Mental disorders in judicial workers: analysis of sickness absence in a cohort study
DOI:
https://doi.org/10.11606/s1518-8787.2023057004737Keywords:
Mental Disorders, Occupational Health, Mental HealthAbstract
OBJECTIVE: To analyze risk factors for sickness absence due to mental disorders among judicial workers in Bahia, Brazil. METHODS: Retrospective cohort with follow-up from 2011 to 2016 with 2,660 workers of a judicial sector in Bahia, Brazil. The main outcome measures were survival curves estimated for the independent variables using the Kaplan-Meier product limit estimator and risk factors for the first episode of sickness absence calculated based on the Cox regression model. RESULTS: The survival estimate of the population of this study for the event was 0.90 and from the Cox model the risk factors for the first episode of sickness absence due to mental disorders were: female (HR = 1.81), occupation of magistrate (HR = 1.80), and age over 30 years old (HR = 1.84). In addition, the risk for new cases of sickness absence among women reached 4.0 times the risk for men, in 2015. The estimated relative risks of sickness absence and the observed survival reduction behavior over time add information to the literature on sociodemographic and occupational factors associated with sickness absence due to mental disorders in the public sector. CONCLUSION: These results highlight the need for further research to more precisely identify vulnerable groups at risk of preventable mental health-related sickness absence in the workplace, better identify the workplace organizational factors that contribute to these disorders as well as studies on the effectiveness of workplace interventions to improve mental health among judicial and other public sectors workers.
References
Antloga CS, Maia M, Cunha KR, Peixoto J. Contexto de trabalho e custo humano no trabalho em um órgão do poder judiciário brasileiro. Cien Saude Colet 2014;19(12):4787-4796. https://doi.org/10.1590/1413-812320141912.22252013
Souza SAD, Moulin MGB. Serviço público: significados e sentidos de um trabalho em mutação. Cad Psicol Soc Trab 2014;17(1):49-65. https://doi.org/10.11606/issn.1981-0490.v17i1p49-65
Tatamuez-Tarapues RA, Domínguez A, Matabanchoy-Tulcán SM. Revisión sistemática: factores asociados al ausentismo laboral en países de América Latina. Univ Salud 2019;21(1):100-112. https:.//doi.org/https://doi.org/10.22267/rus.192101.143
Bryan ML, Bryce AM, Roberts J. The effect of mental and physical health problems on sickness absence. Eur J Health Econ. 2021 Dec;22(9):1519-33. https://doi.org/10.1007/s10198-021-01379-w
Salvagioni DAJ, Melanda FN, Mesas AE, Gonzalez AD, Gabani FL, Andrade SM. Physical, psychological and occupational consequences of job burnout: a systematic review of prospective studies. PLoS ONE. 2017;12(10):1-29.
https://doi.org/10.1371/journal.pone.0185781
Vignoli M, Muschalla B, Mariani MG. Workplace phobic anxiety as a mental health phenomenon in the job demands-resources model. Biomed Res Int. 2017;2017:10. https://doi.org/https://doi.org/10.1155/2017/3285092
Koopmans PC, Bultmann U, Roelen CA, Hoedeman R, Van der Klink JJ, Groothoff JW. Recurrence of sickness absence due to common mental disorders. Int Arch Occup Environ Health. 2011,Feb;84(2):193-201. https://doi.org/https://doi.org/10.1007/s00420-010-0540-4
Pedersen P, Lund T, Lindholdt L, Nohr EA, Jensen C, Søgaard HJ et al. Labour market trajectories following sickness absence due to self-reported all cause morbidity: a longitudinal study. BMC Public Health 2016;16:337. https://doi.org/https://doi.org/10.1186/s12889-016-3017-x
Henderson H, Harvey SB, Hotopf M. Work and common psychiatric disorders. J R Soc Med 2011;104(5):198–207. https.//doi.org/https://doi.org/10.1258/jrsm.2011.100231
Vries H, Fishta A, Weikert B, Sanchez AR, Wegewitz U. Determinants of sickness absence and return to work among employees with common mental disorders: a scoping review. J Occup Rehabil 2018,Sep;28(3):393-417.
https://doi.org/https://doi.org/10.1007/s10926-017-9730-1
Kausto J, Pentti J, Oksanen T, Virta LJ, Virtanen M, Kivimäki M et al. Length of sickness absence and sustained return-to-work in mental disorders and musculoskeletal diseases: a cohort study of public sector employees. Scand J Work Environ Health 2017,Jul1;43(4):358-366. https://doi.org/https://doi.org/10.5271/sjweh.3643
Olsen IB, Øverland S, Reme SE, Løvvik C. Exploring work-related causal attributions of common mental disorders. J Occup Rehabil 2015;25:493-505. https://doi.org/https://doi.org/10.1007/s10926-014-9556-z
Dewa CS, Loong D, Bonato S, Hees H. Incidence rates of sickness absence related to mental disorders: a systematic literature review. BMC Public Health 2014;14:205. https://doi.org/https://doi.org/10.1186/1471-2458-14-205
Colosimo EA, Giolo SR. Análise de sobrevivência aplicada. São Paulo: Blücher; 2006.
