Employees Receiving Inpatient Treatment for Common Mental Disorders in Germany: Factors Associated with Time to First and Full Return to Work. 2022

Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
Division 3 Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Nöldnerstr. 40-42, 10317, Berlin, Germany. Sikora.Alexandra@baua.bund.de.

Purpose In Germany, return to work (RTW) after inpatient treatment for common mental disorders (CMDs) is a complex process at the intersection of the mental healthcare system and the workplace. This study examined (1) the time to first and full RTW and (2) associated factors among employees receiving inpatient treatment for CMDs. Methods In this prospective cohort study, employees receiving inpatient psychiatric or medical rehabilitation treatment for CMDs were interviewed by phone during their last week before discharge. Follow-up interviews were conducted after 6, 12, and 18 months. Health-, personal, and work-related factors were used from baseline measurement. Parametric survival analysis was conducted to identify factors associated with time to first and full RTW. Results A total of N = 269 participants who stayed at a psychiatric clinic or a medical rehabilitation facility were included. Almost all participants (n = 252, 94%) from both treatment settings reported a first RTW and a full RTW. The time to first and full RTW was shortest among participants from medical rehabilitation (both median 6 days) and longer among participants from psychiatric treatment (median 17 days to first RTW and 73 days to full RTW). While only health-related and personal factors were associated with time to first RTW, leadership quality and needed individual RTW support were associated with time to full RTW. Conclusions More attention to work accommodation needs for RTW in clinical practice and coordinated actions towards RTW in collaboration with key RTW stakeholders in the workplace may support a timely RTW.Clinical Registration Number DRKS00010903, retrospectively registered.

UI MeSH Term Description Entries
D007297 Inpatients Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment. Inpatient
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001523 Mental Disorders Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function. Mental Illness,Psychiatric Diseases,Psychiatric Disorders,Psychiatric Illness,Behavior Disorders,Diagnosis, Psychiatric,Mental Disorders, Severe,Psychiatric Diagnosis,Illness, Mental,Mental Disorder,Mental Disorder, Severe,Mental Illnesses,Psychiatric Disease,Psychiatric Disorder,Psychiatric Illnesses,Severe Mental Disorder,Severe Mental Disorders
D018582 Sick Leave An absence from work permitted because of illness or the number of days per year for which an employer agrees to pay employees who are sick. (Webster's New Collegiate Dictionary, 1981) Disability Leave,Illness Days,Sick Days,Day, Illness,Day, Sick,Days, Illness,Days, Sick,Disability Leaves,Illness Day,Leave, Disability,Leave, Sick,Leaves, Disability,Sick Day
D062707 Return to Work Resumption of normal work routine following a hiatus or period of absence due to injury, disability, or other reasons. Back to Work,Back-to-Work,Return-to-Work,Work, Back to,Work, Return to

Related Publications

Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
July 2023, International archives of occupational and environmental health,
Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
June 2012, European journal of public health,
Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
October 2017, Social psychiatry and psychiatric epidemiology,
Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
March 2012, Scandinavian journal of work, environment & health,
Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
June 2013, Journal of occupational rehabilitation,
Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
September 2025, Journal of occupational rehabilitation,
Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
September 2018, Journal of occupational rehabilitation,
Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
June 2022, Disability and rehabilitation,
Alexandra Sikora, and Gundolf Schneider, and Uta Wegewitz, and Ute Bültmann
January 2013, SpringerPlus,
Copied contents to your clipboard!