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Sick Leave and Disability Across Three Decades After a Major Disaster

Holgersen, Katrine Høyer PhD; Klöckner, Christian A. PhD; Bøe, Hans Jakob PhD; Holen, Are MD, PhD

The Journal of Nervous and Mental Disease: July 2016 - Volume 204 - Issue 7 - p 506–512
doi: 10.1097/NMD.0000000000000500
Original Articles

Extended functional impairment characterized by sick leave and disability after a single disaster has not been documented before. This prospective, longitudinal, case–control study applied growth mixture modeling to predict trajectories of functional impairment in oil rig workers, survivors (n = 68) and a matched comparison group (n = 84), over 27 years after the 1980 North Sea oil rig disaster. In the initial 12 years post-disaster, survivors displayed higher rates of functional impairment than the comparison group. A minor group of survivors (n = 8, 11.8%) demonstrated persistent functional impairment from the start and remained unable to work during the subsequent three decades. Long-term sick leave and disability were related to perceived peritraumatic death threat and a propensity towards social withdrawal. Most survivors (n = 60) revealed no major functional impairment. The study indicates that functional impairment should be counteracted in the early support after a single disaster.

*Division of Psychiatry, Tiller Department, St. Olavs University Hospital; †Department of Psychology, Norwegian University of Science and Technology, Trondheim; ‡Institute of Military Psychiatry, Norwegian Armed Forces Medical Services, Oslo; §Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Kongsberg; ∥Department of Neuroscience, Norwegian University of Science and Technology; and ¶Pain Unit, St. Olavs University Hospital, Trondheim, Norway.

Send reprint requests to Are Holen, MD, PhD, Department of Neuroscience, Norwegian University of Science and Technology (NTNU), MTFS, N-7489 Trondheim, Norway. E-mail:

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