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TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde
Gepubliceerd in: TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde 7/2018

01-09-2018 | Research

The assessment by insurance physicians of functional limitations related to mental disorders among disability benefit claimants

Auteurs: Bert Cornelius, Femke Abma, Tialda Hoekstra, Sandra Brouwer

Gepubliceerd in: TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde | Uitgave 7/2018

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Samenvatting

We investigated under- and over-recognition of functional limitations related to mental disorders by insurance physicians (IPs) in disability benefit claimants with and without mental disorders. The sample consisted of 247 persons claiming disability after two years of sickness absence. All respondents were interviewed using the Composite International Diagnostic Interview (CIDI) generating mental disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) present in the past thirty days. Functional limitations related to mental disorders as reported by IPs were extracted from registry. Under-recognition of functional limitations related to mental disorders for any mental disorder was found in 15.7%, for mood disorders in 7.1% and for anxiety disorders in 16.4%. Over-recognition of functional limitations related to mental disorders for any mental disorder was found in 41.2%, for mood disorders in 48.4% and for anxiety disorders in 44.8%. Under-recognition of functional limitations related to mental disorders is limited. Apparently IPs primarily focus on functional limitations and impairments, and not on the causal illness. Over-recognition of functional limitations related to mental disorders is more pronounced.
vorige artikel Answering questions at a congress: do’s and don’ts
volgende artikel Utilisation of nationwide register data to assess the effectiveness of changes in sickness insurance legislation on work participation and analyse sickness absence and disability retirement trends in Finland
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Metagegevens
Titel
The assessment by insurance physicians of functional limitations related to mental disorders among disability benefit claimants
Auteurs
Bert Cornelius
Femke Abma
Tialda Hoekstra
Sandra Brouwer
Publicatiedatum
01-09-2018
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde / Uitgave 7/2018
Print ISSN: 0929-600X
Elektronisch ISSN: 1876-5858
DOI
https://doi.org/10.1007/s12498-018-0245-2

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