{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T20:30:40Z","timestamp":1779309040938,"version":"3.51.4"},"reference-count":42,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"unspecified","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"the working environment research fund","award":["Grant-no. #20185100851"],"award-info":[{"award-number":["Grant-no. #20185100851"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,10,9]]},"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the 5\u2009year work status in patients referred for suspected work-related common mental disorders. To develop a prognostic model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Register-based nationwide longitudinal follow-up study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>All departments of occupational medicine in Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>17\u2009822 patients aged 18\u201367 years, seen for the first time at a Department of Occupational Medicine in Denmark from 2000 to 2013 and diagnosed with stress, depression, post-traumatic stress disorder, anxiety or other mental disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>All patients were seen for diagnostic assessment and causal evaluation of the work-relatedness of their disorders. Some departments offered patients with stress disorders psychological treatment, which, however, was not organised according to patient selection or type of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Register data were collected for 5\u2009year periods before and after the patients\u2019 first assessment at a department. Weekly percentages of patients are presented according to work status. The outcome in the prognostic model was a high Work Participation Score (ie, working&gt;75% of potential work weeks\/year) at 5\u2009year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For all subgroups of patients, a high proportion were working (&gt;75%) 1\u20135 years before assessment, and all experienced a large reduction in work status at time of assessment. At 1\u2009year follow-up, almost 60% of patients with stress were working, whereas in the other patient subgroups, less than 40% were working. In the following years, practically no increase was observed in the percentage of patients working in any of the subgroups. Based on these 5\u2009year follow-up data, we developed a work participation model with only moderate discrimination and calibration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In Denmark, not all return to previous work status 5 years after a referral due to a suspected work-related common mental disorder. We developed a prognostic model with only moderate discrimination and calibration for long-term work participation after suggested work-related common mental disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-072217","type":"journal-article","created":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T12:56:00Z","timestamp":1699361760000},"page":"e072217","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Long-term follow-up study of work status among patients with work-related mental disorders referred to departments of occupational medicine in Denmark"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3650-5687","authenticated-orcid":false,"given":"Marianne","family":"Kyndi","sequence":"first","affiliation":[{"name":"Department of Occupational Medicine, University Clinic, G\u00f8dstrup Regional Hospital, Herning, Denmark"},{"name":"Department of Occupational and Environmental Medicine, Aalborg University Hospital, Aalborg, Denmark"},{"name":"Department of Occupational Medicine, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0667-241X","authenticated-orcid":false,"given":"Morten Vejs","family":"Willert","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesper Medom","family":"Vestergaard","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, University Clinic, G\u00f8dstrup Regional Hospital, Herning, Denmark"},{"name":"Department of Occupational Medicine, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan Hviid","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, University Clinic, G\u00f8dstrup Regional Hospital, Herning, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H\u00f8yrup","family":"Christiansen","sequence":"additional","affiliation":[{"name":"Centre for Research in Health and Nursing, Research, Regional Hospital Central Jutland, Viborg, Denmark"},{"name":"Department of Clinical Medicine, Health, Aarhus University, Aarhus, Denmark"},{"name":"Elective surgery centre, Silkeborg Regional Hospital, Silkeborg, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vita Ligaya","family":"Dalgaard","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, University Clinic, G\u00f8dstrup Regional Hospital, Herning, Denmark"},{"name":"Department of Psychology and Behavioural Sciences, Aarhus University, Aarhus, 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