Returning to work after absence due to a physical condition can lead to depression and lack of motivation, according to a report.

The Mental Health Foundation’s ‘Returning to work, the role of depression’ details the findings of a research study carried out by Loughborough University.

It compared the return to work experiences of individuals with heart disease, back pain and cancer to employees with depression and anxiety.

The findings show almost half with a physical condition experienced mild to moderate depression, but were more worried about telling their employer about their mental health issues than their cancer or heart disease.

Despite depression impacting on their well-being and ability to function at work, most said they were unable to tell their line managers about the difficulties they were facing.

The study found that while most line managers were initially supportive when a person returned to work, they were not aware of the long-term effects of a serious physical illness or condition upon an employee’s ability to work and mental health.

There was a consistent lack of follow-up by occupational health, line managers and human resources on employees’ general health and psychological well-being after returning to work.

Andrew McCulloch, the Mental Health Foundation’s Chief Executive, said: “It is sad that many employers can deal better with life threatening and frightening illnesses like cancer than mild to moderate depression, because of stigma and lack of information.

This research shows that managers are willing to help but they often lack the knowledge or skills required. Whilst the need for change is clear, this report is not about knocking employers. It makes clear the need for improved training for managers, and clear policies and procedures from HR.”

The study also found gradual returns and reduced workloads were more commonly offered to those with physical conditions and illnesses. Stress management was only offered to a quarter of those experiencing depression despite its known benefits in helping to alleviate its symptoms and job strain.

Shorter working hours, fewer job tasks or reduced workload were beneficial to those who received such adjustments. Those who did not receive any adjustments or were offered unsuitable adjustments without prior involvement in discussions felt this was detrimental to their recovery.

The Mental Health Foundation has published “What Works for You?”, a guide giving practical advice about how to help a colleague in need. For a free copy call the foundation on 020 7803 1101 or download from www.mentalhealth.org