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Is an expert diagnosis enough for assessment of sick leave for employees with musculoskeletal and mental disorders ?

WAHLIN-NORGREN C; EKBERG K; OBERG B
DISABIL REHABIL , 2011, vol. 33, n° 13-14, p. 1147-1156
Doc n°: 153182
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2010.523509
Descripteurs : DA5 - PATHOLOGIE OSTEOARTICULAIRE

The aim of this study is to determine differences in self-reported work
ability, work conditions, health and function between ICD-10 groups with
musculoskeletal disorders (MSD), mental disorders (MDs) and MSD + MD and to
determine which variables are associated with sick leave. METHOD: A
cross-sectional study of 210 employees was conducted at an occupational health
service unit. Physiotherapists and physicians classified the employees' health
problems according to ICD-10 and the employees answered a questionnaire with
questions on demographic variables, health, functioning, work ability and work
conditions. RESULTS: Forty-four per cent of the employees had MSD, 22% had MD and
34% had a MSD + MD. The group on sick leave had worse results for all health and
work measures. Belonging to the MD group, belonging to the MSD + MD group, having
poor work ability and functioning were associated with being on sick leave. The
value for the model explaining being on sick leave was 0.63 (Nagelkerke R(2)).
CONCLUSIONS: Having a diagnosis of MD based on a professional opinion and having
poor work ability and functioning based on self-reports are associated with being
on sick leave. The results suggest that self-reported data could be used to
complement the expert-based diagnosis.
Troubles mentaux

Langue : ANGLAIS

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