ArticleOccupational and environmental medicine2003
Quality of rehabilitation among workers with adjustment disorders according to practice guidelines; a retrospective cohort study.
Article in Occupational and environmental medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Employer Best Practice Guidelines for the Return to Work of Workers on Mental Disorder-Related Disability Leave: A Systematic Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Pooled it
- Work reintegration for veterans with mental disorders: a systematic literature review to inform research.Physical therapy · 2013Pooled it
- Prognostic factors of long term disability due to mental disorders: a systematic review.Journal of occupational rehabilitation · 2011Pooled it
- Effectiveness of a tailored implementation strategy to improve adherence to a guideline on mental health problems in occupational health care.BMC health services research · 2019Trial
- Effectiveness of an Intervention to Enhance Occupational Physicians' Guideline Adherence on Sickness Absence Duration in Workers with Common Mental Disorders: A Cluster-Randomized Controlled Trial.Journal of occupational rehabilitation · 2017Trial
- Effectiveness of guideline-based care by occupational physicians on the return-to-work of workers with common mental disorders: design of a cluster-randomised controlled trial.BMC public health · 2013Trial
- A hospital-based work support intervention to enhance the return to work of cancer patients: a process evaluation.Journal of occupational rehabilitation · 2012Trial
- Design of a randomized controlled trial on the effects of counseling of mental health problems by occupational physicians on return to work: the CO-OP-study.BMC public health · 2007Trial
- Variation in mental health-related sickness absence duration: The role of occupational health professionals.PloS one · 2026Article
- A cluster-randomized controlled trial assessing the effectiveness of a multifaceted versus a discrete implementation strategy on fidelity to an occupational guideline for the prevention of mental health problems at the workplace: a dual perspective from Swedish schools.Implementation science communications · 2025Article
- The association between having a coordinator and return to work: the rapid-return-to-work cohort study.BMJ open · 2019Article
- How Can Supervisors Contribute to the Return to Work of Employees Who have Experienced Depression?Journal of occupational rehabilitation · 2018Article
- Job demands and decision control predicted return to work: the rapid-RTW cohort study.BMC public health · 2017Article
- Occupational physicians' perceived barriers and suggested solutions to improve adherence to a guideline on mental health problems: analysis of a peer group training.BMC health services research · 2016Article
- Recovery of Work-Related Stress: Complaint Reduction and Work-Resumption are Relatively Independent Processes.Journal of occupational rehabilitation · 2015Article
- Improving occupational physicians' adherence to a practice guideline: feasibility and impact of a tailored implementation strategy.BMC medical education · 2015Article
- Development and qualitative evaluation of an adapted return to work guideline for the sick-listed unemployed and temporary agency workers with minor psychological problems.BMC research notes · 2012Article
- Supervisors' perception of the factors influencing the return to work of workers with common mental disorders.Journal of occupational rehabilitation · 2011Article
- Return to work after a workplace-oriented intervention for patients on sick-leave for burnout--a prospective controlled study.BMC public health · 2010Article
- Can we enhance the ability to return to work among workers with stress-related disorders?BMC public health · 2009Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo assess the quality of occupational rehabilitation for patients with adjustment disorders and to determine whether high quality of care is related to a shorter period of sickness absence.
methodsA retrospective cohort study was conducted by means of an audit of 100 files of patients with adjustment disorders who visited their occupational physicians. Quality of rehabilitation was assessed by means of 10 performance indicators, derived from the guidelines for the treatment of employees with mental health disorders. Performance was dichotomised into optimal and deviant care according to explicit criteria. The performance rates were related to time until work resumption during a one year follow up period. Kaplan-Meier survival analyses and Cox proportional hazards analysis were used to study this relation.
resultsFour of 10 performance rates were below 50%: continuity of care (34%), interventions aimed at providers of care in the curative sector (39%), assessment of impediments in the return to work process (41%), and assessment of symptoms (45%). The highest performance rate concerned assessment of work related causes (94%). Overall optimal care was found in 10% of the cases. Median time to complete recovery was 195 days (IQR 97 to 365), and 73% of all patients recovered completely after one year. Optimal continuity of care was significantly related to a shorter time to both partial and complete work resumption (hazard ratio (HR) 0.3; CI 0.2 to 0.6) independently of other performance indicators. Performance regarding interventions aimed at the organisation was also related to a shorter time until first return to work (HR 0.5; CI 0.3 to 0.9).
conclusionsThis study shows that the rehabilitation process of employees with adjustment disorders leaves significant room for improvement, especially with regard to continuity of care. Quality of care was partly related to a better outcome. More rigorous study designs are needed to corroborate these findings.
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