{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T14:57:15Z","timestamp":1788361035823,"version":"build-2803163510"},"reference-count":64,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T00:00:00Z","timestamp":1676332800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WOR"],"published-print":{"date-parts":[[2023,2,14]]},"abstract":"<jats:p>BACKGROUND: Mood and adjustment disorders are two major causes of long-term sick leave among employees, leading to large social losses. Therefore, a return to work (RTW) intervention was attempted, targeting patients with mood and adjustment disorders. OBJECTIVE: This study aimed to investigate the outcome of an interdisciplinary RTW intervention including occupational therapy implemented within the Japanese healthcare framework. METHODS: An interdisciplinary RTW intervention including occupational therapy was conducted five times a week for approximately three months, targeting individuals with mood and adjustment disorders who took a leave of absence. Their mental symptoms, cognitive functioning, job performance, temperament, social adaptation, psychosocial state, and readiness to RTW before and after the intervention were evaluated. Full-time RTW ratios at 3, 6, 12, 18, and 24 months from baseline were followed up and compared with those of prior studies. RESULTS: A total of 30 individuals completed the intervention. After the intervention, participants\u2019 psychological symptoms, cognitive function, vocational aptitude, temperament, social adaptation, psychosocial state, and readiness to RTW improved (p\u22640.001\u20130.0279). The ratios of RTW at 3, 6, 12, 18, and 24 months from the baseline were 6.7%, 46.7%, 73.3%, 77.8%, and 82.6%, respectively, reflecting a higher pattern than prior reports. CONCLUSIONS: The interdisciplinary RTW intervention including occupational therapy has the potential to improve not only depressive symptoms but also cognitive functioning, job performance, social adaptation, and readiness to RTW. They can also raise RTW ratios.<\/jats:p>","DOI":"10.3233\/wor-211144","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T12:17:18Z","timestamp":1666354638000},"page":"515-530","source":"Crossref","is-referenced-by-count":5,"title":["Outcomes of an interdisciplinary return to work intervention including occupational therapy for mood and adjustment disorders: A single-arm clinical trial"],"prefix":"10.1177","volume":"74","author":[{"given":"Sachie","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Fundamental Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryunosuke Iwai","family":"Kuge","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Shinshu University Hospital, Matsumoto, Nagano, Japan"},{"name":"Department of Health Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miku","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Shinshu University Hospital, Matsumoto, Nagano, Japan"},{"name":"Department of Medical Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Inukai","sequence":"additional","affiliation":[{"name":"Patient Support Center, Shinshu University Hospital, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Midori","family":"Hamamoto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miho","family":"Terasawa","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Shinshu University Hospital, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshinori","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhiro","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan"},{"name":"Department of Applied Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayoshi","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Fundamental Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan"},{"name":"Department of Health Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinsuke","family":"Washizuka","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/WOR-211144_ref1","unstructured":"Brown C , Stoffel VC , Phillip Mu\u00f1oz JP . 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