Sick leave and work disability in primary care patients with recent-onset multiple medically unexplained symptoms and persistent somatoform disorders: a 10-year follow-up of the FIP study
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OBJECTIVE: The objective was to explore patient characteristics and 10-year outcome of sick leave and work disability for patients with recent-onset multiple medically unexplained symptoms (MUS) and persistent somatoform disorders (SD). METHOD: Consecutive patients consulting their family physician (FP) completed a preconsultation questionnaire on symptoms and mental illness (n=1785). The main problem was categorized by the FP after the consultation, and a stratified subsample was examined using a standardized diagnostic interview (n=701). Patients were grouped into three cohorts: recent onset of multiple MUS (n=84); Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, persistent SD (n=183); and reference group with well-defined physical disease according to FP (n=833). Register data on sick leave and disability pension were obtained. RESULTS: At index consultation, disability pension was received by 8.3% (n=7) in the recent-onset multiple MUS group, 19.1% (n=35) in the SD group and 3.5% (n=29) in the reference group. Both the recent-onset multiple MUS group [hazard ratio (HR)=2.28, 95% confidence interval (CI): 1.14-4.55] and the SD group (HR=3.26, 95% CI:1.93-5.51) had increased risk of new disability pension awards. Furthermore, the SD group had increased risk of sick leave. CONCLUSIONS: Both recent-onset and persistent MUS have significant long-term impact on patient functioning in regard to working life; this calls for early recognition and adequate management of MUS in primary care.
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A Dutch study found that sick-listed patients with a high somatic symptom burden and decreased functioning were at higher risk of redundancy.
“A Dutch study found that sick-listed patients with a high somatic symptom burden and decreased functioning were at higher risk of redundancy (37).”
From Long-term outcome of bodily distress syndrome in primary care: a follow-up study on health care costs, work disability, and self-rated health (2017) · cites this paper as [37]
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Mirror Therapy in Patients with Somatoform Pain Disorders—A Pilot Study
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Self-citationPart I: Psychological Factors in Delayed and Failed Recovery and Unnecessary Disability
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Self-citationHäufigkeit somatoformer Syndrome in der Allgemeinmedizin
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Self-citation
- Authors
- Rask, M. T., Rosendal, M., Fenger-Grøn, M., Bro, F., Ørnbøl, E., & Fink, P.
- Affiliations
- Aarhus University (DK)
- Aarhus University Hospital (DK)
- Corresponding author
- Rask, Mette T.
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 37
- Issue
- 1
- Pages
- 53-59
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W2029809530
- Cited by
- 104
- References
- 52
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 12 · 2023: 13 · 2022: 9 · 2021: 7 · 2020: 8 · 2019: 13 · 2018: 10 · 2017: 7 · 2016: 10 · 2015: 2
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- General Hospital Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- sick leave, work disability, medically unexplained symptoms, somatoform disorders, disability pension, long-term outcomes, primary care, functional disability, early recognition
- MeSH terms
- Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Primary Health Care, Scandinavian and Nordic Countries, Somatoform Disorders, Time Factors, Work Capacity Evaluation, Sick Leave, Insurance, Disability
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