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Eur J Public Health. 2016 Jun;26(3):510-2. doi: 10.1093/eurpub/ckw034. Epub 2016 Mar 31.

Psychological distress screener for risk of future mental sickness absence in non-sicklisted employees.

Author information

1
1 Department of Research and Development, ArboNed Occupational Health Service, Utrecht, The Netherlands 2 Department of Epidemiology and Biostatistics, VU Medical Center, VU University, Amsterdam, The Netherlands marieke.van.hoffen@arboned.nl.
2
2 Department of Epidemiology and Biostatistics, VU Medical Center, VU University, Amsterdam, The Netherlands.
3
1 Department of Research and Development, ArboNed Occupational Health Service, Utrecht, The Netherlands.
4
1 Department of Research and Development, ArboNed Occupational Health Service, Utrecht, The Netherlands 2 Department of Epidemiology and Biostatistics, VU Medical Center, VU University, Amsterdam, The Netherlands 3 Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Abstract

BACKGROUND:

Recently, a three-item screener, derived from the 16-item distress scale of the Four-Dimensional Symptom Checklist (4DSQ), was used to measure psychological distress in sicklisted employees. The aim of the present study was to investigate the ability of the 16-item distress scale and three-item distress screener to identify non-sicklisted employees at risk of sickness absence (SA) due to mental disorders.

METHODS:

Prospective cohort study including 4877 employees working in distribution and transport. The 4DSQ distress scale was distributed at baseline in November 2010. SA diagnosed within the International Classification of Diseases -10 chapter F was defined as mental SA and retrieved from an occupational health register during 2-year follow-up. The area under the receiver operating characteristic curve (AUC) was used to discriminate between workers with ('cases') and without ('non-cases') mental SA during follow-up.

RESULTS:

A total of 2782 employees (57%) were included in complete cases analysis; 73 employees had mental SA during 2-year follow-up. Discrimination between cases and non-cases was similar for the 16-item distress scale (AUC = 0.721; 95% CI, 0.622-0.823) and the three-item screener (AUC = 0.715; 95% CI, 0.615-0.815).

CONCLUSION:

Healthcare providers could use the three-item distress screener to identify non-sicklisted employees at risk of future mental SA.

PMID:
27037332
DOI:
10.1093/eurpub/ckw034
[Indexed for MEDLINE]

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