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External Validation and Update of a Prediction Rule for the Duration of Sickness Absence Due to Common Mental Disorders

Purpose The objective of the present study was to validate an existing prediction rule (including age, education, depressive/anxiety symptoms, and recovery expectations) for predictions of the duration of sickness absence due to common mental disorders (CMDs) and investigate the added value of work-...

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Autores principales: Norder, Giny, Roelen, Corné A. M., van der Klink, Jac J. L., Bültmann, Ute, Sluiter, J. K., Nieuwenhuijsen, K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5405096/
https://www.ncbi.nlm.nih.gov/pubmed/27260170
http://dx.doi.org/10.1007/s10926-016-9646-1
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author Norder, Giny
Roelen, Corné A. M.
van der Klink, Jac J. L.
Bültmann, Ute
Sluiter, J. K.
Nieuwenhuijsen, K.
author_facet Norder, Giny
Roelen, Corné A. M.
van der Klink, Jac J. L.
Bültmann, Ute
Sluiter, J. K.
Nieuwenhuijsen, K.
author_sort Norder, Giny
collection PubMed
description Purpose The objective of the present study was to validate an existing prediction rule (including age, education, depressive/anxiety symptoms, and recovery expectations) for predictions of the duration of sickness absence due to common mental disorders (CMDs) and investigate the added value of work-related factors. Methods A prospective cohort study including 596 employees who reported sick with CMDs in the period from September 2013 to April 2014. Work-related factors were measured at baseline with the Questionnaire on the Experience and Evaluation of Work. During 1-year follow-up, sickness absence data were retrieved from an occupational health register. The outcome variables of the study were sickness absence (no = 0, yes = 1) at 3 and 6 months after reporting sick with CMDs. Discrimination between workers with and without sickness absence was investigated at 3 and 6 months with the area under the receiver operating characteristic curve (AUC). Results A total of 220 (37 %) employees agreed to participate and 211 (35 %) had complete data for analysis. Discrimination was poor with AUC = 0.69 and AUC = 0.55 at 3 and 6 months, respectively. When ‘variety in work’ was added as predictor variable, discrimination between employees with and without CMD sickness absence improved to AUC = 0.74 (at 3 months) and AUC = 0.62 (at 6 months). Conclusions The original prediction rule poorly predicted CMD sickness absence duration. After adding ‘variety in work’, the prediction rule discriminated between employees with and without CMD sickness absence 3 months after reporting sick. This new prediction rule remains to be validated in other populations.
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spelling pubmed-54050962017-05-09 External Validation and Update of a Prediction Rule for the Duration of Sickness Absence Due to Common Mental Disorders Norder, Giny Roelen, Corné A. M. van der Klink, Jac J. L. Bültmann, Ute Sluiter, J. K. Nieuwenhuijsen, K. J Occup Rehabil Article Purpose The objective of the present study was to validate an existing prediction rule (including age, education, depressive/anxiety symptoms, and recovery expectations) for predictions of the duration of sickness absence due to common mental disorders (CMDs) and investigate the added value of work-related factors. Methods A prospective cohort study including 596 employees who reported sick with CMDs in the period from September 2013 to April 2014. Work-related factors were measured at baseline with the Questionnaire on the Experience and Evaluation of Work. During 1-year follow-up, sickness absence data were retrieved from an occupational health register. The outcome variables of the study were sickness absence (no = 0, yes = 1) at 3 and 6 months after reporting sick with CMDs. Discrimination between workers with and without sickness absence was investigated at 3 and 6 months with the area under the receiver operating characteristic curve (AUC). Results A total of 220 (37 %) employees agreed to participate and 211 (35 %) had complete data for analysis. Discrimination was poor with AUC = 0.69 and AUC = 0.55 at 3 and 6 months, respectively. When ‘variety in work’ was added as predictor variable, discrimination between employees with and without CMD sickness absence improved to AUC = 0.74 (at 3 months) and AUC = 0.62 (at 6 months). Conclusions The original prediction rule poorly predicted CMD sickness absence duration. After adding ‘variety in work’, the prediction rule discriminated between employees with and without CMD sickness absence 3 months after reporting sick. This new prediction rule remains to be validated in other populations. Springer US 2016-06-03 2017 /pmc/articles/PMC5405096/ /pubmed/27260170 http://dx.doi.org/10.1007/s10926-016-9646-1 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Norder, Giny
Roelen, Corné A. M.
van der Klink, Jac J. L.
Bültmann, Ute
Sluiter, J. K.
Nieuwenhuijsen, K.
External Validation and Update of a Prediction Rule for the Duration of Sickness Absence Due to Common Mental Disorders
title External Validation and Update of a Prediction Rule for the Duration of Sickness Absence Due to Common Mental Disorders
title_full External Validation and Update of a Prediction Rule for the Duration of Sickness Absence Due to Common Mental Disorders
title_fullStr External Validation and Update of a Prediction Rule for the Duration of Sickness Absence Due to Common Mental Disorders
title_full_unstemmed External Validation and Update of a Prediction Rule for the Duration of Sickness Absence Due to Common Mental Disorders
title_short External Validation and Update of a Prediction Rule for the Duration of Sickness Absence Due to Common Mental Disorders
title_sort external validation and update of a prediction rule for the duration of sickness absence due to common mental disorders
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5405096/
https://www.ncbi.nlm.nih.gov/pubmed/27260170
http://dx.doi.org/10.1007/s10926-016-9646-1
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