title: Association between clinical and work-related interventions and return-to-work for patients with musculoskeletal or mental disorders.
abstract: OBJECTIVE
  The aim of this study was to explore what characterizes patients receiving clinical interventions vs combined clinical and work-related interventions in a cohort of sick-listed subjects with musculoskeletal or mental disorders. Factors associated with return-to-work were also analysed.
  
  
  METHODS
  A prospective cohort study.
  
  
  METHODS
  A total of 699 newly sick-listed patients responded to a questionnaire on sociodemographics, measures of health, functioning, work ability, self-efficacy, social support, work conditions, and expectations. The 3-month follow-up questionnaire included patients' self-reported measures of return-to-work, work ability and type of interventions. The most frequent International Classification of Diseases-10 diagnoses for patients' musculoskeletal disorders were dorsopathies (M50-54) and soft tissue disorders (M70-79), and for patients with mental disorders, depression (F32-39) and stress reactions (F43).
  
  
  RESULTS
  Patients with mental disorders who received combined interventions returned to work to a higher degree than those who received only clinical intervention. The prevalence of work-related interventions was higher for those who were younger and more highly educated. For patients with musculoskeletal disorders better health, work ability and positive expectations of return-to-work were associated with return-to-work. However, combined interventions did not affect return-to-work in this group.
  
  
  CONCLUSIONS
  Receiving combined interventions increased the probability of return-to-work for patients with mental disorders, but not for patients with musculoskeletal disorders. Better health, positive expectations of return-to-work and better work ability were associated with return-to-work for patients with musculoskeletal disorders.
authors.affiliation: Division of physiotherapy, Linköping University, SE-581 83 Linköping, Sweden. charlotte.wahlin@liu.se
authors.forename: Charlotte
authors.initials: C
authors.lastname: Wåhlin
authors.forename: Kerstin
authors.initials: K
authors.lastname: Ekberg
authors.forename: Jan
authors.initials: J
authors.lastname: Persson
authors.forename: Lars
authors.initials: L
authors.lastname: Bernfort
authors.forename: Birgitta
authors.initials: B
authors.lastname: Oberg
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003695:Delivery of Health Care / Q000379:methods*; D003863:Depression / Q000534:rehabilitation / Q000628:therapy; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation* / Q000628:therapy; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000534:rehabilitation* / Q000628:therapy; D009786:Occupational Health Services / Q000379:methods*; D011446:Prospective Studies; D062707:Return to Work; D057566:Self Report; D018582:Sick Leave; D013315:Stress, Psychological / Q000534:rehabilitation / Q000628:therapy; D011795:Surveys and Questionnaires