Recurrence sickness absence outcomes
| Author(s) | Country | Mental disorders | Outcome measure | Number of episodes or employees | Reported outcomes of sickness absences |
|---|---|---|---|---|---|
| Dewa et al12 | 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 | Disability free days=number of between end of first episode and beginning of subsequent episode | Number of employees with ≥1 sickness absence episode: Due to mental disorders=422 Due to physical disorders= 3171 | Median disability free days (SE): Previous episode for mental disorders=673 (79.8) Previous episode for physical disorders=1053 (48.6) |
| 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) | Recurrence density=number of employees with recurrent episodes by the worker-years in the subpopulation of men and women with a previous episode of sickness absence due to a CMD New episodes=>28 days apart Worker-years=years of coverage from index episode to end of employment period | 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, episodes per worker with ≥ 1 sickness absence related to CMD: 1 episode = 82% 2 episodes= 14% 3 episodes= 3% ≥ 4 episodes = 1% From 2001 to 2007, CMD recurrence densities/1000 worker-years (95% CI): Men: Stress=74.4 (72.9 to 76.0) Psychiatric=83.8 (71.9 to 95.7) Total CMD=75.6 (70.7 to 80.4) Women: Stress=78.4 (75.9 to 80.9) Psychiatric=78.9 (64.1 to 93.7) Total CMD=78.5 (72.4 to 84.6) From 2001 to 2007, CMD sickness absence median time to onset recurrence (in months) (95% CI): Men: Stress=11 (11 to 13) Psychiatric=12 (8 to 15) Total CMD=11 (10 to 13) Women: Stress=11 (9 to 12) Psychiatric=10 (8 to 12) Total CMD=10 (9 to 12) |
| 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) | Recurrence density=number of employees with recurrent episodes by the worker-years in the subpopulation of men and women with a previous episode of sickness absence due to a CMD Worker-years=years of coverage from index episode to end of employment period | 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, CMD sickness absence median time to onset recurrence (in months) (95% CI): Total=10 (10 to 11) Distress symptoms=11 (10 to 12) Adjustment disorder=11 (9 to 12) Depressive symptoms=10 (7 to 12) Anxiety symptoms=10 (7 to 14) Other CMD disorders=8 (6 to 9) |
| Reis et al11 | BR | Mental and behavioural disorders (ICD-10 F00-F99) | Duration of episode=Number of calendar days absent from work Recurrence density=number of recurrent sickness absences divided by total worker-time at risk for the subsequent sickness absences | Number of sickness absence episodes: Due to any disorder=5138 Due to mental and behavioural disorders=324 | Recurrence density/100 worker-months: Due to any disorder =17.37 Due to mental and behavioural disorders=6.72 |
| Roelen et al10 | NL | Mental and behavioural disorders from medical certification (ICD-10 F00-F99) | Recurrence density=number of employees with recurrent episodes by the worker-years in the subpopulation of men and women with a previous episode of sickness absence | 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 | From 2001 to 2007, Recurrence density/1000 worker-years (95% CI): Mental and behavioural disorders=80.4 (74.9 to 86.0) Any disorder=81.6 (79.1 to 84.0) Median days to recurrence (in days) (95% CI): Mental and behavioural disorders=328 (284 to 372) Any disorder=384 (367 to 401) |