CAPHRI School for Public Health and Primary Care, Department of Epidemiology, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.
J Occup Rehabil. 2012 Jun;22(2):262-9. doi: 10.1007/s10926-011-9334-0.
To study the properties of a screening instrument in predicting long-term sickness absence among employees with depressive complaints.
Employees at high risk of future sickness absence were selected by the screening instrument Balansmeter (BM). Depressive complaints were assessed with the depression scale of the Hospital Anxiety and Depression Scale. The total study population consisted of 7,401 employees. Sickness absence was assessed objectively and analyzed at 12 and 18 months of follow-up using company registers on certified sick leave.
The relative risk (RR) for long-term sickness absence, for employees at high risk versus not at high risk, was 3.26 (95% CI 2.54-4.22) in men and 2.55 (1.98-3.35) in women, when the BM was applied in the total study population. The RR of long-term sickness absence of employees with depressive complaints compared with employees without depressive complaints was 3.13 (2.41-4.09) in men and 2.45 (2.00-3.00) in women. The RR of long-term sickness absence for the BM applied in employees with depressive complaints was 5.23 in men and 3.87 in women. When the BM with a cut-off point with a higher sensitivity was applied in employees with depressive complaints, the RR for long-term sickness absence was 4.88 in men and 3.80 in women.
The screening instrument Balansmeter is able to predict long-term sickness absence within employees with depressive complaints. The total prediction of long-term sickness absence proved better in employees with depressive complaints compared with employees of a general working population.
研究一种筛选工具预测有抑郁症状员工长期病假的性能。
通过筛选工具 Balansmeter（BM）选择未来病假风险较高的员工。抑郁症状采用医院焦虑和抑郁量表的抑郁量表进行评估。总研究人群由 7401 名员工组成。通过公司对经证实的病假的登记，在 12 和 18 个月的随访中对病假进行客观评估和分析。
在男性中，高风险与低风险的员工相比，BM 在总研究人群中的长期病假的相对风险（RR）为 3.26（95%CI 2.54-4.22），在女性中为 2.55（1.98-3.35）。在男性中，有抑郁症状的员工与没有抑郁症状的员工相比，长期病假的 RR 为 3.13（2.41-4.09），在女性中为 2.45（2.00-3.00）。在男性中，BM 应用于有抑郁症状的员工时，长期病假的 RR 为 5.23，在女性中为 3.87。当应用于有抑郁症状的员工时，BM 的截断点具有更高的灵敏度，男性长期病假的 RR 为 4.88，女性为 3.80。
筛选工具 Balansmeter 能够预测有抑郁症状的员工的长期病假。与一般工作人群相比，BM 对有抑郁症状的员工的长期病假总预测更好。
