Evidence map›Paper›PMID 30627686›Full record

ArticleHeliyon2019

Influence of antidepressant therapy on sick leave in primary care: ADAS, a comparative observational study.

Ingmarie Skoglund, Cecilia Björkelund, Irene Svenningsson, Eva-Lisa Petersson, Pia Augustsson, Shabnam Nejati, Nashmil Ariai, Dominique Hange

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Socioeconomic status, antidepressant use, and return to work after disability due to common mental disorders.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ingmarie SkoglundDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Cecilia BjörkelundDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Irene SvenningssonDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Eva-Lisa PeterssonDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Pia AugustssonDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Shabnam NejatiDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Nashmil AriaiDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Dominique HangeDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Region Västra Götaland · SESödra Älvsborg Hospital · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared to other European countries, Sweden's yearly sick leave expenditures are moderate. Common mental disorders (CMD) are important causes of sick leave, affecting 10-15% of the adult population. A Swedish register based study indicates that antidepressant therapy for patients on long-term sick leave for CMD leads to longer sick leave and higher frequency of non-time-limited sickness compensation as compared to psychotherapy, work oriented rehabilitation, and other therapies.

aimTo verify if patients on antidepressant therapy and on long-term sick leave for depression, anxiety and stress-related mental disorders have a longer sick leave than patients treated with other therapies.

methodProspective, observational study at 28 primary health care centers in the Region Västra Götaland, Sweden, including 192 patients on sick leave for CMD. Outcome measures were gross and net sick leave days.

interpretationThere were no significant differences in sick leave days (gross or net) due to CMD when comparing the patients treated and not treated with antidepressants during the 12 month observation period. The groups differed at baseline only concerning frequency of exhaustion disorder, with a higher frequency of exhaustion disorder in the group without antidepressants. Analysis of other possible factors associated with shorter or longer sick leave only showed associations with the patient's own perception of possibility of returning to work in near and distant future. An important factor associated with longer sick leave was the patient's own perception of possibility of return to present workplace. As CMD are important causes of sick leave and sick leave costs, this factor should be highlighted in future research on the rehabilitation process.

Indexed as

EpidemiologyPsychiatryPublic health

Identifiers

PMID30627686
PMCPMC6321886
OpenAlexW2907008880

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.