{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T15:10:19Z","timestamp":1759072219519,"version":"3.44.0"},"reference-count":33,"publisher":"AOSIS","license":[{"start":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T00:00:00Z","timestamp":1758499200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T00:00:00Z","timestamp":1758499200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Afr. j. disabil."],"abstract":"<jats:p>Background:\u00a0Depression is a significant contributor to the burden of disease globally and is often associated with reduced work productivity and permanent disability.Objectives:\u00a0This study aimed to identify factors associated with return to work among disability claimants with depression at one insurer in South Africa.Method:\u00a0A retrospective cohort study was conducted with 514 disability claims. Univariate tests for association (Chi-square and Fisher) were performed to test the significance of the association between the primary outcome (disability benefit terminated as a result of return to work) and demographic and workplace factors.Results:\u00a0The majority of disability claimants were women (71.6%). Women and claimants under the age of 60 years at the time of benefit termination had a high probability of returning to work, 80% and 99% respectively. Of the 39% of claimants who had a high level of workplace support during the disability process, 95% also returned to work. Nearly half (48%) of the disability claimants returned to work in less than 6 months, while most of those with a duration of disability longer than 24 months did not return to work (79%).Conclusion:\u00a0Female gender, lower age (under 60 years), high workplace support and shorter duration of disability were all positively associated with return to work for disability claimants with depression.Contribution:\u00a0This study provides insights into factors associated with successful return to work for disability claimants with depression, which can guide case management and rehabilitation for this population.<\/jats:p>","DOI":"10.4102\/ajod.v14i0.1737","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T06:30:37Z","timestamp":1758263437000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with return to work among disability claimants with depression"],"prefix":"10.4102","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2274-0184","authenticated-orcid":false,"given":"Anisha","family":"Maharaj","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4664-4832","authenticated-orcid":false,"given":"Munira","family":"Hoosain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2136-6533","authenticated-orcid":false,"given":"Carl","family":"Lombard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0003-6006","authenticated-orcid":false,"given":"Lana","family":"Van Niekerk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2580","published-online":{"date-parts":[[2025,9,22]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Adler, D.A., McLaughlin, T.J., Rogers, W.H., Chang, H., Lapitsky, L. & Lerner, D., 2006, \u2018Job performance deficits due to depression\u2019, American Journal of Psychiatry 163(9), 1569\u20131576. https:\/\/doi.org\/10.1176\/ajp.2006.163.9.1569","DOI":"10.1176\/ajp.2006.163.9.1569"},{"key":"ref1","unstructured":"Alexander Forbes, 2019, Alexander Forbes: Group risk benefit hot topics I, Alexander Forbes Financial Services, Johannesburg, viewed 29 June 2020, from https:\/\/invest.alexforbes.com\/za\/en\/blogs\/seminars\/hot-topics\/2019-alexforbesinsights."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Arndt, V., Koch-Gallenkamp, L., Bertram, H., Eberle, A., Holleczek, B., Pritzkuleit, R. et al., 2019, \u2018Return to work after cancer. 