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Validity of participants' self-reported diagnosis for a work absence due to a mental health problem compared with physician-certified diagnosis for the same work absence among 709 Canadian workers. | LitMetric

AI Article Synopsis

  • - The study examines how accurately self-reported mental health problem (MHP) diagnoses correlate with physician-certified MHP diagnoses for work absences of 5 days or more.
  • - It involved 709 participants and calculated various statistical measures (like agreement and sensitivity) to assess the validity of self-reports, finding a 90% total agreement and substantial Cohen's kappa of 0.74.
  • - The results indicated high specificity (95%) and good sensitivity (77%) for self-reported diagnoses, with longer absences (over 20 days) showing better sensitivity compared to shorter ones.

Article Abstract

Objectives: This study assesses the validity of a self-reported mental health problem (MHP) diagnosis as the reason for a work absence of 5 days or more compared with a physician-certified MHP diagnosis related to the same work absence. The potential modifying effect of absence duration on validity is also examined.

Methods: A total of 709 participants (1031 sickness absence episodes) were selected and interviewed. Total per cent agreement, Cohen's kappa, sensitivity and specificity values were calculated using the physician-certified MHP diagnosis related to a given work absence as the reference standard. Stratified analyses of total agreement, sensitivity and specificity values were also examined by duration of work absence (5-20 workdays,>20 workdays).

Results: Total agreement value for self-reported MHP was 90%. Cohen's kappa value was substantial (0.74). Sensitivity was 77% and specificity was 95%. Absences of more than 20 workdays had a better sensitivity than absences of shorter duration. A high specificity was observed for both short and longer absence episodes.

Conclusion: This study showed high specificity and good sensitivity of self-reported MHP diagnosis compared with physician-certified MHP diagnosis for the same work absence. Absences of longer durations had a better sensitivity.

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Source
http://dx.doi.org/10.1136/oemed-2020-106658DOI Listing

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