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Cited by 104Psychosomatic Disorders and Their TreatmentsFibromyalgia and Chronic Fatigue Syndrome ResearchMedical Practices and Rehabilitation

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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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Rask, Mette T., Rosendal, Marianne, Fenger-Grøn, Morten, Bro, Flemming, Ørnbøl, Eva, Fink, Per·2015·General Hospital Psychiatry
DOI 10.1016/j.genhosppsych.2014.10.007
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Abstract

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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Metadata

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.
ORCID
Venue
General Hospital Psychiatry
Publisher
Elsevier BV
Published
2015-01
Volume
37
Issue
1
Pages
53-59
ISSN
0163-8343 (ISSN-L)
DOI
10.1016/j.genhosppsych.2014.10.007
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
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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