The effect of detecting undetected common mental disorders on psychological distress and quality of life in long-term sickness absence: a randomised controlled trial

Scandinavian Journal of Public Health
Hans Jørgen Søgaard, P Bech

Abstract

The burden imposed by common mental disorders on individuals and society calls for interventions aimed at reducing psychological distress and improving quality of life. To study whether detection of mental disorders plus feedback to individuals and caregivers reduces psychological distress and improves quality of life in long-term sickness absence (LSA), defined as continuous sick-leave for more than 8 weeks. Mental disorders were detected by Present State Examination. The study population comprised 118,000 inhabitants. During 1 year, all incident individuals on LSA were identified from public registers regarding sickness transfer income. Common Mental Disorders Screening Questionnaire (CMD-SQ) (psychological distress) and SF-36 (quality of life) were sent to 2414 incident individuals on LSA, response rate 46.7%. In a randomised controlled trial for individuals with a certain level of psychological distress, 420 participants were allocated to an intervention group and 416 to a control group. The dropout at 12-months follow-up was 22.4% in the intervention group and 13.9% in the control group. There were no significant effects for individuals sick-listed with a psychiatric sick-leave diagnosis. For individuals without a psychiat...Continue Reading

Associated Clinical Trials

References

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Aug 25, 2009·Scandinavian Journal of Public Health·Hans Jørgen Søgaard, Per Bech
Sep 1, 2009·Scandinavian Journal of Public Health·Hans Jørgen Søgaard, Per Bech

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