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- Title
GP consultations for common mental disorders and subsequent sickness certification: register-based study of the employed population in Norway.
- Authors
Gjesdal, Sturla; Holmaas, Tor Helge; Monstad, Karin; Hetlevik, Øystein
- Abstract
<bold>Background: </bold>Challenges related to work are in focus when employed people with common mental disorders (CMDs) consult their GPs. Many become sickness certified and remain on sick leave over time.<bold>Objectives: </bold>To investigate the frequency of new CMD episodes among employed patients in Norwegian general practice and subsequent sickness certification.<bold>Methods: </bold>Using a national claims register, employed persons with a new episode of CMD were included. Sickness certification, sick leave over 16 days and length of absences were identified. Patient- and GP-related predictors for the different outcomes were assessed by means of logistic regression.<bold>Results: </bold>During 1 year 2.6% of employed men and 4.2% of employed women consulted their GP with a new episode of CMD. Forty-five percent were sickness certified, and 24 percent were absent over 16 days. Thirty-eight percent had depression and 19% acute stress reaction, which carried the highest risk for initial sickness certification, 75%, though not for prolonged absence. Men and older patients had lower risk for sickness certification, but higher risk for long-term absence.<bold>Conclusion: </bold>Better knowledge of factors at the workplace detrimental to mental health, and better treatment for depression and stress reactions might contribute to timely return of sickness absentees.
- Subjects
NORWAY; PSYCHIATRIC consultation; SICK leave; MENTAL depression; FAMILY medicine; ANXIETY diagnosis; DIAGNOSIS of mental depression; INSOMNIA; PSYCHIATRIC diagnosis; SUBSTANCE abuse diagnosis; PSYCHOLOGICAL stress; AGE distribution; COMPARATIVE studies; EMPLOYMENT; RESEARCH methodology; MEDICAL cooperation; RESEARCH; SEX distribution; ELIGIBILITY (Social aspects); EVALUATION research; CROSS-sectional method; DIAGNOSIS
- Publication
Family Practice, 2016, Vol 33, Issue 6, p656
- ISSN
0263-2136
- Publication type
journal article
- DOI
10.1093/fampra/cmw072