SynthesisScandinavian journal of primary health care2012
Phenomena associated with sick leave among primary care patients with Medically Unexplained Physical Symptoms: a systematic review.
Synthesis in Scandinavian journal of primary health care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychosocial interventions for conversion and dissociative disorders in adults.The Cochrane database of systematic reviews · 2020Pooled it
- Effects of a randomized controlled intervention trial on return to work and health care utilization after long-term sickness absence.BMC public health · 2016Trial
- Protocol for the atWork trial: a randomised controlled trial of a workplace intervention targeting subjective health complaints.BMC public health · 2016Trial
- Symptom reduction due to psychosocial interventions is not accompanied by a reduction in sick leave: results from a randomized controlled trial in primary care.Scandinavian journal of primary health care · 2014Trial
- Early multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre.Scandinavian journal of primary health care · 2013Trial
- Implementing a complex innovation into workplace operations: The case of work ability support for indoor environment-associated health complaints.Work (Reading, Mass.) · 2026Article
- Article
- The effects of a structured communication tool in patients with medically unexplained physical symptoms: a cluster randomized trial.EClinicalMedicine · 2023Article
- A randomized controlled trial protocol for persistent physical symptoms associated with indoor environment or chronic fatigue: Effectiveness of video-based functional case conceptualization and web-program for improving quality of life.Frontiers in psychology · 2022Article
- Demographic and health-related factors associated with reduced work functioning in people with moderate medically unexplained physical symptoms: a cross-sectional study.BMC public health · 2020Article
- The capacity to work puzzle: a qualitative study of physicians' assessments for patients with common mental disorders.BMC family practice · 2018Article
- Multichannel Investigation of Interoception: Sensitivity Is Not a Generalizable Feature.Frontiers in human neuroscience · 2018Article
- Different Strokes for Different Folks: The BodyMind Approach as a Learning Tool for Patients With Medically Unexplained Symptoms to Self-Manage.Frontiers in psychology · 2018Article
- Article
- Correspondence in Stakeholder Assessment of Health, Work Capacity and Sick Leave in Workers with Comorbid Subjective Health Complaints? A Video Vignette Study.Journal of occupational rehabilitation · 2016Article
- Associations of psychosocial working conditions and working time characteristics with somatic complaints in German resident physicians.International archives of occupational and environmental health · 2016Article
- Medically unexplained physical symptoms and work functioning over 2 years: their association and the influence of depressive and anxiety disorders and job characteristics.BMC family practice · 2016Article
- Health Complaints Attributed to Dental Amalgam: A Retrospective Survey Exploring Perceived Health Changes Related to Amalgam Removal.The open dentistry journal · 2016Article
- Medically unexplained symptoms and the risk of loss of labor market participation--a prospective study in the Danish population.BMC public health · 2015Article
- Symptoms as the main problem in primary care: A cross-sectional study of frequency and characteristics.Scandinavian journal of primary health care · 2015Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore and synthesize the literature on phenomena associated with sick leave among patients with Medically Unexplained Physical Symptoms (MUPS).
designA systematic review of the literature was undertaken in three phases: (1) a search of the following databases: Medline, Embase, Psych Info, Cochrane Collaboration Library, Digital Dissertations, DiVA, SweMed +, NORART, and ISI Web of Science, (2) selection of studies based on pre-specified inclusion criteria was undertaken, extracting study design and results, (3) quality assessment was undertaken independently by two reviewers. Due to heterogeneity in study designs, populations, interventions, and outcome measures, a mixed research synthesis approach was used. Results were assessed in a pragmatic and descriptive way; textual and numerical data were extracted from the included studies, and classified into patient- and doctor-related factors.
resultsSixteen studies were included. With regard to patients, an association was found between sick leave and psychiatric comorbidity as well as total symptom burden. With regard to doctors, knowledge of the patient, sympathy, and trust appeared to increase the probability of the patient being sick-listed. None of the interventions in the educational programmes aiming to improve doctors' management of MUPS patients succeeded in lowering sick leave. IMPLICATIONS: Despite MUPS being a leading cause of sickness absence, the review identified only a small number of studies concerning phenomena associated with sick leave. The authors did not identify any studies regarding the impact of the working conditions on sick leave among MUPS patients. This is an important area for further studies.
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