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- Title
Medically unexplained physical symptoms and work functioning over 2 years: their association and the influence of depressive and anxiety disorders and job characteristics.
- Authors
den Boeft, Madelon; Twisk, Jos W. R.; Hoekstra, Trynke; Terluin, Berend; Penninx, Brenda W. J. H.; van der Wouden, Johannes C.; Numans, Mattijs E.; van der Horst, Henriette E.
- Abstract
Background: Medically unexplained physical symptoms (MUPS) are highly prevalent and may affect work functioning. In this study we aimed to assess the longitudinal association between MUPS and work functioning over 2 years and the influence of job characteristics and depressive and anxiety disorders on this association. Methods: We assessed the longitudinal association between MUPS and work functioning, operationalized in terms of absenteeism and disability at work, in 1887 working participants from the Netherlands Study of Depression and Anxiety (NESDA). The NESDA study population included participants with a current depressive and/or anxiety disorder, participants with a lifetime risk and/or subthreshold symptoms and healthy controls. Absenteeism was assessed with the Health and Labour Questionnaire Short Form and disability with the World Health Organization Disability Assessment Schedule II. MUPS were measured with the Four Dimensional Symptom Questionnaire. Measurements were taken at baseline and at 2 years follow-up. We used mixed model analyses to correct for the dependency of observations within participants. Results: MUPS were positively associated with disability (regression coefficient 0.304; 95 % O 0.281-0.327) and with short and long-term absenteeism over 2 years (OR 1.030, 95 % CI 1.016-1.045; OR 1.099, 95 % CI 1.085-1.114). After adjusting for depressive disorders, anxiety disorders and job characteristics, associations weakened but remained significant. Conclusion: Our results show that MUPS were positively associated with disability and absenteeism over 2 years, even after adjusting for depressive and anxiety disorders and job characteristics. This suggests that early identification of MUPS and adequate management is important.
- Subjects
NETHERLANDS; ANXIETY; CONFIDENCE intervals; MENTAL depression; FUNCTIONAL assessment; JOB descriptions; LONGITUDINAL method; QUESTIONNAIRES; RESEARCH funding; SCALE analysis (Psychology); JOB performance; MULTIPLE regression analysis; SOCIOECONOMIC factors; SYMPTOMS; DESCRIPTIVE statistics; ODDS ratio
- Publication
BMC Family Practice, 2016, Vol 17, p1
- ISSN
1471-2296
- Publication type
Article
- DOI
10.1186/s12875-016-0443-x