Prediction of Long-Term Sickness Absence Among Employees with Depressive Complaints.

Introduction To study the properties of a screening instrument in predicting long-term sickness absence among employees with depressive complaints. Methods Employees at high risk of future sickness absence were selected by the screening instrument Balansmeter (BM). Depressive complaints were assesse...

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Published in:Journal of Occupational Rehabilitation Vol. 22; no. 2; pp. 262 - 270
Main Authors: Lexis, M., Jansen, N., Amelsvoort, L., Huibers, M., Berkouwer, A., Tjin A Ton, G., Brandt, P., Kant, I
Format: research tables/charts Journal Article
Published: Springer Nature Jun2012
Online Access:View this record in EBSCOhost
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        atl: Prediction of Long-Term Sickness Absence Among Employees with Depressive Complaints.
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          Lexis, M.
          Jansen, N.
          Amelsvoort, L.
          Huibers, M.
          Berkouwer, A.
          Tjin A Ton, G.
          Brandt, P.
          Kant, I
        affil: CAPHRI School for Public Health and Primary Care, Department of Epidemiology, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6200 MD Maastricht The Netherlands
      sug:
        subj:
          Depression Complications
          Sick Leave
          Risk Assessment Methods
          Instrument Validation
          Clinical Assessment Tools Evaluation
          Netherlands
          Clinical Assessment Tools
          Psychological Tests
          Scales
          Questionnaires
          Predictive Value of Tests
          Sensitivity and Specificity
          Validation Studies
          Relative Risk
          Confidence Intervals
          Summated Rating Scaling
          Data Analysis Software
          Adult
          Middle Age
          Female
          Male
          Human
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Introduction To study the properties of a screening instrument in predicting long-term sickness absence among employees with depressive complaints. Methods Employees at high risk of future sickness absence were selected by the screening instrument Balansmeter (BM). Depressive complaints were assessed with the depression scale of the Hospital Anxiety and Depression Scale. The total study population consisted of 7,401 employees. Sickness absence was assessed objectively and analyzed at 12 and 18 months of follow-up using company registers on certified sick leave. Results The relative risk (RR) for long-term sickness absence, for employees at high risk versus not at high risk, was 3.26 (95% CI 2.54-4.22) in men and 2.55 (1.98-3.35) in women, when the BM was applied in the total study population. The RR of long-term sickness absence of employees with depressive complaints compared with employees without depressive complaints was 3.13 (2.41-4.09) in men and 2.45 (2.00-3.00) in women. The RR of long-term sickness absence for the BM applied in employees with depressive complaints was 5.23 in men and 3.87 in women. When the BM with a cut-off point with a higher sensitivity was applied in employees with depressive complaints, the RR for long-term sickness absence was 4.88 in men and 3.80 in women. Conclusions The screening instrument Balansmeter is able to predict long-term sickness absence within employees with depressive complaints. The total prediction of long-term sickness absence proved better in employees with depressive complaints compared with employees of a general working population.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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