Faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial

Christina M van der Feltz-Cornelis1, Rob Hoedeman2, Fransina J de Jong3, Jolanda AC Meeuwissen3, Hanneke W Drewes3, Niels C van der Laan4, Herman J Ad&egrave;r51Department of Developmental, Clinical and Crosscultural Psychology, Tilburg University, Tilburg, The Netherlands; 2Department of He...

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Autores principales:	Christina M van der Feltz-Cornelis, Rob Hoedeman, Fransina J de Jong, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ac64998506ff4f3e8bc9e3daed4928a4
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spelling	oai:doaj.org-article:ac64998506ff4f3e8bc9e3daed4928a42021-12-02T07:13:10ZFaster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial1176-63281178-2021https://doaj.org/article/ac64998506ff4f3e8bc9e3daed4928a42010-07-01T00:00:00Zhttp://www.dovepress.com/faster-return-to-work-after-psychiatric-consultation-for-sicklisted-em-a4757https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Christina M van der Feltz-Cornelis1, Rob Hoedeman2, Fransina J de Jong3, Jolanda AC Meeuwissen3, Hanneke W Drewes3, Niels C van der Laan4, Herman J Ad&egrave;r51Department of Developmental, Clinical and Crosscultural Psychology, Tilburg University, Tilburg, The Netherlands; 2Department of Health Sciences, University Medical Center Groningen, The Netherlands; 3Trimbos instituut, NIMHA, Utrecht, The Netherlands; 4Psychiatric Consultation Practice, The Netherlands; 5Retired from Department of Clinical Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The NetherlandsIntroduction: Return to work (RTW) of employees on sick leave for common mental &shy;disorders may require a multidisciplinary approach. This article aims to assess time to RTW after a psychiatric consultation providing treatment advice to the occupational physician (OP) for employees on sick leave for common mental disorders in the occupational health (OH) setting, compared to care as usual (CAU). Methods: Cluster randomized clinical trial evaluating patients of 12 OPs receiving &shy;consultation by a psychiatrist, compared to CAU delivered by 12 OPs in the control group. 60 patients &shy;suffering from common mental disorders and &ge; six weeks sicklisted were included. &shy;Follow up three and six months after inclusion. Primary outcome measure was time to RTW. &shy;Intention-to-treat multilevel analysis and a survival analysis were performed to evaluate time to RTW in both groups. Results: In CAU, referral was the main intervention. Both groups improved in terms of &shy;symptom severity and quality of life, but time to RTW was significantly shorter in the &shy;psychiatric &shy;consultation group. At three months follow up, 58% of the psychiatric consultation group had full RTW versus 44% of the control group, a significant finding (P = 0.0093). Survival analysis showed 68 days earlier RTW after intervention in the psychiatric consultation group (P = 0.078) compared to CAU. Conclusion: Psychiatric consultation for employees on sick leave in the OH setting improves time to RTW in patients with common mental disorders as compared to CAU. In further research, focus should be on early intervention in patients with common mental disorders on short sick leave duration. Psychiatric consultation might be particularly promising for improvement of RTW in those patients.Trial registration number: ISRCTN: 86722376Keywords: psychiatric consultation, mental disorders, RCT, sickness absence, major depressive disorder, anxiety disorder, somatoform disorder Christina M van der Feltz-CornelisRob HoedemanFransina J de Jonget alDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2010, Iss Issue 1, Pp 375-385 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Christina M van der Feltz-Cornelis Rob Hoedeman Fransina J de Jong et al Faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial
description	Christina M van der Feltz-Cornelis1, Rob Hoedeman2, Fransina J de Jong3, Jolanda AC Meeuwissen3, Hanneke W Drewes3, Niels C van der Laan4, Herman J Ad&egrave;r51Department of Developmental, Clinical and Crosscultural Psychology, Tilburg University, Tilburg, The Netherlands; 2Department of Health Sciences, University Medical Center Groningen, The Netherlands; 3Trimbos instituut, NIMHA, Utrecht, The Netherlands; 4Psychiatric Consultation Practice, The Netherlands; 5Retired from Department of Clinical Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The NetherlandsIntroduction: Return to work (RTW) of employees on sick leave for common mental &shy;disorders may require a multidisciplinary approach. This article aims to assess time to RTW after a psychiatric consultation providing treatment advice to the occupational physician (OP) for employees on sick leave for common mental disorders in the occupational health (OH) setting, compared to care as usual (CAU). Methods: Cluster randomized clinical trial evaluating patients of 12 OPs receiving &shy;consultation by a psychiatrist, compared to CAU delivered by 12 OPs in the control group. 60 patients &shy;suffering from common mental disorders and &ge; six weeks sicklisted were included. &shy;Follow up three and six months after inclusion. Primary outcome measure was time to RTW. &shy;Intention-to-treat multilevel analysis and a survival analysis were performed to evaluate time to RTW in both groups. Results: In CAU, referral was the main intervention. Both groups improved in terms of &shy;symptom severity and quality of life, but time to RTW was significantly shorter in the &shy;psychiatric &shy;consultation group. At three months follow up, 58% of the psychiatric consultation group had full RTW versus 44% of the control group, a significant finding (P = 0.0093). Survival analysis showed 68 days earlier RTW after intervention in the psychiatric consultation group (P = 0.078) compared to CAU. Conclusion: Psychiatric consultation for employees on sick leave in the OH setting improves time to RTW in patients with common mental disorders as compared to CAU. In further research, focus should be on early intervention in patients with common mental disorders on short sick leave duration. Psychiatric consultation might be particularly promising for improvement of RTW in those patients.Trial registration number: ISRCTN: 86722376Keywords: psychiatric consultation, mental disorders, RCT, sickness absence, major depressive disorder, anxiety disorder, somatoform disorder
format	article
author	Christina M van der Feltz-Cornelis Rob Hoedeman Fransina J de Jong et al
author_facet	Christina M van der Feltz-Cornelis Rob Hoedeman Fransina J de Jong et al
author_sort	Christina M van der Feltz-Cornelis
title	Faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial
title_short	Faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial
title_full	Faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial
title_fullStr	Faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial
title_full_unstemmed	Faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial
title_sort	faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. a randomized clinical trial
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/ac64998506ff4f3e8bc9e3daed4928a4
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Faster return to work after psychiatric consultation for sicklisted employees with common mental disorders compared to care as usual. A randomized clinical trial

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