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首页> 外文期刊>Occupational and environmental medicine >Prevention of recurrent sickness absence in workers with common mental disorders: Results of a cluster-randomised controlled trial
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Prevention of recurrent sickness absence in workers with common mental disorders: Results of a cluster-randomised controlled trial

机译：预防常见精神障碍的工人的经常性疾病：簇随机对照试验的结果

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Objectives Workers with common mental disorders (CMDs) frequently experience recurrent sickness absence but interventions to prevent this are lacking. The goal of this study was to evaluate the effectiveness of the Stimulating Healthy participation And Relapse Prevention at work intervention in preventing recurrent sickness absence in workers who returned to work after sickness absence due to CMDs. Methods We performed a cluster-randomised controlled trial with 3 months, 6 months and 12 months follow-up. Treatment providers were randomised to either a 2-day training in the Stimulating Healthy participation And Relapse Prevention at work intervention, that is, a problem-solving intervention, or usual care. Primary outcome measures were the incidence of recurrent sickness absence and time to recurrent sickness absence. Secondary outcome measures were mental health complaints, work functioning and coping behaviour. Results 80 participants were randomised in the intervention group and 78 in the control group. The adjusted OR for the incidence of recurrent sickness absence was 0.40 (95% CI 0.20 to 0.81) and the adjusted HR for time to recurrent sickness absence was 0.53 (95% CI 0.33 to 0.86) for the intervention group compared with care as usual. Conclusions This study demonstrates the 12-month effectiveness of a problem-solving intervention for reducing recurrent sickness absence in workers with CMDs and emphasises the importance of continuous attention in the post return to work phase for workers who have been on sickness absence due to CMDs.
机译：目标有常见精神障碍的工人（CMDS）经常经历经常性疾病缺勤，但缺乏干预措施。本研究的目标是评估刺激健康参与和复发预防在工作干预中的有效性，以防止疾病在疾病缺席的工人缺席由于CMDS缺席的工作人员中缺席。方法采用3个月，6个月和12个月进行了3个月，随机对照试验进行了跟进。治疗提供者随机培训，在刺激健康的参与和复发预防，即解决问题，解决干预或通常的护理。主要结果措施是复发性疾病的发病率，缺乏疾病的疾病。次要结果措施是心理健康投诉，工作运作和应对行为。结果80名参与者在干预组和对照组中随机分配。经常性疾病的调节或用于发生的发生率为0.40（95％CI 0.20至0.81），并且对于常规进行干预组的调节性HR用于复发性疾病的时间为0.53（95％CI 0.33至0.86）。结论本研究表明，解决问题的干预的12个月效力，以减少与CMDS的工人的经常性疾病，并强调持续注意返回工作阶段的重要性，为疾病缺乏CMDS缺席的工人。

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    ArendsI.; VanDerKlinkJ.J.L.; VanRhenenW.; DeBoerM.R.; BültmannU.;

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    Department of Health Sciences Community and Occupational Medicine University Medical Center;

    Department of Health Sciences Community and Occupational Medicine University Medical Center;

    Center for Human Resource Organization and Management Effectiveness Business University Nyenrode;

    Department of Health Sciences Community and Occupational Medicine University Medical Center;

    Department of Health Sciences Community and Occupational Medicine University Medical Center;

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  • 正文语种 eng
  • 中图分类 劳动卫生;
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