Article

The aim of this study was to explore what characterizes patients
receiving clinical interventions vs combined clinical and work-related
interventions in a cohort of sick-listed subjects with musculoskeletal or mental
disorders. Factors associated with return-to-work were also analysed. DESIGN: A
prospective cohort study. METHODS: A total of 699 newly sick-listed patients
responded to a questionnaire on sociodemographics, measures of health,
functioning, work ability, self-efficacy, social support, work conditions, and
expectations. The 3-month follow-up questionnaire included patients'
self-reported measures of return-to-work, work ability and type of interventions.
The most frequent International Classification of Diseases-10 diagnoses for
patients' musculoskeletal disorders were dorsopathies (M50-54) and soft tissue
disorders (M70-79), and for patients with mental disorders, depression (F32-39)
and stress reactions (F43). RESULTS: Patients with mental disorders who received
combined interventions returned to work to a higher degree than those who
received only clinical intervention. The prevalence of work-related interventions
was higher for those who were younger and more highly educated. For patients with
musculoskeletal disorders better health, work ability and positive expectations
of return-to-work were associated with return-to-work. However, combined
interventions did not affect return-to-work in this group. CONCLUSION: Receiving
combined interventions increased the probability of return-to-work for patients
with mental disorders, but not for patients with musculoskeletal disorders.
Better health, positive expectations of return-to-work and better work ability
were associated with return-to-work for patients with musculoskeletal disorders.

Langue : ANGLAIS