Publication

One-year trajectories of mental health and work outcomes post return to work in patients with common mental disorders

Arends, I., Almansa, J., Stansfeld, S. A., Amick, B. C., van der Klink, J. J. L. & Bültmann, U., 1-Oct-2019, In : Journal of Affective Disorders. 257, p. 263-270 8 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Arends, I., Almansa, J., Stansfeld, S. A., Amick, B. C., van der Klink, J. J. L., & Bültmann, U. (2019). One-year trajectories of mental health and work outcomes post return to work in patients with common mental disorders. Journal of Affective Disorders, 257, 263-270. https://doi.org/10.1016/j.jad.2019.07.018

Author

Arends, I ; Almansa, J ; Stansfeld, S A ; Amick, B C ; van der Klink, J J L ; Bültmann, U. / One-year trajectories of mental health and work outcomes post return to work in patients with common mental disorders. In: Journal of Affective Disorders. 2019 ; Vol. 257. pp. 263-270.

Harvard

Arends, I, Almansa, J, Stansfeld, SA, Amick, BC, van der Klink, JJL & Bültmann, U 2019, 'One-year trajectories of mental health and work outcomes post return to work in patients with common mental disorders' Journal of Affective Disorders, vol. 257, pp. 263-270. https://doi.org/10.1016/j.jad.2019.07.018

Standard

One-year trajectories of mental health and work outcomes post return to work in patients with common mental disorders. / Arends, I; Almansa, J; Stansfeld, S A; Amick, B C; van der Klink, J J L; Bültmann, U.

In: Journal of Affective Disorders, Vol. 257, 01.10.2019, p. 263-270.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Arends I, Almansa J, Stansfeld SA, Amick BC, van der Klink JJL, Bültmann U. One-year trajectories of mental health and work outcomes post return to work in patients with common mental disorders. Journal of Affective Disorders. 2019 Oct 1;257:263-270. https://doi.org/10.1016/j.jad.2019.07.018


BibTeX

@article{cab0ef91a30a418daa455584bb1bdd01,
title = "One-year trajectories of mental health and work outcomes post return to work in patients with common mental disorders",
abstract = "Background: We investigated one-year trajectories of symptom recovery, work functioning and the return to work percentage (RTW{\%}) among patients with common mental disorders (CMDs).Methods: Data were used from a cluster-randomised controlled trial evaluating a problem-solving intervention for CMD patients (N = 158) who had returned to work. Information on anxiety and depressive symptoms, work functioning and RTW{\%} was collected at baseline and 3, 6 and 12 months follow-up. Latent class growth analyses were used to identify trajectories for the four outcomes and investigate how these trajectories clustered in higher order latent classes. Additionally, we investigated the relation between patient characteristics and class membership.Results: We identified four trajectories for all four outcomes and derived three higher order latent classes: slow recovery (42{\%} [66/158]) (high anxiety and depressive symptoms, moderate to low work functioning and fast RTW); fast recovery (25{\%} [40/158]) (low anxiety and depressive symptoms, high work functioning and fast RTW); and gradual recovery (33{\%} [52/158] (decreasing anxiety and depressive symptoms, increasing or low work functioning and fast RTW). Participants with a higher work engagement and readiness to stay at work were more likely to belong to the fast recovery class.Limitations: Due to the relatively small sample size, some trajectories consisted of few participants. Symptom severity was self-reported.Conclusions: Many CMD patients experience high levels of mental health symptoms and work functioning problems during the year post RTW. Creating realistic recovery expectations (for both patients and their environments) could be important for successful and sustainable recovery and work participation.",
keywords = "Common mental disorders, Symptom recovery, Work functioning, Return to work, Longitudinal study, Trajectories, RECURRENT SICKNESS ABSENCE, META-SYNTHESIS, DISABILITY, EMPLOYMENT, DEPRESSION, EMPLOYEES, ANXIETY, SCALE, MUSCULOSKELETAL, QUESTIONNAIRE",
author = "I Arends and J Almansa and Stansfeld, {S A} and Amick, {B C} and {van der Klink}, {J J L} and U B{\"u}ltmann",
note = "Copyright {\circledC} 2019. Published by Elsevier B.V.",
year = "2019",
month = "10",
day = "1",
doi = "10.1016/j.jad.2019.07.018",
language = "English",
volume = "257",
pages = "263--270",
journal = "Journal of Affective Disorders",
issn = "0165-0327",
publisher = "ELSEVIER SCIENCE BV",

