Hori Hikaru
   Department   School of Medicine  Psychiatry, Clinical Medical Sciences
Article types journal article
Language English
Peer review Peer reviewed
Title Risk factors for further sick leave among Japanese workers returning to work after an episode of major depressive disorder: a prospective follow-up study over 1 year.
Journal Formal name:BMJ open
Abbreviation:BMJ Open
ISSN code:20446055/20446055
Domestic / ForeginForegin
Volume, Issue, Page 9(9),e029705頁
Author and coauthor Hori Hikaru, Katsuki Asuka, Atake Kiyokazu, Yoshimura Reiji, Nakamura Jun, Baune Bernhard T
Publication date 2019/09
Summary OBJECTIVES:We aimed to investigate the risk factors for further sick leave episodes among Japanese workers returning to work after time off with a major depressive disorder.DESIGN:A prospective study with 1 year of follow-up.PARTICIPANTS:We recruited 103 workers who had returned to work after taking sick leave with a major depressive disorder. Adjusted HRs with 95% CIs were calculated using Cox proportional hazard models to examine the risk of further sick leave.RESULTS:In the adjusted analysis, we show that Social Adaptation Self-evaluation Scale scores (HR 0.95; p=0.019), 3-back correct response rate (N-back test) (HR 0.97; p<0.001) and benzodiazepine dosage (diazepam equivalent) (HR1.07; p=0.014) were associated with further episodes of sick leave.CONCLUSIONS:Poorer social and cognitive functioning, together with higher diazepam dosages, were associated with an increased likelihood of additional sick leave.
DOI 10.1136/bmjopen-2019-029705
PMID 31511285