alexa Efficacy of a Rework Program for Sick Leave due to Depressive Disorders
ISSN: 2167-1044

Journal of Depression and Anxiety
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Research Article

Efficacy of a Rework Program for Sick Leave due to Depressive Disorders

Yuka Sakamoto1*, Shun Takahashi1, Masahiro Yamamoto1, Ryoko Minamimura2, Nayuka Arida1, Satoshi Ukai1 and Kazuhiro Shinosaki1

1Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan

2Wakayama Medical University Hospital, Department Nursing, Wakayama, Japan

*Corresponding Author:
Yuka Sakamoto
Department of Neuropsychiatry
Wakayama Medical University, Wakayama, Japan
Tel: +81734472300
E-mail: [email protected]

Received date: January 29, 2017; Accepted date: February 01, 2017; Published date: February 06, 2017

Citation: Sakamoto Y, Takahashi S, Yamamoto M, Minamimura R, Arida N, et al. (2017) Efficacy of a Rework Program for Sick Leave due to Depressive Disorders. J Depress Anxiety 6:265. doi:10.4172/2167-1044.1000265

Copyright: © 2017 Sakamoto Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Objectives: Sick leave due to depressive disorders is a burden to the individual as well as an important socioeconomic problem. In Japan, the Rework Program was developed to improve work readiness and to prevent relapse in employees who took sick leave. However, there is a lack of scientific evidence supporting its efficacy. The aim of this study was to assess the Rework Program’s efficacy following the patient’s return to work and for relapse prevention. Methods: The subjects included 21 patients who participated in the Rework Program at our university hospital. We compared the working periods of the participants in the 12 months before and the 12 months after the Rework Program and examined changes in the Rework Assist Program Assessment Sheet (RAPAS) scores. Results: Seventy six percent of the patients returned to work after the program, and over 90% of those who returned to work did not take another sick leave during the 12 months follow-up. The working periods after the program were significantly longer than those before the program for all participants. In participants who completed our program, the mean RAPAS scores for “attendance,” “assertiveness,” “coping behaviors,” “initiative,” and “ability to assimilate critical feedback” were significantly higher than those before the program. Conclusion: The present study suggests good efficacy of the program on return to work and on relapse prevention following the initial return to work. In addition, the RAPAS score changes reflected changes in cognition and behaviour following completion of our Rework Program.


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