Evidence map›Paper›PMID 35732382›Full record

Trial reportBMJ open2022

Outcomes of psychiatric interviews and self-rated symptom scales in people on sick leave for common mental disorders: an observational study.

Sandra Af Winklerfelt Hammarberg, Jeanette Westman, Dominique Hange, Anna Finnes, Cecilia Björkelund, Jonas Hällgren, Ingmarie Skoglund, Anna Nager

Open access · goldAbstract readObservational StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
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.

Sandra Af Winklerfelt HammarbergDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden sandra.af.winklerfelt.hammarberg@ki.se.ORCID 0000-0001-5873-1568
Jeanette WestmanDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Dominique HangePrimary Health Care, School of Public Health and Community Medicine, Institutet of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden, Gothenburg, Sweden.
Anna FinnesDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Cecilia BjörkelundPrimary Health Care, School of Public Health and Community Medicine, Institutet of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden, Gothenburg, Sweden.ORCID 0000-0003-4083-7342
Jonas HällgrenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Ingmarie SkoglundPrimary Health Care, School of Public Health and Community Medicine, Institutet of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden, Gothenburg, Sweden.
Anna NagerDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SERegion Västra Götaland · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the correspondence between diagnoses on sick leave certificates and diagnoses made in structured psychiatric interviews. Secondary aims were to investigate length of sick leave by diagnoses on sick leave certificates, diagnoses made in structured interviews and symptom severity.

designObservational study consisting of a secondary analysis of data from a randomised controlled trial and an observational study.

settingThe regions of Stockholm and Västra Götaland, Sweden.

participants480 people on sick leave for common mental disorders.

interventionsParticipants were examined with structured psychiatric interviews and self-rated symptom severity scales. OUTCOME MEASURES: (1) Sick leave certificate diagnoses, (2) diagnoses from the Mini International Neuropsychiatric Interview and the Self-rated Stress-Induced Exhaustion Disorder (SED) Instrument (s-ED), (3) symptom severity (Montgomery-Asberg Depression Rating Scale-self-rating version and the Karolinska Exhaustion Disorder Scale) and (4) number of sick leave days.

resultsThere was little correspondence between diagnoses on sick leave certificates and diagnoses made in structured psychiatric interviews. Many participants on sick leave for SED, anxiety disorder or depression fulfilled criteria for other mental disorders. Most on sick leave for SED (76%) and anxiety disorder (67%) had depression (p=0.041). Length of sick leave did not differ by certificate diagnoses. Participants with SED (s-ED) had longer sick leave than participants without SED (144 vs 84 days; 1.72 (1.37-2.16); p<0.001). More severe symptoms were associated with longer sick leave.

conclusionDiagnoses on sick leave certificates did not reflect the complex and overlapping nature of the diagnoses found in the structured psychiatric interviews. This finding is relevant to the interpretation of information from health data registers, including studies and guidelines based on these data. A result of clinical interest was that more severe symptoms predicted long-term sick leave better than actual diagnoses.

Indexed as

Mental DisordersSick LeaveAnxiety DisordersEmploymentHumansPsychiatric Status Rating ScalesAnxiety disordersDepression & mood disordersMENTAL HEALTHPRIMARY CAREPUBLIC HEALTH

Identifiers

PMID35732382
PMCPMC9226864
OpenAlexW4283265329

What OpenQuestion holds

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LicenceCC BY-NC
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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.