Evidence map›Paper›PMID 37935518›Full record

ArticleBMJ open2023

Long-term follow-up study of work status among patients with work-related mental disorders referred to departments of occupational medicine in Denmark.

Marianne Kyndi, Morten Vejs Willert, Jesper Medom Vestergaard, Johan Hviid Andersen, David Høyrup Christiansen, Vita Ligaya Dalgaard

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Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Marianne KyndiDepartment of Occupational Medicine, University Clinic, Gødstrup Regional Hospital, Herning, Denmark mariannekyndi@dadlnet.dk.ORCID 0000-0003-3650-5687
Morten Vejs WillertDepartment of Occupational Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-0667-241X
Jesper Medom VestergaardDepartment of Occupational Medicine, University Clinic, Gødstrup Regional Hospital, Herning, Denmark.
Johan Hviid AndersenDepartment of Occupational Medicine, University Clinic, Gødstrup Regional Hospital, Herning, Denmark.
David Høyrup ChristiansenCentre for Research in Health and Nursing, Research, Regional Hospital Central Jutland, Viborg, Denmark.
Vita Ligaya DalgaardDepartment of Occupational Medicine, University Clinic, Gødstrup Regional Hospital, Herning, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the 5 year work status in patients referred for suspected work-related common mental disorders. To develop a prognostic model.

designRegister-based nationwide longitudinal follow-up study.

settingAll departments of occupational medicine in Denmark.

participants17 822 patients aged 18-67 years, seen for the first time at a Department of Occupational Medicine in Denmark from 2000 to 2013 and diagnosed with stress, depression, post-traumatic stress disorder, anxiety or other mental disorders.

interventionsAll patients were seen for diagnostic assessment and causal evaluation of the work-relatedness of their disorders. Some departments offered patients with stress disorders psychological treatment, which, however, was not organised according to patient selection or type of treatment. PRIMARY AND SECONDARY OUTCOME MEASURES: Register data were collected for 5 year periods before and after the patients' first assessment at a department. Weekly percentages of patients are presented according to work status. The outcome in the prognostic model was a high Work Participation Score (ie, working>75% of potential work weeks/year) at 5 year follow-up.

resultsFor all subgroups of patients, a high proportion were working (>75%) 1-5 years before assessment, and all experienced a large reduction in work status at time of assessment. At 1 year follow-up, almost 60% of patients with stress were working, whereas in the other patient subgroups, less than 40% were working. In the following years, practically no increase was observed in the percentage of patients working in any of the subgroups. Based on these 5 year follow-up data, we developed a work participation model with only moderate discrimination and calibration.

conclusionsIn Denmark, not all return to previous work status 5 years after a referral due to a suspected work-related common mental disorder. We developed a prognostic model with only moderate discrimination and calibration for long-term work participation after suggested work-related common mental disorders.

Indexed as

Mental DisordersOccupational MedicineStress Disorders, Post-TraumaticAnxiety DisordersDenmarkFollow-Up StudiesHumansepidemiologymental healthoccupational & industrial medicine

Identifiers

PMID37935518
PMCPMC10632875

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