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089 An international comparison of occupational guidelines for the management of mental disorders
  1. M Joosen1,
  2. E Brouwers1,
  3. K van Beurden1,
  4. B Terluin2,
  5. J van der Klink3,
  6. J Verbeek4,
  7. H Eguchi5,
  8. J Woo6,
  9. J van Weeghel1
  1. 1Tranzo, Tilburg University, Tilburg School of Social and Behavioral Sciences, Tilburg, The Netherlands
  2. 2EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
  3. 3University Medical Center Groningen, Department of Health Sciences, Work and Health, Groningen, The Netherlands
  4. 4Cochrane Occupational Safety and Health Review Group, Finnish Institute of Occup. H., Kuopio, Finland
  5. 5Shinshu University School of Medicine, Department of Prev. Medicine and Public Health, Matsumoto, Japan
  6. 6Department of Psychiatry, Inje University Seoul Paik Hospital, Seoul, South Korea


Background To address the problem of sickness absence due to mental disorders, guidelines have been developed in various countries.

Objectives To assess available guidelines on the management of mental disorders in an occupational health care setting on their quality and to compare recommendations.

Methods Guidelines were selected by systematically searching PubMed, Guidelines International Network Library, and National Guideline Clearinghouse. In addition, members of the International Commission on Occupational Health were consulted. Quality of guidelines was assessed with the AGREEII instrument and recommendations were compared.

Results Fifteen guidelines were included: 1 Japanese, 1 Danish, 2 Finnish, 2 South-Korean, 2 British and 7 Dutch. The quality of the guidelines varied. Barriers and facilitators for implementation (Applicability), competing interests (Editorial independences), and the process to gather and synthesise evidence (Rigour of Development) were poorest described. The domain Scope and Purpose scored highest. Recommendations concerning assessment refer to diagnostic classification, inventory of performance problems, causal factors and barriers for recovery. Specific workplace factors are often mentioned. Guidelines agree on work adaptation if necessary, psychological treatment and communication about treatment plan between involved actors.

Discussion Guidelines are difficult to find since they are commonly exclusively available in local languages. Therefore probably more guidelines exist then found. To learn from each other, guidelines should be translated into world languages and be accessible via international databases.

Implications Guideline developers can use AGREEII to increase quality. Although social context may differ among countries and can influence guideline recommendations, developers can learn from each other through reviews of this kind.

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