返回工作的轨迹是否因精神障碍诊断而有所不同? 在37523名荷兰工人中进行了一项登记册研究
Robèrt Vendelbosch, Corné Roelen, Josué Almansa
1University of Groningen, University Medical Center Groningen, Department of Health Sciences, Community & Occupational Medicine, Hanzeplein 1, Postbus 30.001, 9700 RB, Groningen, the Netherlands. i.arends@umcg.nl.
Scandinavian journal of work, environment & health
|September 30, 2024
概括
大多数患有精神障碍的工人遵循类似的返回工作 (RTW) 轨迹,主要是快速完成RTW. 然而,情绪障碍显示出较高的缓慢或无RTW率,表明需要量身定制的支持.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 康复医学是康复的医学.
背景情况:
- 对于患有精神障碍的人来说,返回工作 (RTW) 通常涉及工作时间的逐渐增加,形成不同的RTW轨迹.
- 了解这些轨迹对于制定有效的支持系统和政策对受影响的工人至关重要.
研究的目的:
- 调查跨越各种精神障碍诊断的2年RTW轨迹.
- 检查这些诊断特定的RTW轨迹中的年龄,性别和合同工作时间的分布.
主要方法:
- 从荷兰职业健康服务登记处获取了病缺数据 (ICD-10第五章和倦怠).
- 包括关于适应障碍,焦虑障碍,倦怠,情绪障碍和创伤后应激障碍的年龄,性别和合同工作时间的数据.
- 利用隐性类增长分析 (LCGA) 来建模23个月的RTW轨迹.
主要成果:
- 确定了四种主要的RTW轨迹:快速全RTW (82.4%-92.0%),缓慢全RTW (3.5%-6.1%),缓慢部分RTW (0.6%-1.6%),以及没有RTW (2.2%-9.7%).
- 快速全职RTW较晚开始的轨迹与女性比例较高和全职工人较少有关.
- 虽然整体轨迹相似,但情绪障碍显示出更大比例的部分和没有RTW.
结论:
- 在精神疾病诊断中,RTW轨迹在很大程度上是一致的,但具体的分布有所不同.
- 情绪障碍带来不完整或缺席RTW的更高风险.
- 进一步研究影响迟到,部分或没有RTW的因素对于优化工人康复至关重要.
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