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A., Weikert, B., Rodriguez Sanchez, A. & Wegewitz, U., 2018, \u2018Determinants of sickness absence and return to work among employees with common mental disorders: A scoping review\u2019, Journal of Occupational Rehabilitation 28, 393\u2013417. https:\/\/doi.org\/10.1007\/s10926-017-9730-1","DOI":"10.1007\/s10926-017-9730-1"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"De Wit, M., Zijlstra, H.P., Hulshof, C.T.J., Van Der Burg-Vermeulen, S.J. & De Boer, A.G.E.M., 2022, \u2018The effect of the progressive goal attainment program on cognitions, perceptions, and work participation of workers with chronic health problems: Study protocol for a randomized controlled trial\u2019, Trials 23, 765. https:\/\/doi.org\/10.1186\/s13063-022-06698-8","DOI":"10.1186\/s13063-022-06698-8"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Ervasti, J., Joensuu, M., Pentti, J., Oksanen, T., Ahola, K., Vahtera, J. et al., 2017, \u2018Prognostic factors for return to work after depression-related work disability: A systematic review and meta-analysis\u2019, Journal of Psychiatric Research 95, 28\u201336. https:\/\/doi.org\/10.1016\/j.jpsychires.2017.07.024","DOI":"10.1016\/j.jpsychires.2017.07.024"},{"key":"ref8","unstructured":"Grobler, C., 2018, \u2018Sick leave and work absence Part 2 : Returning to work after prolonged sickness absence: A psychiatrist\u2019s perspective\u2019, Occupational Health Southern Africa 24, 2\u20134."},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Hoosain, M., Mayet-Hoosain, N. & Plastow, N.A., 2023, \u2018Workplace-based interventions for mental health in Africa: A scoping review\u2019, International Journal of Environmental Research and Public Health 20(10), 5863. https:\/\/doi.org\/10.3390\/ijerph20105863","DOI":"10.3390\/ijerph20105863"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Jansen Van Vuuren, J., Okyere, C. & Aldersey, H., 2021, \u2018The role of occupational therapy in Africa: A scoping review\u2019, South African Journal of Occupational Therapy 50(3), 3\u201321. https:\/\/doi.org\/10.17159\/2310-3833\/2020\/vol50no3a2","DOI":"10.17159\/2310-3833\/2020\/vol50no3a2"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Lerner, D. & Henke, R.M., 2008, \u2018What does research tell us about depression, job performance, and work productivity?\u2019, Journal of Occupational and Environmental Medicine 50(4), 401\u2013410. https:\/\/doi.org\/10.1097\/JOM.0b013e31816bae50","DOI":"10.1097\/JOM.0b013e31816bae50"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Masterson, S., Laubscher, M., Maqungo, S., Ferreira, N., Held, M., Harrison, W. et al., 2023, \u2018Return to work following intramedullary nailing of lower-limb long-bone fractures in South Africa\u2019, The Journal of Bone and Joint Surgery 105(7), 518\u2013526. https:\/\/doi.org\/10.2106\/JBJS.22.00478","DOI":"10.2106\/JBJS.22.00478"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Meling, H.M., Ruths, S., Baste, V., Hensing, G. & Haukenes, I., 2023, \u2018Level of education and sustainable return to work among long-term sick-listed workers with depression: A register-based cohort study (The Norwegian GP-DEP Study)\u2019, BMJ Open 13, e072051. https:\/\/doi.org\/10.1136\/bmjopen-2023-072051","DOI":"10.1136\/bmjopen-2023-072051"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Modise, G.L., Uys, K., Masenge, A. & Du Plooy, E., 2024, \u2018Relationship between demographic characteristics and return-to-work for loss of income claimants at the Motor Vehicle Accident Fund, Botswana\u2019, Work 77(4), 1101\u20131114. https:\/\/doi.org\/10.3233\/WOR-220712","DOI":"10.3233\/WOR-220712"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Mokoka, M.T., Rataemane, S.T. & Dos Santos, M., 2012, \u2018Disability claims on 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assessing upper extremity work demands\u2019, PLoS One 5(12), e15158. https:\/\/doi.org\/10.1371\/journal.pone.0015158","DOI":"10.1371\/journal.pone.0015158"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Ramano, E., Buys, T. & De Beer, M., 2016, \u2018Formulating a return-to-work decision for employees with major depressive disorders: Occupational therapists\u2019 experiences\u2019, African Journal of Primary Health & Family Medicine 8(2), a954. https:\/\/doi.org\/10.4102\/phcfm.v8i2.954","DOI":"10.4102\/phcfm.v8i2.954"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Saonatse, L., De