}

RIS

TY - JOUR

T1 - One-year trajectories of mental health and work outcomes post return to work in patients with common mental disorders

AU - Arends, I

AU - Almansa, J

AU - Stansfeld, S A

AU - Amick, B C

AU - van der Klink, J J L

AU - Bültmann, U

N1 - Copyright © 2019. Published by Elsevier B.V.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - Background: We investigated one-year trajectories of symptom recovery, work functioning and the return to work percentage (RTW%) among patients with common mental disorders (CMDs).Methods: Data were used from a cluster-randomised controlled trial evaluating a problem-solving intervention for CMD patients (N = 158) who had returned to work. Information on anxiety and depressive symptoms, work functioning and RTW% was collected at baseline and 3, 6 and 12 months follow-up. Latent class growth analyses were used to identify trajectories for the four outcomes and investigate how these trajectories clustered in higher order latent classes. Additionally, we investigated the relation between patient characteristics and class membership.Results: We identified four trajectories for all four outcomes and derived three higher order latent classes: slow recovery (42% [66/158]) (high anxiety and depressive symptoms, moderate to low work functioning and fast RTW); fast recovery (25% [40/158]) (low anxiety and depressive symptoms, high work functioning and fast RTW); and gradual recovery (33% [52/158] (decreasing anxiety and depressive symptoms, increasing or low work functioning and fast RTW). Participants with a higher work engagement and readiness to stay at work were more likely to belong to the fast recovery class.Limitations: Due to the relatively small sample size, some trajectories consisted of few participants. Symptom severity was self-reported.Conclusions: Many CMD patients experience high levels of mental health symptoms and work functioning problems during the year post RTW. Creating realistic recovery expectations (for both patients and their environments) could be important for successful and sustainable recovery and work participation.

AB - Background: We investigated one-year trajectories of symptom recovery, work functioning and the return to work percentage (RTW%) among patients with common mental disorders (CMDs).Methods: Data were used from a cluster-randomised controlled trial evaluating a problem-solving intervention for CMD patients (N = 158) who had returned to work. Information on anxiety and depressive symptoms, work functioning and RTW% was collected at baseline and 3, 6 and 12 months follow-up. Latent class growth analyses were used to identify trajectories for the four outcomes and investigate how these trajectories clustered in higher order latent classes. Additionally, we investigated the relation between patient characteristics and class membership.Results: We identified four trajectories for all four outcomes and derived three higher order latent classes: slow recovery (42% [66/158]) (high anxiety and depressive symptoms, moderate to low work functioning and fast RTW); fast recovery (25% [40/158]) (low anxiety and depressive symptoms, high work functioning and fast RTW); and gradual recovery (33% [52/158] (decreasing anxiety and depressive symptoms, increasing or low work functioning and fast RTW). Participants with a higher work engagement and readiness to stay at work were more likely to belong to the fast recovery class.Limitations: Due to the relatively small sample size, some trajectories consisted of few participants. Symptom severity was self-reported.Conclusions: Many CMD patients experience high levels of mental health symptoms and work functioning problems during the year post RTW. Creating realistic recovery expectations (for both patients and their environments) could be important for successful and sustainable recovery and work participation.

KW - Common mental disorders

KW - Symptom recovery

KW - Work functioning

KW - Return to work

KW - Longitudinal study

KW - Trajectories

KW - RECURRENT SICKNESS ABSENCE

KW - META-SYNTHESIS

KW - DISABILITY

KW - EMPLOYMENT

KW - DEPRESSION

KW - EMPLOYEES

KW - ANXIETY

KW - SCALE

KW - MUSCULOSKELETAL

KW - QUESTIONNAIRE

U2 - 10.1016/j.jad.2019.07.018

DO - 10.1016/j.jad.2019.07.018

M3 - Article

VL - 257

SP - 263

EP - 270

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

ER -

ID: 91194313