Department of Psychology, University of Copenhagen, Copenhagen K, Denmark.
The Foundation for Mental Health, Valby, Denmark.
Occup Med (Lond). 2023 Mar 15;73(2):66-72. doi: 10.1093/occmed/kqad007.
Studies indicate that workers' compensation claim processes may affect patients' health negatively. However, few studies focus on patients with mental health claims, and the claim process varies between countries.
The aims of this study were to examine whether being notified to the Danish Labour Market Insurance with an occupational mental health condition was associated with changes in visits to the general practitioner (GP), use of medicine and annual income.
Study participants were 965 patients with a mental disorder examined at a department of occupational medicine. Of these, 669 patients were notified with an occupational mental disorder, 296 were not. Health-related outcomes, including GP visits and prescriptions of psychotropic drugs, were estimated at baseline during the year of medical examination, while annual income was estimated a year before the examination. The follow-up was the year after the year of examination for all outcomes. Outcomes were collected from the Danish National Bureau of Statistics. Analyses were conducted using Poisson regression and conditional logistic regression.
All measured outcomes decreased from baseline to follow-up in both groups. These changes were not significantly different depending on notification status at baseline.
This study suggests that being notified with an occupational mental disorder does not significantly affect health-related outcomes. A significant decrease in annual income over time was seen in both groups, the notified and the unnotified group, highlighting the importance of providing support to all employees with a mental disorder.
研究表明，工人赔偿索赔过程可能会对患者的健康产生负面影响。然而，很少有研究关注有心理健康索赔的患者，而且索赔过程在各国之间有所不同。
本研究旨在检验丹麦劳动力市场保险因职业心理健康状况而被通知是否与全科医生（GP）就诊次数、药物使用和年收入的变化有关。
研究参与者为在职业医学部门接受检查的 965 名患有精神障碍的患者。其中，669 名患者因职业性精神障碍被通知，296 名患者未被通知。在体检当年的基线期估计了与健康相关的结果，包括 GP 就诊次数和精神药物处方，而年收入则在体检前一年进行了估计。所有结果的随访时间均为体检后一年。结果从丹麦国家统计局收集。使用泊松回归和条件逻辑回归进行分析。
两组的所有测量结果均从基线期下降到随访期。这些变化在通知状态方面没有显著差异。
本研究表明，被通知患有职业性精神障碍不会显著影响与健康相关的结果。两组（通知组和未通知组）的年收入都随着时间的推移而显著下降，突出了为所有患有精神障碍的员工提供支持的重要性。
