Unbound MEDLINE

Long-term sickness absence due to adjustment disorder.

Abstract

BACKGROUND
Although adjustment disorder is frequently reported in clinical settings, scientific evidence is scarce regarding its impact on sickness absence and the variables associated with sickness absence duration.
AIMS
To report sickness absence duration and to identify predictors of long-term sickness absence in patients with adjustment disorder.
METHODS
This observational, prospective study included subjects with non-work-related sickness absence (>15 days) after a diagnosis of adjustment disorder. A stepwise logistic regression analysis was conducted to identify the best predictors of long-term sickness absence (≥ 6 months).
RESULTS
There were 1182 subjects in the final analysis. The median duration of sickness absence due to adjustment disorder was 91 days. Twenty-two per cent of the subjects reported long-term sickness absence. After multivariate analysis, comorbidity (OR = 2.23, 95% CI 1.43-3.49), age (25-34 years old versus <25 years old: OR = 2.78, 95% CI 1.27-6.07; 35-44 years old versus <25 years old: OR = 3.70, 95% CI 1.71-7.99; 45-54 years old versus <25 years old: OR = 3.58, 95% CI 1.60-8.02; ≥ 55 years old versus <25 years old: OR = 6.35, 95% CI 2.64-15.31) and occupational level (blue collar versus white collar: OR = 1.52, 95% CI 1.10-2.09) remained significantly associated with long-term sickness absence. Comorbidity was the strongest predictor.
CONCLUSIONS
It is possible to predict long-term sickness absence due to adjustment disorder on the basis of demographic, work-related and clinical information available during the basic assessment of the patient.

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  • Publisher Full Text

    • Authors

    Catalina-Romero C, Pastrana-Jiménez JI, Tenas-López MJ, Martínez-Muñoz P, Ruiz-Moraga M, Fernández-Labandera C, Calvo-Bonacho E

    Institution

    Ibermutuamur (Mutua de Accidentes de Trabajo y Enfermedades Profesionales de Seguridad Social 274), Madrid, Spain. carloscatalina@ibermutuamur.es

    Source

    Occupational medicine (Oxford, England) 62:5 2012 Jul pg 375-8

    MeSH

    Absenteeism
    Adjustment Disorders
    Adult
    Comorbidity
    Female
    Humans
    Male
    Middle Aged
    Prospective Studies
    Risk Factors
    Sick Leave
    Spain
    Time Factors
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22544846