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. 2014 Jul 12;4(7):e005533. doi: 10.1136/bmjopen-2014-005533

Table 2.

Return-to-work sickness absence outcomes

Author(s) Country Mental disorders Outcome measure Number of episodes or employees Reported outcomes of sickness absences
Barbosa-Branco et al14 BR Mental and behavioural disorders: Organic disorders (ICD-10 F00-F09); psychoaffective substance use disorders (ICD-10 F10-F19); schizophrenia, schizotypal and delusional disorders (ICD-10 F20-F29); mood disorders (ICD-10 F30-F39); stress-related and somatoform disorders (ICD-10 F40-F48) Duration of sickness benefit claim = measure not described Number of claims due to mental and behavioural disorders:
All=147 105
Males=71 195
Females=75 910
Median duration of disability episodes (in days) (1st and 3rd quartiles):
Males:
Mental and behavioural disorders=76 (47, 113)
Females:
Mental and behavioural disorders=65 (43, 97)
Board and Brown13 UK ICD categories used not described Absence phase:
Subacute=28–90 days
Chronic phase=>90 days
Return-to-Work=episode has start and finish dates before study end date
Number of sickness absences:
Police officers=4485
Civilian staff=1761
Among those with mental ill health:
Police officers:
With subacute episode=43.2%
With chronic episode=56.8%
Who return to work=85.2%
Civilian staff:
With subacute episode=59.5%
With chronic episode=40.5%
Who return to work=Not reported
Dewa et al6 CA (Ontario) Mental and behavioural disorders (ICD-10 F00-F99, Z502, Z503, Z561-Z566, Z630-Z639, Z729, Z733, Z738, Z864, Z915): schizophrenia, mood disorders, stress-related disorders and mental and behavioural disorders due to psychoactive substance use Duration of episode=number of work days absent Number of sickness absences:
Due to any disorder=4791
Due to mental and behavioural disorders=698
Mean days per episode (in days) (95%CI):
Due to any disorder=33.0 (31.3 to 34.7)
Due to mental and behavioural disorders:
All=64.9 (58.2 to 71.6)
Males=62.1 (54.1 to 70.1)
Females=70.0 (57.8 to 82.1)
Koopmans et al15 NL Depression (diagnostic classification system not descripted in paper) Duration of episode=number of calendar days between first day of sick leave and date of return to work or disability pension received Number of new episodes due to depression=9910 Return to work within a year:
Men=67.7%
Women=64.8%
Total=66.2%
One year of work incapacity:
Men=15.2%
Women=17.4%
Total=16.4%
Mean duration of episode (in days) (95% CI):
Men=200 (196 to 204)
Women=213 (210, 217)
Median duration of episode (in days) (95% CI):
Men=179 (172 to 186)
Women=201 (193 to 209)
Koopmans et al9 NL Common mental disorders (CMD) from medical certification: stress-related (distress and adjustment disorders) (ICD-10 R45, F43) and psychiatric (mild to moderate depressive and anxiety disorders) (ICD-10 F32.0, F32.1, F40.0, F40.1, F40.2, F41.0, F41.1, F41.2, F41.3) Duration of sickness absence=number of calendar days between first day of sick leave and date of return to work or disability pension received Number of employees with ≥1 sickness absence due to CMD=8951
Total number of sickness absence due to CMD=10 921
From 2001 to 2007, median duration of index sickness absence episode (in days) (95% CI):
Men:
Stress=49 (47 to 51)
Psychiatric=168 (150 to 186)
Total CMD=57 (54 to 60)
Women:
Stress=56 (53 to 59)
Psychiatric=168 (151 to 185)
Total CMD=67 (63 to 71)
From 2001–2007, median duration of recurrent CMD sickness absence episodes (in days) (95% CI):
Men:
Stress=46 (41 to 51)
Psychiatric=68 (39 to 97)
Total CMD=48 (43 to 53)
Women:
Stress=60 (51 to 69)
Psychiatric=73 (53 to 93)
Total CMD=62 (55 to 69)
Koopmans et al8 NL Common mental disorders (CMD) from medical certification: stress-related (distress and adjustment disorders) (ICD-10 R45, F43) and psychiatric (mild to moderate depressive and anxiety disorders) (ICD-10 F32, F40, F41) Duration of sickness absence=number of calendar days of sickness absence adjusted for partial return to work and annual worker-years Number of employees with ≥1 sickness absence due to CMD=9904
Total number of sickness absences due to CMD=12 404
From 2001 to 2007, duration of sickness absence episode due to CMD (in calendar days) (95% CI):
Total=62 (60 to 64)
Men=57 (55 to 59)
Women=68 (65 to 71)
Reis et al11 BR Mental and behavioural disorders (ICD-10 F00-F99) Duration of episode=Number of calendar days absent from work Number of sickness absence episodes:
Due to any disorder=5138
Due to mental and behavioural disorders=324
Median duration of sickness absence leave (in days):
First episode:
Due to any disorder=2
Due to mental and behavioural disorders=5
Recurrent episodes:
Due to any disorder=2
Due to mental and behavioural disorders=7
Roelen et al16 NL Mental and behavioural disorders (ICD-10 R45, F43, F32, F40 and F41) from medical certification: emotional disturbance, depressive disorders, anxiety disorders and stress-related disorders Duration of sickness absence=calendar days between the first and last day of sickness absence
Number of sickness absence episodes:
Due to any disorder:
2001=90 095
2002=104 193
2003=118 926
2004=129 024
2005=128 044
2006=108 901
2007=96 482
Due to mental and behavioural disorders:
2001=21 140
2002=22 803
2003=24 917
2004=27 533
2005=22 682
2006=20 013
2007=18 513
Median duration of sickness absence episodes (in days) (95% CI):
Due to any disorder:
2001=73 (72 to 74)
2002=63 (62 to 64)
2003=57 (56 to 58)
2004=53 (53 to 53)
2005=45 (45 to 45)
2006=49 (48 to 50)
2007=55 (54 to 56)
Due to mental and behavioural disorders:
2001=119 (116 to 122)
2002=98 (96 to 100)
2003=87 (85 to 89)
2004=80 (79 to 81)
2005=79 (77 to 81)
2006=83 (81 to 85)
2007=87 (85 to 89)
Roelen et al10 NL Mental and behavioural disorders (ICD-10 F00-F99) from medical certification
Duration of sickness absence=number of days between first day of sick leave and date of return to work or disability pension received
Number of employees with ≥1 sickness absence=36 342
Number of employees with ≥1 sickness absence due to mental and behavioural disorders=7197
Number of employees with >1 sickness absence due to mental and behavioural disorders=1400
Worker-years=363 461
Median duration of sickness absence (in days) (95% CI):
Mental and behavioural disorders=62 (55 to 69)
Any disorder=35 (34 to 36)