An Analysis of Case Studies to Evaluate Supports for Depressive White-collar Workers Who are Returning to Work after Sick Leave

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  • INOUE Miyako
    Department of Health Care Administration and Management, Graduate School of Medical Sciences
  • ABE Takeru
    Department of Health Services Management and Policy, Graduate School of Medical Sciences, Kyushu University
  • MIYAZAKI Shougo
    Department of Health Services Management and Policy, Graduate School of Medical Sciences, Kyushu University Faculty of Health Care, Department of Acupuncture, Teikyo Heisei University
  • HAGIHARA Akihito
    Department of Health Care Administration and Management, Graduate School of Medical Sciences

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Other Title
  • 症例報告に基づくうつ症状を呈するホワイトカラー従業員への復職支援の検討
  • ショウレイ ホウコク ニ モトズク ウツ ショウジョウ オ テイスル ホワイトカラー ジュウギョウイン エ ノ フクショク シエン ノ ケントウ

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Abstract

Purpose: In Japan, mental health problems due to work stress among white-collar workers have become an important topic which needs to be addressed. As for the support for workers who are returning to work after sick leave, reliable findings have not yet been reported. The purpose of the present study was to obtain findings concerning support for workers who are returning to work after sick leave. Method: We analyzed cases studies of white-collar workers between Jan. 1983 and May 2009. Results: We identified 9 types of support; sick leave, change of work place, change of boss, change of work, decreasing work load, introduction of a decreased work load period, limiting work, consultation with corporate health care staff, and intervention by a party other than the company. Discussion: Generally speaking, it has been revealed that each support has both positive and negative influences upon employees returning to work. In addition, consulting with corporate health care staff (p<0.01) showed significantly higher rates of no relapse into depression than in the absence of such consulting. However, this finding might be accompanied with a problem of potential bias with respect to published articles, and the relationship between health care professionals (i.e., physicians, occupational nurses, counselors, etc.) and a depressive worker. In addition, the content and date of a company's support for a worker returning to work might vary significantly. Thus, we need to be very careful in interpreting these findings.<br> (San Ei Shi 2010; 52: 267-274)<br>

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