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Undetected common mental disorders in long-term sickness absence.
MedLine Citation:
PMID:  22666588     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Background. Undetected Common Mental Disorders (CMDs) amongst people on sick leave complicate rehabilitation and return to work because appropriate treatments are not initiated. Aims. The aim of this study is to estimate (1) the frequencies of CMD, (2) the predictors of undetected CMD, and (3) the rate of return to work among sick listed individuals without a psychiatric disorder, who are registered on long-term sickness absence (LSA). Methods. A total of 2,414 incident individuals on LSA with a response rate of 46.4%, were identified for a two-phase study. The subsample of this study involved individuals registered on LSA who were sick-listed without a psychiatric sick leave diagnosis. In this respect, Phase 1 included 831 individuals, who were screened for mental disorders. In Phase 2, following the screening of Phase 1, 227 individuals were thoroughly examined by a psychiatrist applying Present State Examination. The analyses of the study were carried out based on the 227 individuals from Phase 2 and, subsequently, weighted to be representative of the 831 individuals in Phase 1. Results. The frequencies of undetected mental disorders among all sick-listed individuals were for any psychiatric diagnosis 21%, depression 14%, anxiety 4%, and somatoform disorder 6%. Conclusions. Undetected CMD may delay the initiation of appropriate treatment and complicate the rehabilitation and return to work.
Authors:
Hans Joergen Soegaard
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Publication Detail:
Type:  Journal Article     Date:  2012-05-14
Journal Detail:
Title:  International journal of family medicine     Volume:  2012     ISSN:  2090-2050     ISO Abbreviation:  Int J Family Med     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-05     Completed Date:  2012-08-23     Revised Date:  2013-03-01    
Medline Journal Info:
Nlm Unique ID:  101568088     Medline TA:  Int J Family Med     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  474989     Citation Subset:  -    
Affiliation:
Regional Psychiatric Services Central Denmark Region, Research Unit West and Centre for Psychiatric Research, 7400 Herning, Denmark.
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