For years, it has been a challenge to determine recovery from depression in patients on leave from work with the help of specific markers in psychiatric medicine. Accordingly, in 2012, the Japanese Association of Rework for Depression presented a Psychiatric Rework Readiness Scale (PRRS)^[1], that helps identify the items to be verified in such patients.

After examining PRRS, we created a Shiranui Rework Readiness Checklist (SCL) and explored the cut-off values and identified the importance of the items presented in PRRS.

In Analysis 1, the logistic regression analysis was conducted for the “group that returned to work within one month after graduation from rework” and the “group that could not return to work or took more than one month to return to work”. The results showed that “commuting training” was significant.

In Analysis 2, each item was set as an independent variable, and the “Continued return to work group” and “Leave of absence/Take another leave of absence” and the “leave of absence/return to work group” as dependent variables, and only “Reflection on yourself” was found to be significant.

The only item that was significant was “Reflection on yourself”. In other words, the items that forecasted return to work and continued work during the first year after return to work were “commuting training” and “Reflection on yourself,” respectively. The results forecast that “commuting training” and “Reflection on yourself” are foreseeable of returning to work and continuing to work for one year after returning to work, respectively. The key point seems to be to take concrete measures such as stress management.

The medical rework program (RP) for patients on sick leave due to mood disorder provided all over japan. There are already reports of studies on effectiveness of RP, but they are mainly reported in the metropolitan area. The purpose of this study is to find the effectiveness of RP at our psychiatric clinic in Kitakyushu city through retrospective cohort method by analyzing the 405 patients enrolled in RP at our clinic between August 2011 and July 2021 who returned to work before the survey date of July 31st, 2021 and consented to participate in this study. The average duration, the rate after one year and two years of work continuation, as estimated by the Kaplan-Meier study method, were 1518 days, 80.8% and 72.1%. Furthermore, most patients enrolled in RP at our clinic were factory workers educated background below high school graduate. Difference between our clinic doctor and other clinic or hospital doctors predicted work continuation similarly. Twenties significantly predicted a shorter duration of work continuation than older generations. Patients with many clinical developmental disability factors, and・or bipolar disorder factors were significantly predicted a shorter duration of work continuation than patients with few those factors.

In this study, we analyzed the subjective experiences of users with the aim of examining therapeutic factors as group therapy in the reinstatement support program. Ten subjects were interviewed in a semi-structured format about their experience in the program based on 11 therapeutic factors proposed by Yalom. And we analyzed the results using KHcorder3. As a result, four therapeutic factors were found, which were named “alleviation of loneliness”, “sense of belonging and unity”, “helping each other by exchanging information and opinions”, and “attitude to incorporate others”. And it was suggested that these factors lead to therapeutic effects in this program. However, the results of this study are considered to be the results of limited circumstances. In the future, it will be necessary to accumulate survey data by changing members and timing, and aim to generalize therapeutic factors.