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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：预防患有常见精神障碍的工人反复发作的疾病：一项整群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：目的患有常见精神障碍（CMD）的工人经常会经历反复发作的疾病缺席，但缺乏预防这种疾病的干预措施。这项研究的目的是评估在工作干预中促进健康参与和预防复发对预防因CMD病假而重返工作岗位的工人再发病假的有效性。方法我们进行了为期3个月，6个月和12个月的随访的整群随机对照试验。治疗提供者被随机分配到为期两天的“积极健康参与和预防复发”培训中的工作干预，即解决问题的干预措施或常规护理。主要结局指标为复发性疾病的发生率和复发性疾病的发生时间。次要结果指标是心理健康投诉，工作运作和应对行为。结果干预组有80名参与者被随机分配，对照组有78名被随机分配。与往常护理相比，干预组复发性疾病缺勤的调整后OR为0.40（95％CI 0.20至0.81），而复发性疾病缺阵时间的调整后HR为0.53（95％CI 0.33至0.86）。结论本研究证明了解决问题的干预措施对于减少患有CMD的工人反复发作的疾病缺席的12个月有效，并强调了因CMD处于缺席状态的工人在重返工作后阶段继续关注的重要性。

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