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Return to Work After a Disabling Mental Disorder: Predictors From a Brazilian 1-Year Longitudinal Study
João Silvestre Silva-Junior1, Maria Carmen Martinez, Rosane Härter Griep
1Graduate Public Health Program, School of Public Health, University of São Paulo, São Paulo, Brazil (Dr Silva-Junior and Prof Fischer); Department of Medicine, São Camilo University Center, São Paulo, Brazil (Dr Silva-Junior); WAF Informatics and Health, São Paulo, Brazil (Dr Martinez); Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil (Dr Griep); Department of Environmental Health, School of Public Health, University of São Paulo, São Paulo, Brazil (Prof Fischer).
Objective:
This study aims to analyze factors that influence return to work (RTW) among workers on sickness absence due to mental disorders.
Methods:
A longitudinal study conducted between 2014 and 2017 in São Paulo, Brazil. The 385 participants answered a questionnaire including sociodemographics, habits/lifestyle, job characteristics, and clinical information. Survival analysis was performed to identify factors influencing the RTW.
Results:
Most of participants were females (74.5%), worked in jobs dealing with public (44.2%) and were depressed (52.4%). RTW occurred for 68.3% participants over 1-year follow-up. Mean duration of absence was 163.83 days. The risk profile for remaining absent was heavy smokers, be abstainer, obese, deal with the public, perceived great effort at work, and low self-efficacy.
Conclusions:
These findings can contribute in discussion about disability prevention and interventions to assure mental health care for workers.
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