Abstract
In order to support a smooth reinstatement in the workplace, the factors influencing reinstatement wereinvestigated in 51 cases with "return to work" diffculties in 12 hospitals which have a psychosomatic careunit.The disorders considered as main triggers of absenteeism in these cases were depression or depressivestate(22), anxiety neurosis(6), vegetative syndrome(5), bronchial asthma(4), hyperventilation syndrome(3), eating disorder(3), spasmodic torticollis(3)and other psychosomatic diseases(5).Out of 51 cases, 39 cases had problems at the workplace, and 21 cases of them showed interpersonalconflict in the group, and 32 of the 51 cases had difficulty in adjusting to the change of situation or role ofwork during 6 months before their absenteeism.The main problems related to the difficulty of reinstatement were 1)their own problems, such as illnessor personality aberration which were observed in 21 cases, 2)problems at the workplace such as, lack ofcooperation, over demand of work, or interpersonal conflict in the group, which were observed in 11 cases, 3)their own problems, problems at the workplace, and family problems such as lack of support in 5 cases, 4)their own problems, and family problems in 2 cases, 5)and others in 2 cases.Twenty-six cases succeeded in returning to work and showed good adaptation after reinstatement.Thereasons why they could return to work were 1)effective treatment, including pharmacotherapy and psychotherapy, and the cooperation of staff members at the workplace, which were observed in 10 cases, 2)effectivetreatment in 5 cases, 3)effective treatment, their determination to return to work, and the cooperation ofstaff members at the workplace and family members in 5 cases, 4)effective treatment, their determinationto return to work and the cooperation of staff members at the workplace in 4 cases, 5)others in 2 cases.These results suggested that effective treatment, determination to return to work, and cooperation of thestaff members and health care staffs at the workplace would be important factors to succeed in good reinstatement.