Witt, P.A. & Van Niekerk, M., 2019, \u2018Experiences and perceptions of Return to Work (RTW) by clients with major depressive disorder in an extended sick leave period\u2019, South African Journal of Occupational Therapy 49(1), 36\u201342. https:\/\/doi.org\/10.17159\/2310-3833\/2019\/vol49n1a6","DOI":"10.17159\/2310-3833\/2019\/vol49n1a6"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"S\u00f8vold, L.E., Naslund, J.A., Kousoulis, A.A., Saxena, S., Qoronfleh, M.W., Grobler, C. et al., 2021, \u2018Prioritizing the mental health and well-being of healthcare workers: An urgent global public health priority\u2019, Frontiers in Public Health 9, 1\u201312. https:\/\/doi.org\/10.3389\/fpubh.2021.679397","DOI":"10.3389\/fpubh.2021.679397"},{"key":"ref22","unstructured":"Statistics South Africa, Risenga Maluleke, 2021, Labour Market Dynamics in South Africa, viewed 13 July 2023, from https:\/\/www.statssa.gov.za\/publications\/Report-02-11-02\/Report-02-11-022021.pdf."},{"key":"ref23","unstructured":"Stats Direct, n.d., Prospective, retrospective, case-control, cohort studies, viewed 14 July 2020, from https:\/\/www.statsdirect.com\/help\/basics\/prospective.htm."},{"key":"ref24","unstructured":"Tomlinson, M., Grimsrud, A.T., Stein, D.J., Williams, D.R. & Myer, L., 2009, \u2018The epidemiology of major depression in South Africa: Results from the South African stress and health study\u2019, South African Medical Journal 23, 367\u2013373."},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Watt, N. & Penn, C., 2000, \u2018Predictors and Indicators of Return to Work following traumatic brain injury in South Africa: Findings from a preliminary experimental database\u2019, South African Journal of Psychology 30(3), 27\u201335. https:\/\/doi.org\/10.1177\/008124630003000305","DOI":"10.1177\/008124630003000305"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"Wind, H., Gouttebarge, V., Kuijer, P.P.F.M., Sluiter, J.K. & Frings-Dresen, M.H.W., 2006, \u2018The utility of functional capacity evaluation: The opinion of physicians and other experts in the field of return to work and disability claims\u2019, International ArChives of Occupational and Environmental Health 79, 528\u2013534. https:\/\/doi.org\/10.1007\/s00420-005-0081-4","DOI":"10.1007\/s00420-005-0081-4"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"Wisenthal, A. & Krupa, T., 2013, \u2018Cognitive work hardening: A return-to-work intervention for people with depression\u2019, Work 45(4), 423\u2013430. https:\/\/doi.org\/10.3233\/WOR-131635","DOI":"10.3233\/WOR-131635"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Wisenthal, A., Krupa, T., Kirsh, B. & Lysaght, R., 2019, \u2018Insights into cognitive work hardening for return-to-work following depression: Qualitative findings from an intervention study\u2019, Work 62(4), 599\u2013613. https:\/\/doi.org\/10.3233\/WOR-192893","DOI":"10.3233\/WOR-192893"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Wisenthal, A., Krupa, T., Kirsh, B.H. & Lysaght, R., 2018, \u2018Cognitive work hardening for return to work following depression: An intervention study\u2019, Canadian Journal of Occupational Therapy 85(1), 21\u201332. https:\/\/doi.org\/10.1177\/0008417417733275","DOI":"10.1177\/0008417417733275"},{"key":"ref30","unstructured":"World Health Organization (WHO), 2011, World report on disability, viewed 18 July 2020, from https:\/\/www.who.int\/teams\/noncommunicable-diseases\/sensory-functions-disability-and-rehabilitation\/world-report-on-disability."},{"key":"ref31","unstructured":"World Health Organization (WHO), 2017, WHO mental health atlas 2017, viewed 26 October 2023, from https:\/\/www.who.int\/publications\/i\/item\/mental-health-atlas-2017."},{"key":"ref32","unstructured":"World Health Organization (WHO), 2022, WHO guidelines on mental health at work, viewed 26 October 2023, from https:\/\/www.who.int\/publications\/i\/item\/9789240053052."}],"container-title":["African Journal of 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