Sorvaniemi Marko, Helenius Hans, Salokangas Raimo K R
Psychiatric Sector, Satakunta Hospital District, Rauma, Finland.
Depress Anxiety. 2003;17(4):220-3. doi: 10.1002/da.10097.
We investigated to what extent and for what reasons depressive outpatients are given certificates for sick-leaves and whether there are particular factors associated with the given sick-leaves. Our retrospective case note study was based on 213 adult psychiatric outpatients with first-time documented DSM-III-R major depression. Several sociodemographic, clinical, and treatment characteristics were detected during the follow-up of 3 months' medical care. This information was related to official registers of granted sick-leave certificates with a follow-up time of 30 months for the study patients. Sick-leave certificates were granted to 61% of patients. The mean duration of time off work due to documented illness was 142 days. Eighty-seven percent of the total sum of sick-leave days was for depressive disorders. Living with someone else, being employed, and early recognition of the illness were associated with the granted sick-leaves.
我们调查了抑郁症门诊患者获得病假证明的程度和原因，以及是否存在与所开具病假相关的特定因素。我们的回顾性病例记录研究基于213名首次有记录的DSM-III-R重度抑郁症成年精神科门诊患者。在3个月的医疗随访期间，检测了一些社会人口统计学、临床和治疗特征。这些信息与已批准病假证明的官方登记记录相关，研究患者的随访时间为30个月。61%的患者获得了病假证明。因有记录的疾病而缺勤的平均时间为142天。病假天数总和的87%是由于抑郁症。与他人同住、有工作以及疾病的早期识别与获得病假证明有关。
