Copenhagen Research Center for Mental Health - CORE, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 2900, Hellerup, Denmark.
Mental Health Center Copenhagen, Mental Health Services Capital Region of Denmark, Copenhagen, Denmark.
Int Arch Occup Environ Health. 2022 Sep;95(7):1-13. doi: 10.1007/s00420-021-01827-3. Epub 2022 Feb 1.
To support the return to work following common mental disorders knowing which factors influence the return to work is important. We aimed to identify factors predicting return to work for people on sick leave with disorders like stress, anxiety, and depression.
A systematic review and meta-analyses were conducted regarding return to work at any time point, < 3 months, 3-12 months, and > 12 months of sick leave, respectively, and diagnostic subgroups.
The meta-analyses included 29 studies. Predictors decreasing return to work probability at any time point were higher age, being male, neuroticism and openness, previous sickness absence, and higher symptom scores. Predictors increasing return to work probability were positive return to work expectations, high return to work- and general self-efficacy, conscientiousness, and high workability index. Return to work within < 3 months of sick leave was associated with positive return to work expectations. Return to work after > 12 months was increased by higher education. Higher age was associated with decreased return to work probability after > 12 months. No significant predictors were found in diagnostic subgroups.
Results are overall consistent with earlier reviews. Future studies should focus on specific time points, diagnostic subgroups, and work-related factors.
CRD42018073396.
支持常见精神障碍患者重返工作岗位。了解哪些因素会影响重返工作岗位是很重要的。我们旨在确定影响因压力、焦虑和抑郁等疾病而请病假的人重返工作岗位的因素。
对任何时间点（<3 个月、3-12 个月和>12 个月）、诊断亚组的重返工作岗位情况进行了系统的回顾和荟萃分析。
荟萃分析纳入了 29 项研究。任何时间点重返工作岗位概率降低的预测因素包括年龄较大、男性、神经质和开放性、既往病假和更高的症状评分。增加重返工作岗位概率的预测因素包括积极的重返工作预期、高的重返工作和一般自我效能、尽责性和高的工作能力指数。在病假<3 个月内重返工作与积极的重返工作预期有关。病假后>12 个月的重返工作机会增加了受教育程度更高。年龄较大与病假后>12 个月的重返工作概率降低有关。在诊断亚组中没有发现显著的预测因素。
结果总体上与早期综述一致。未来的研究应集中在特定的时间点、诊断亚组和与工作相关的因素上。
PROSPERO 注册号：CRD42018073396。
