There have been few epidemiological studies on recurrent sickness absence due to depression after returning to work (RTW). The objective of this study was to investigate the prognosis of workers who RTW with depression in a Japanese company.
Methods
This study employed descriptive epidemiology study design. Subjects of this study was 540 employees who worked as full-time workers and were registered at the Health Data System and returned to work from April 2002 to March 2008 after their first leave of absence due to depression. We investigated recurrence of sickness absence due to depression after return to work using Kaplan-Meier survival curve method.
Results
During the 8.5-year follow-up period, the recurrent rates was 28.3% at 1 year, 37.7% at 2 years, 42.0% at 3 years, 47.1% at 5 years. The incidence of recurrent sickness absence declined over the years after RTW; recurrence was concentrated the most frequently in the first year, the second frequently in the 2 years. There were no gender differences in recurrence (log-rank test P=0.726).
Discussion
When considering the high recurrence rates of depression, we should provide continuous and careful support for workers, at most 5 years after RTW.