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Do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? The HUSK study

BACKGROUND: Gastrointestinal complaints are very common in the general population and very often co-occur with common mental disorders. We aimed to study the prospective impact of gastrointestinal complaints on long term sickness absence, and address the contribution from co-occurring common mental...

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Autores principales: Øverland, Simon, Knapstad, Marit, Wilhelmsen, Ingvard, Mykletun, Arnstein, Glozier, Nick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166917/
https://www.ncbi.nlm.nih.gov/pubmed/21801382
http://dx.doi.org/10.1186/1471-230X-11-88
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author Øverland, Simon
Knapstad, Marit
Wilhelmsen, Ingvard
Mykletun, Arnstein
Glozier, Nick
author_facet Øverland, Simon
Knapstad, Marit
Wilhelmsen, Ingvard
Mykletun, Arnstein
Glozier, Nick
author_sort Øverland, Simon
collection PubMed
description BACKGROUND: Gastrointestinal complaints are very common in the general population and very often co-occur with common mental disorders. We aimed to study the prospective impact of gastrointestinal complaints on long term sickness absence, and address the contribution from co-occurring common mental disorders and other somatic symptoms. METHOD: Health data on 13 880 40-45 year olds from the Hordaland Health Study (1997-99) were linked to national registries on sickness absence. As part of a wider health screening, gastrointestinal complaints were ascertained. Participant's anxiety and depression, and the presence of other somatic symptoms were evaluated. In Cox regression models, we predicted sickness absences over an average 5.4 years follow-up, with adjustment for confounders, anxiety and depression and other somatic symptoms. RESULTS: After adjusting for gender, level of education and smoking, those reporting GI complaints had higher risk for later sickness absence (HR = 1.42, 95% CI 1.34-1.51). GI complaints were associated with both anxiety (OR = 3.66, 95% CI 3.31-4.04) and depression (OR = 3.28, 95% CI 2.89-3.72), and a high level of other somatic symptoms (OR = 8.50, 95% CI 7.69-9.40). The association of GI complaints was still independently associated with future sickness absence (HR = 1.17, 95% CI 1.10-1.16) adjusting for mental illness and other somatic symptoms. DISCUSSION: Sickness absence is a complex behavioural outcome, but our results suggest GI complaints contribute by increasing the risk of long term sickness absence independently of comorbid mental illness and presence of other somatic symptoms. Occupational consequences of illness are important, and should also be addressed clinically with patients presenting with GI complaints.
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spelling pubmed-31669172011-09-06 Do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? The HUSK study Øverland, Simon Knapstad, Marit Wilhelmsen, Ingvard Mykletun, Arnstein Glozier, Nick BMC Gastroenterol Research Article BACKGROUND: Gastrointestinal complaints are very common in the general population and very often co-occur with common mental disorders. We aimed to study the prospective impact of gastrointestinal complaints on long term sickness absence, and address the contribution from co-occurring common mental disorders and other somatic symptoms. METHOD: Health data on 13 880 40-45 year olds from the Hordaland Health Study (1997-99) were linked to national registries on sickness absence. As part of a wider health screening, gastrointestinal complaints were ascertained. Participant's anxiety and depression, and the presence of other somatic symptoms were evaluated. In Cox regression models, we predicted sickness absences over an average 5.4 years follow-up, with adjustment for confounders, anxiety and depression and other somatic symptoms. RESULTS: After adjusting for gender, level of education and smoking, those reporting GI complaints had higher risk for later sickness absence (HR = 1.42, 95% CI 1.34-1.51). GI complaints were associated with both anxiety (OR = 3.66, 95% CI 3.31-4.04) and depression (OR = 3.28, 95% CI 2.89-3.72), and a high level of other somatic symptoms (OR = 8.50, 95% CI 7.69-9.40). The association of GI complaints was still independently associated with future sickness absence (HR = 1.17, 95% CI 1.10-1.16) adjusting for mental illness and other somatic symptoms. DISCUSSION: Sickness absence is a complex behavioural outcome, but our results suggest GI complaints contribute by increasing the risk of long term sickness absence independently of comorbid mental illness and presence of other somatic symptoms. Occupational consequences of illness are important, and should also be addressed clinically with patients presenting with GI complaints. BioMed Central 2011-07-29 /pmc/articles/PMC3166917/ /pubmed/21801382 http://dx.doi.org/10.1186/1471-230X-11-88 Text en Copyright ©2011 Øverland et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Øverland, Simon
Knapstad, Marit
Wilhelmsen, Ingvard
Mykletun, Arnstein
Glozier, Nick
Do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? The HUSK study
title Do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? The HUSK study
title_full Do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? The HUSK study
title_fullStr Do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? The HUSK study
title_full_unstemmed Do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? The HUSK study
title_short Do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? The HUSK study
title_sort do gastrointestinal complaints increase the risk for subsequent medically certified long-term sickness absence? the husk study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166917/
https://www.ncbi.nlm.nih.gov/pubmed/21801382
http://dx.doi.org/10.1186/1471-230X-11-88
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