Skip to main content

Advertisement

Log in

A Systematic Review of the Factors which Predict Return to Work for People Suffering Episodes of Poor Mental Health

  • Published:
Journal of Occupational Rehabilitation Aims and scope Submit manuscript

Abstract

Introduction Poor mental health is responsible for a large percentage of long term work absence, and only 50% of those who are off work for 6 months or more return to work. Method We aimed to describe the factors which predict or restrict return to work for people suffering episodes of poor mental health. A literature review was conducted to identify all papers relating to long term mental illness absence. Results Fourteen papers of varying methodological quality considered mental health in relation to psychiatric morbidity, depression, stress, and body weight. Successful return to work is predicted by factors related to work, family history, health risk behaviours, social status, and medical condition. Conclusions This study identifies a range of factors which are important in preventing return to work for people with mental health conditions. The factors affecting RTW after a period of sickness absence due to poor mental health are wide ranging and in some cases studies have produced opposing results (particularly in the case of demographic factors). Further research is required to describe the factors which delay return to work for people experiencing episodes of poor mental health.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. National Institute of Mental Health. Statistics 2007. http://www.nimh.nih.gov/health/statistics/index.shtml.

  2. Dunn, S. Creating accepting communities: report of the mind inquiry into social exclusion and mental health problems, Mind 1999.

  3. Department of Health. National Service Framework for Mental Health. Department of Health, London: 2003 http://www.publications.doh.gov.uk/nsf/mentalhealth.htm.

  4. Tsang H, Lam P, Bacon N, Leung O. Predictors of employment outcome for people with psychiatric disabilities: a review of the literature since the mid 80’s. J Rehabil 2000;66:19–31.

    Google Scholar 

  5. Michie S, Williams S. Reducing work related psychological ill health and sickness absence: a literature review. Occup Environ Med 2003;60:3–9.

    Article  PubMed  CAS  Google Scholar 

  6. Wewiorski JW, Fabian ES. Association between demographic and diagnostic factors and employment outcomes for people with psychiatric disabilities: a synthesis of recent research. Ment Health Serv Res 2004;6(1):9–21.

    Article  PubMed  Google Scholar 

  7. Stansfeld SA, Fuhrer R, Shipley MJ, Marnot MG. Work characteristics predict psychiatric disorder: prospective results from the Whitehall II study. Occup Environ Med 1999;56:302–307.

    Article  PubMed  CAS  Google Scholar 

  8. Peters J, Wilford J, Macdonald E, Jackson A, Pickvance S, Blank L, Craig D. Literature review of risk factors for job loss following sickness absence. Department for Work and Pensions Social Research Division, London. 2003; ISBN 1 84388 214 0.

  9. Barmby T, Nolan M, Winkelmann R. Contracted workdays and absence. Manchester Sch 2001;69(3):269–275.

    Article  Google Scholar 

  10. Jenkins R. Minor psychiatric morbidity in employed young men and women and its contribution to sickness absence. Br J Ind Med 1985;42:147–154.

    PubMed  CAS  Google Scholar 

  11. Salkever DS, Shinogle JA, Howard G. Return to work and claim duration for workers with long-term mental disabilities: impacts of mental health coverage, fringe benefits, and disability management. Ment Health Serv Res 2003;5(3):173–186.

    Article  PubMed  Google Scholar 

  12. Salkever DS, Goldman H, Purushothaman M, Shinogle J. Disability management, employee health and fringe benefits, and long term disability Claims for mental disorders: an empirical exploration. Millbank Q 2000;78(1):79–113.

    Article  CAS  Google Scholar 

  13. Rowlands P, Huws R. Psychological effects of colliery closures. Int J Soc Psychiatry 1995;41(1):21–25.

    Article  PubMed  CAS  Google Scholar 

  14. Leavitt F. The role of psychological disturbance in extending disability time among compensatable back injured industrial workers. J Psychosom Res 1990;34(4):447–453.

    Article  PubMed  CAS  Google Scholar 

  15. Nieuwenhuijsen K, et al. Supervisory behavior as a predictor of return to work in employees absent from work due to mental health problems. Occup Environ Med 2004;61(10):817–823.

    Article  PubMed  CAS  Google Scholar 

  16. Laitinen-Krispijn S, Bijl RV. Mental disorders and employee sickness absence: the NEMESIS study. Netherlands Mental Health Survey and Incidence Study. Soc Psychiatry Psychiatr Epidemiol 2000;35(2):71–77.

    Article  PubMed  CAS  Google Scholar 

  17. Ginexi EM, Howe GW, Caplan RD. Transitions into poverty following job loss and the depression-reemployment relationship. Ann NY Acad Sci 1999;896(1):403–405.

    Article  PubMed  CAS  Google Scholar 

  18. Russell J, Young A, Hart W. Predictors of return to work following a work related injury. Psychol Health Workplace 1995;233–246.

  19. Young A, Russell J. Demographic, psychometric and case progression information as predictors of return-to-work in teachers undergoing occupational rehabilitation. J Occup Rehabil 1995;5(4):219–234.

    Article  Google Scholar 

  20. Parkes KR. Relative weight, smoking and mental health as predictors of sickness and absence from work. J Appl Psychol 1987;72(2):275–286.

    Article  PubMed  CAS  Google Scholar 

  21. Huskamp HA. How a managed behavioral health care carve-out plan affected pending for episodes of treatment. Psychiatr Serv 1998; 49(12):1559–1562.

    PubMed  CAS  Google Scholar 

  22. Dewa CS, Goering P, Lin E, Paterson M. Depression related short-term disability in an employed population. JOEM 2002;44(7):628–633.

    PubMed  Google Scholar 

  23. Dewa CS, Hoch JS, Lin E, et al. Patterns of antidepression use and duration of depression related absence from work. Brit J Psych 2003;183:507–513.

    Article  Google Scholar 

  24. Semmer N, Zapf D. `Shared job strain’: a new approach for assessing the validity of job stress measurements. J Occup Org Psychol 1996;69:293–311.

    Google Scholar 

  25. Baldwin ML, Johnson WG, Butler RJ. The error of using returns-to-work to measure the outcomes of health care. Am J Ind Med 1996;29:632–641.

    Article  PubMed  CAS  Google Scholar 

  26. Conti DJ, Burton WN. The economic impact of depression in a workplace. J Occup Med 1994;36(9):983–988.

    PubMed  CAS  Google Scholar 

  27. Goldner E, Bilsker D, Gilbert M, et al. Disability management, return to work, and treatment. Healthc Pap 2004;5(2):76–90.

    PubMed  Google Scholar 

  28. Rothman AJ. Is there nothing more practical than a good theory?: Why innovations and advances in health care will arise in interventions are used to test and refine theory. Int J Behav Nutr Phys Act 2004; July.

Download references

Acknowledgements

This research was commissioned and funded by the Department of Work and Pensions (UK Government). The authors acknowledge the contribution of Mr Andrew Booth, Senior Lecturer in Evidence-based Medicine, University of Sheffield, in assisting with literature searching strategies. This work was carried out at the School of Health and Related Research at the University of Sheffield along with support from colleagues at the University of Glasgow. This study was funded by the Department of Work and Pensions (UK Government). The authors have no competing interests to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lindsay Blank.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Blank, L., Peters, J., Pickvance, S. et al. A Systematic Review of the Factors which Predict Return to Work for People Suffering Episodes of Poor Mental Health. J Occup Rehabil 18, 27–34 (2008). https://doi.org/10.1007/s10926-008-9121-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10926-008-9121-8

Keywords

Navigation