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Length of sickness absence and sustained return-to-work in mental disorders and musculoskeletal diseases
A cohort study of public sector employees This study adds to the scientific evidence on the length of sickness absence until sustained return to work (SRTW) in depression, anxiety disorders, intervertebral disc disorders, and back pain among Finnish public sector employees. Timescales are provided for returning to work in different occupational groups also taking into consideration the persistence of the health problem and comorbid conditions. Source: Kausto, J., Pentti, J., Oksanen, T., Virta, L. J., Virtanen, M., Kivimäki, M., & Vahtera, J. (2017). Scandinavian Journal of Work, Environment...
Effectiveness of a return-to-work program for workers without an employment contract, sick-listed due to common mental disorders
A participatory supportive return-to-work (RTW) program did not result in a significant shorter duration until sustainable RTW of workers without an employment contract, sick-listed due to a common mental disorder, compared to usual occupational healthcare. Further research is needed to consider how vocational needs of these vulnerable workers could be better addressed. Source: Lammerts L, Schaafsma FG, Bonefaas-Groenewoud K, van Mechelen W, Anema JR. Scand J Work Environ Health , 2016.
Return to Work after sick leave due to mental health problems
The article will describe factors of influence on return to work RTW and evidence-based interventions that enhance return to work (RTW) after sick leave due to common mental health disorders (CMD). First the concepts of both RTW and CMD are outlined. Second, the sense of urgency for effective RTW interventions for workers with CMD is briefly described. Third, a variety of predictors of RTW are presented with respect to the disorder, personal factors, and environmental factors. Lastly, a brief description of usual care and an overview of effective RTW interventions will be provided. A final paragraph...
Are the predictors of work absence following a work-related injury similar for musculoskeletal and mental health claims?
Objective To examine if the factors associated with days of absence following a work-related injury are similar for mental health versus musculoskeletal (MSK) conditions. Methods A secondary analysis of wage replacement workers' compensation claims in the state of Victoria, Australia. We examined the relationship between individual, injury, occupational and workplace variables with days of wage replacement over the 2-year period following first day of absence from work separately for mental health claims and MSK claims using negative binomial regression models. Results Mental health conditions...
Psychosocial working conditions, occupational groups, and risk of disability pension due to mental diagnoses: a cohort study of 43 000 Swedish twins
Objectives The aim of this study was to investigate associations between psychosocial working conditions, occupational groups defined by sector, and disability pension (DP) with mental diagnoses while accounting for familial confounding. Methods A prospective population-based cohort study was conducted, including all Swedish twins who, in January 1993, were living and working in Sweden and not on old-age pension or DP (N=42 715). The twins were followed from 1993–2008 regarding DP. Data on DP, exposures, and covariates were obtained from national registries. Cox proportional hazards regression...
Return-to-work program for workers on sick leave due to common mental disorders
In case of long-term sick leave, gradually increasing workload appears to be an effective component of work-directed interventions to reduce sick leave due to common mental disorders (CMD). We developed an exposure-based return-to-work (RTW-E) intervention and evaluated the effect on time-to-full return to work (RTW) among workers who were on sick leave due to CMD in comparison to those treated with care-as-usual (CAU). CAU is guideline-directed and consists of problem-solving strategies and graded activities. The median time-to-full RTW differed significantly between groups [hazard ratio (HR)...
Mental ill-health and second claims for work-related injury
Background There is some evidence that mental ill-health (MIH) is associated with injury at work, but data are sparse. Aims To examine, within a cohort of workers with a first workers' compensation claim, whether those with a history of MIH had a higher than expected number of second claims. Methods All Workers' Compensation Board (WCB) records from January 1995 to December 2004 were linked to administrative health records, and a physician diagnosis of MIH in the 48 months prior to the first WCB claim extracted. The first and second (if any) claim for each worker were identified and time...
Prognostic Factors of Long Term Disability Due to Mental Disorders: A Systematic Review
Introduction In the past few decades, mental health problems have increasingly contributed to sickness absence and long-term disability. However, little is known about prognostic factors of return to work (RTW) and disability of persons already on sick leave due to mental health problems. Understanding these factors may help to develop effective prevention and intervention strategies to shorten the duration of disability and facilitate RTW. Method We reviewed systematically current scientific evidence about prognostic factors for mental health related long term disability, RTW and symptom recovery...

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