Changes in sick leave one year before and after starting treatment: a naturalistic study of employed outpatients with common mental health disorders.

IF 1.5 4区 医学 Q3 PSYCHIATRY
Nordic Journal of Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI:10.1080/08039488.2024.2434602
Jakob Lundqvist, Martin Schevik Lindberg, Martin Brattmyr, Audun Havnen, Odin Hjemdal, Stian Solem
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引用次数: 0

Abstract

Background: This study explores sick leave changes 1-year pre- and post-treatment start for common mental health issues and their associations with self-reported symptoms, functioning, and health changes.

Methods: Ninety-five employed patients, without previous disability benefits, underwent treatment at a public mental health outpatient clinic. Sick leave data was obtained from the Norwegian Labour and Welfare Administration. Symptoms, work/social functioning, and health quality were self-reported at treatment onset and completion.

Results: Twelve months before starting treatment, only 6.3% were on sick leave, contrasting with 69.5% at treatment start. At post-treatment, 25% received work assessment allowance (WAA), 63% were off sick leave, and 12% were on sick leave. Sick leave days exhibited an inverted U-shape for non-WAA recipients. Those on sick leave post-treatment reported less improvement in symptoms and health, while the WAA group showed diminished work functioning enhancement.

Discussion: Evaluating the effect mental health treatment has on sick leave is clearly affected by the timing of assessments. Treatment seems associated with improved sick leave outcomes compared with status at treatment start, but less so when compared with status one year before starting treatment. Also, a large group of patients went on to receive WAA, constituting a group in need of further longitudinal evaluations and interventions.

开始治疗前后一年的病假变化:对常见精神健康障碍门诊就诊者的自然主义研究。
背景:本研究探讨了常见心理健康问题开始治疗前和治疗后1年的病假变化及其与自我报告的症状、功能和健康变化的关系。方法:95名以前没有残疾福利的受雇患者在公共精神卫生门诊接受治疗。病假数据来自挪威劳工和福利管理局。症状、工作/社会功能和健康质量在治疗开始和结束时都是自我报告的。结果:治疗前12个月的病假率为6.3%,而治疗开始时为69.5%。在治疗后,25%的人获得了工作评估津贴(WAA), 63%的人休病假,12%的人休病假。非waa接受者的病假天数呈倒u形。那些在治疗后请病假的人在症状和健康方面的改善较少,而WAA组的工作功能增强程度有所下降。讨论:评估心理健康治疗对病假的影响显然受到评估时间的影响。与治疗开始时的状态相比,治疗似乎与改善的病假结果相关,但与开始治疗前一年的状态相比,效果较差。此外,一大批患者继续接受WAA治疗,构成了一个需要进一步纵向评估和干预的群体。
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来源期刊
Nordic Journal of Psychiatry
Nordic Journal of Psychiatry 医学-精神病学
CiteScore
3.60
自引率
5.60%
发文量
86
审稿时长
12 months
期刊介绍: Nordic Journal of Psychiatry publishes international research on all areas of psychiatry. Nordic Journal of Psychiatry is the official journal for the eight psychiatry associations in the Nordic and Baltic countries. The journal aims to provide a leading international forum for high quality research on all themes of psychiatry including: Child psychiatry Adult psychiatry Psychotherapy Pharmacotherapy Social psychiatry Psychosomatic medicine Nordic Journal of Psychiatry accepts original research articles, review articles, brief reports, editorials and letters to the editor.
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