTW rating by the employees. Compared to the employees, OPs reported significantly more availability of workplace-based interventions. To prevent relapse, the employees prioritized sufficient time and financial security during the RTW process more than OPs.ConclusionsThe study identified facilitating and hindering factors that can inform further research and practice to improve RTW after depressive episodes. To redress the awareness gap about the availability of workplace-based interventions, regular contact between OPs and employees is crucial. Several factors were considered to be of varying importance for relapse prevention by the two groups. Multiple perceptions and needs ought to be taken into account during RTW.https://www.frontiersin.org/articles/10.3389/fpubh.2022.946396/fulldepressionreturn to worksick leaveworkplaceoccupational health physicians
spellingShingle Richard Paulinus Ersel
Roman Pauli
Petra Maria Gaum
Jessica Lang
Sustainable return to work after depression - A comparative study among occupational physicians and affected employees
Frontiers in Public Health
depression
return to work
sick leave
workplace
occupational health physicians
title Sustainable return to work after depression - A comparative study among occupational physicians and affected employees
title_full Sustainable return to work after depression - A comparative study among occupational physicians and affected employees
title_fullStr Sustainable return to work after depression - A comparative study among occupational physicians and affected employees
title_full_unstemmed Sustainable return to work after depression - A comparative study among occupational physicians and affected employees
title_short Sustainable return to work after depression - A comparative study among occupational physicians and affected employees
title_sort sustainable return to work after depression a comparative study among occupational physicians and affected employees
topic depression
return to work
sick leave
workplace
occupational health physicians
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.946396/full
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