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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.
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Wittchen HU, Jacobi F, Rehm J, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacology. 2011;21:655-79.
Sick on the Job? Myths and realities about mental health and work. Paris: OECD Publishing, 2012.
de Graaf R, ten Have M, van Gool C, et al. Prevalence of mental disorders and trends from 1996 to 2009. Results from the Netherlands Mental Health Survey and Incidence Study-2. Soc Psychiatry Psychiatr Epidemiol. 2012;47(2):203-13.
Lecrubier Y. Widespread under-recognition and undertreatment of anxiety and mood disorders: results from 3 European studies. J Clin Psychiatry 2007; 68(Suppl 2):36-41.
Nieuwenhuijsen K, Verbeek JH, de Boer AG, et al. Predicting the duration of sickness absence for patients with common mental disorders in occupational health care. Scand J Work Environ Health 2006;32:67-74.
Flach PA, Groothoff JW, Krol B, et al. Factors associated with first return to work and sick leave durations in workers with common mental disorders. Eur J Public Health 2011;22(3):440-45.
Bültmann U, Rugulies R, Lund T, et al. Depressive symptoms and the risk of long-term sickness absence: a prospective study among 4747 employees in Denmark. Soc Psychiatry Psychiatr Epidemiol 2006;41:875-80.
Bültmann U, Christensen KB, Burr H, et al. Severe depressive symptoms as predictor of disability pension: a 10-year -follow-up study in Denmark. Eur J Public Health 2008;18:232-4.
van der Feltz-Cornelis CM, Hoedeman R, de Jong FJ, et al. Faster return to work after psychiatric consultation for sick-listed employees with common mental disorders compared to care as usual. A randomized clinical trial. Neuropsychiatr Dis Treat 2010;6:375-85.
Langerak W, Langeland W, Draijer N, et al. Diagnostiek en classificatie van psychiatrische aandoeningen bij een steekproef van langdurig psychisch arbeidsongeschikten (Diagnostics and classification of psychiatric disorders in a cohort of long-term work disabled persons due to mental health problems). Tijdschr Bedrijfs Verzekeringsgeneeskd. 2011;19:14-21.
Kessler RC, Ustun TB. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 2004;13:93-121.
Cornelius LR, van der Klink JJ, Brouwer S, et al. Under-recognition and under-treatment of DSM-IV classified mood and anxiety disorders among disability claimants. Disabil Rehabil 2014; 36:1161-8.
Cornelius LR. A view beyond the horizon: a prospective cohort study on mental health and long term disability. Dissertation, Rijksuniversiteit Groningen 2013.
Haro JM, Arbabzadeh-Bouchez S, Brugha TS, et al. Concordance of the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health surveys. Int J Methods Psychiatr Res 2006;15:167-180.
Ustün B, Kennedy C. What is “functional impairment”? Disentangling disability from clinical significance. World Psychiatry. 2009;8(2):82-5.
Cornelius LR, van der Klink JJ, de Boer MR, et al. High prevalence of early onset mental disorders among long-term disability claimants. Disabil Rehabil. 2016;38(6):520-7.
Bruffaerts R, Posada-Villa J, Al-Hamzawi AO, et al. Proportion of patients without mental disorders being treated in mental health services worldwide. Br J Psychiatry. 2015;206(2):101-9.
WHO World Mental Health Survey Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 2004;291:2581-90.
Ormel J, Petukhova M, Chatterji S, et al. Disability and treatment of specific mental and somatic disorders across the world. Br J Psychiatry 2008;192:368-75.
van Beljouw I, Verhaak P, Prins M, et al. Reasons and determinants for not receiving treatment for common mental disorders. Psychiatr Serv 2010;61:250-7.
Laitinen-Krispijn S, Bijl R. Werk, psyche en ziekteverzuim. Aard en omvang van psychische stoornissen, ziekteverzuim en zorggebruik in de beroepsbevolking (Work, mental health and sickness absence. Nature and extent of mental disorder, sickness absence and health care use among workers). Utrecht: Netherlands Institute of Mental Health and Addiction; 2002.
Mental Health and Work: Netherlands, Mental Health and Work, OECD Publishing, 2014. See http://dx.doi.org/10.1787/9789264223301-e.
- The assessment by insurance physicians of functional limitations related to mental disorders among disability benefit claimants
- Bohn Stafleu van Loghum
TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde
Print ISSN: 0929-600X
Elektronisch ISSN: 1876-5858