Journal
JOURNAL OF OCCUPATIONAL REHABILITATION
Volume 26, Issue 1, Pages 70-79Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10926-015-9588-z
Keywords
Long-term sickness absence; Mental health problems; Return to work
Categories
Funding
- Geestkracht programme of the Dutch Scientific Organisation (ZON-MW) [10-000-1002]
- VU University Medical Centre
- GGZ inGeest
- Leiden University Medical Centre
- GGZ Rivierduinen
- University Medical Centre Groningen
- Lentis
- GGZ Friesland
- GGZ Drenthe
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Purpose Only a limited number of studies have investigated return to work of sick-listed workers with mental health problems, and more knowledge is needed about the influence of non-disorder-related factors. This study aimed to identify longitudinal associations between demographic, personality, disorder-related and work-related characteristics and sustainable return to work of sick-listed workers with a depressive or anxiety disorder. Methods We used data of a large Dutch cohort study to prospectively study longitudinal associations between biopsychosocial factors and sustainable return to work in 2 years. Associations were studied by means of univariable and multivariable logistic regression analysis. Participants who were sick-listed at baseline and had a lifetime diagnosis of a depressive and/or anxiety disorder were included in this study (N = 215). Results In 2 years, 51.6 % of the participants returned to work sustainably. Age, household income, extraversion, employment status, skill discretion and job security were significantly (P a parts per thousand currency sign 0.05) associated with sustainable RTW in 2 years in the univariable analyses. The multivariable analysis revealed significant associations between sustainable return to work and age (OR per 10 years = 0.67; 95 % CI 0.47-0.95), household income (OR per 100 Euro's a month = 1.04; 95 % CI 1.00-1.08) and being on sickness benefit versus being (self-)employed (OR 0.39; 95 % CI 0.20-0.77). Conclusions In the long-run not disorder-related factors, but an older age, the absence of a job and a low household income seem to complicate return to work. Policy and research should focus on facilitators and barriers for return to work of workers with these characteristics.
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