Sandra Alonso1,2, José H Marco1, Joaquín Andani1,2. 1. Catholic University of Valencia Saint Vincent Martyr, Valencia, Spain. 2. Cathedra UMIVALE Innovation and Research in Pathology Work, Valencia, Spain.
Abstract
BACKGROUND: Sick leave in patients with a mental disorder is characterized by having a long duration. Studies suggest that the time until a patient on sick leave for a common mental health disorder initiates evaluation and treatment by a healthcare professional is an important factor in the duration of the sick leave. However, in these studies, the intervention was not performed by a mental health specialist. The aim of this study was to find out whether the length of sick leave was associated with the time before initiating psychotherapy, age, time until returning to work after psychotherapy ends, and duration of psychotherapy. In a further analysis, we examined whether the model composed of age, duration of psychotherapy, and time before initiating psychotherapy predicted the length of sick leave. METHOD: The sample consisted of 2,423 participants, 64.1% (n = 1,554) women and 35.9% (n = 869) men, who were on sick leave for anxiety disorders or depressive disorder. RESULTS: The total duration of the sick leave of participants diagnosed with depression and anxiety was positively associated with the time before beginning psychotherapy. Time before beginning psychotherapy predicted the length of sick leave when the variables age and duration of psychotherapy were controlled. CONCLUSION: It is necessary to reduce the time until beginning psychotherapy in people on sick leave for common mental disorders.
BACKGROUND: Sick leave in patients with a mental disorder is characterized by having a long duration. Studies suggest that the time until a patient on sick leave for a common mental health disorder initiates evaluation and treatment by a healthcare professional is an important factor in the duration of the sick leave. However, in these studies, the intervention was not performed by a mental health specialist. The aim of this study was to find out whether the length of sick leave was associated with the time before initiating psychotherapy, age, time until returning to work after psychotherapy ends, and duration of psychotherapy. In a further analysis, we examined whether the model composed of age, duration of psychotherapy, and time before initiating psychotherapy predicted the length of sick leave. METHOD: The sample consisted of 2,423 participants, 64.1% (n = 1,554) women and 35.9% (n = 869) men, who were on sick leave for anxiety disorders or depressive disorder. RESULTS: The total duration of the sick leave of participants diagnosed with depression and anxiety was positively associated with the time before beginning psychotherapy. Time before beginning psychotherapy predicted the length of sick leave when the variables age and duration of psychotherapy were controlled. CONCLUSION: It is necessary to reduce the time until beginning psychotherapy in people on sick leave for common mental disorders.
Authors: Marit Knapstad; Solbjørg Makalani Myrtveit Sæther; Gunnel Hensing; Otto Robert Frans Smith Journal: BMC Health Serv Res Date: 2020-02-04 Impact factor: 2.655