Gerald J. Hahn GJ. Meeker WQ. Assumptions for statistical inference. Am Stat. 1993;47(1):1-11. https://doi.org/10.1080/00031305.1993.10475924
Rothman KJ, Greenland S, Lash TL. Precision and statistics in epidemiologicstudies. In: Rothman KJ, Greenland S, Lash TL, editors. Modern epidemiology. 3rd ed. Lippincott Williams & Wilkins; 2008. p. 148-67.
Rothman KJ. Six persistent research misconceptions. J Gen Intern Med 2014;29:(7)1060-4. https://doi.org/10.1007/s11606-013-2755-z
Arends I, Klink JJ, Rhenen W, Boer MR, Bültmann U. Predictors of recurrent sickness absence among workers having returned to work after sickness absence due to common mental disorders. Scand J Work Environ Health. 2014 Mar;40(2):195-202. https://doi.org/10.5271/sjweh.3384
Catalina-Romero C, Martínez-Muñoz P,. Quevedo-Aguado L, Ruiz-Moraga M, Fernández-Labandera C, Calvo-Bonacho E. Predictors of the duration of non-work-related sick leave due to anxiety disorders. Gac Sanit. 2013,Jan-Feb;27(1):40-6.
https://doi.org/10.1016/j.gaceta.2011.12.008
Lagerveld SE. Bultmann U. Franche RL. Van Dijk FJ. Vlasveld MC. Van der Feltz-Cornelis CM et al. Factors associated with work participation and work functioning in depressed workers: A systematic review. J Occup Rehabil 2010,Sep;20(3):275–92. https://doi.org/10.1007/s10926-009-9224-x
Costi CG. A saúde do magistrado: um breve levantamento bibliográfico. Rev Esmesc 2013;20(26):203-222. https://doi.org/10.14295/revistadaesmesc.v20i26.77
Tsai, F-J. Chan, C-C. Occupational stress and burnout of judges and procurators. Int Arch Occup Environ Health 2010;83:133-142 https://doi.org/10.1007/s00420-009-0454-1.
Wieclaw J. Agerbo E. Mortensen PB et al. Psychosocial working conditions and the risk of depression and anxiety disorders in the Danish workforce. BMC Public Health 2008;8:280. https://doi.org/10.1186/1471-2458-8-280
Garcia RA. Kenyon KH. Brolan CE et al. Court as a health intervention to advance Canada’s achievement of the sustainable development goals: a multi-pronged analysis of Vancouver’s Downtown Community Court. Global Health. 2019;15:80. https://doi.org/10.1186/s12992-019-0511-9
Keenea AR. Kane NB. Kim YHS. Owen GS. Taking capacity seriously? Ten years of mental capacity disputes before England’s court of protection. Int. J. Law Psychiatry 2019;62:56-76. https://doi.org/10.1016/j.ijlp.2018.11.005
Oliveira JB, Lipp ME. Resiliência e controle do stress em juízes e servidores públicos. Bol Acad Paul Psicol. 2009;77(2):287-306.
Silva-Junior JS, Fischer FM. Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions. PLoS One. 2014 Dec;9(12):e115885. https://doi.org/10.1371/journal.pone.0115885
Koopmans PC. Roelen CA. Bultmann U. Hoedeman R. Van der Klink JJ. Groothoff JW. Gender and age differences in the recurrence of sickness absence due to common mental disorders: a longitudinal study. BMC Public Health 2010;10:426.
https://doi.org/10.1186/1471-2458-10-426
Reis RJ. Utzet M. La Rocca PF. Nedel FB. Martin M. Navarro A. Previous sick leaves as predictor of subsequent ones. Int Arch Occup Environ Health 2011; 84(5):491-499. https://doi.org/10.1007/s00420-011-0620-0
Roelen CA. Koopmans PC. Anema JR. Van der Beek AJ. Recurrence of medically certified sickness absence according to diagnosis: a sickness absence register study. J Occup Rehabil 2010;20(1):113-121. https://doi.org/10.1007/s10926-009-9226-8
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