@article{ref1,
title="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",
journal="Occupational and environmental medicine",
year="2020",
author="Gilbert-Ouimet, Mahée and Trudel, Xavier and Aubé, Karine and Ndjaboué, Ruth and Duchaine, Caroline S. and Blanchette, Caty and Vézina, Michel and Milot, Alain and Brisson, Chantal",
volume="ePub",
number="ePub",
pages="ePub-ePub",
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.<p /> <p>Language: en</p>",
language="en",
issn="1351-0711",
doi="10.1136/oemed-2020-106658",
url="http://dx.doi.org/10.1136/oemed-2020-106658"
}