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Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders
A Scoping Review Purpose: To present an overview of the existing evidence on prognostic factors of (recurrent) sickness absence (SA) and return to work (RTW) among workers with a common mental disorder (CMD). This scoping review provides information about determinants for SA and RTW, which could be used to develop better interventions aimed at the prevention of SA and promotion of RTW among workers with a CMD. Methods: Relevant articles were identified in PubMed, Embase, PsycINFO, PSYNDEX, and SINGLE up to October 2016. In order to be included, studies should provide insight into prognostic factors...
Return to work: A comparison of psychological and physical injury claims
The report examines the similarities and differences between psychological and physical claims. Two main areas are considered: RTW by potential influencing factors, and employees responses and experiences. Source: https://www.safeworkaustralia.gov.au/doc/return-work-comparison-psychological-and-physical-injury-claims
Barriers to and facilitators of return to work after sick leave in workers with common mental disorders
Perspectives of workers, mental health professionals, occupational health professionals, general physicians and managers Common mental disorders (CMDs), such as anxiety, stress and depression, are among the leading causes of disability worldwide and have a major impact in terms of lost productivity and sickness absence. Returning to work is a complex process in which different stakeholders may be involved and have to co-operate. This report discusses the return-to-work process of workers on sick leave with CMDs, and the barriers and facilitators from a multi-stakeholder perspective, ie workers...
How do line managers experience and handle the return to work of employees on sick leave due to work-related stress?
A one-year follow-up study PURPOSE: To examine how line managers experience and manage the return to work process of employees on sick leave due to work-related stress and to identify supportive and inhibiting factors. MATERIALS AND METHODS: Semi-structured interviews with 15 line managers who have had employees on sick leave due to work-related stress. The grounded theory approach was employed. RESULTS: Even though managers may accept the overall concept of work-related stress, they focus on personality and individual circumstances when an employee is sick-listed due to work-related stress...
Return to work after work-related stress
A randomized controlled trial of a work-focused cognitive behavioral intervention In this randomized controlled trial (RCT) study, a work-focused cognitive behavioral therapy (CBT) treatment combined with an optional workplace intervention was associated with faster lasting return to work compared to a control group that received clinical assessment among patients on sick leave due to work-related stress. The intervention group returned to work four weeks faster, which could have substantial financial impact on both the employee and related societal costs. Source: Dalgaard, V. L., Aschbacher, K...
Effectiveness of Workplace Interventions in Return-to-Work for Musculoskeletal, Pain-Related and Mental Health Conditions
An Update of the Evidence and Messages for Practitioners Purpose: The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return-to-work (RTW) interventions and work disability management (DM) interventions that assist workers with musculoskeletal (MSK) and pain-related conditions and mental health (MH) conditions with RTW. Methods: We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis that ranked evidence as strong, moderate, limited, or insufficient. Results: Seven electronic...
Effectiveness of Workplace Interventions in Return-to-Work for Musculoskeletal, Pain-Related and Mental Health Conditions
An Update of the Evidence and Messages for Practitioners Purpose: The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return-to-work (RTW) interventions and work disability management (DM) interventions that assist workers with musculoskeletal (MSK) and pain-related conditions and mental health (MH) conditions with RTW. Methods: We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis that ranked evidence as strong, moderate, limited, or insufficient. Results: Seven electronic...
Managerial abuse and the process of absence among mental health staff
Managers' abuse of subordinates is a common form of unethical behaviour in workplaces. When exposed to such abuse, employees may go absent from work. We propose two possible explanations for employee absence in response to managerial abuse: a sociological explanation based on perceptions of organizational justice and a psychological explanation based on psychological strain. Both are tested using data from a sample of 1472 mental health workers. The occurrence, duration and frequency of absence are investigated using a hurdle model. Managerial abuse is found to be associated with the occurrence...
Ill Health–Related Job Loss
A One-Year Follow-Up of 54 026 Employees Introduction: The diagnoses of workers being unfit to work may be a relevant health indicator. Therefore, the aim of this study was to analyze the one-year incidence of an unfit to work diagnosis. Method: This one-year prospective study included all workers undergoing annual work medical examination from occupational health services in Troyes, France. Results: Twenty-one occupational physicians followed 54,026 employees. The all-cause incidence of being unfit to return to work was 0.772%. The two main causes of being unfit to work were musculoskeletal disorders...
Organizational justice and disability pension from all-causes, depression and musculoskeletal diseases
A Finnish cohort study of public sector employees Work-related psychosocial factors that are measured once may not provide an accurate estimate of long-term exposure. Thus, we used repeated measures of organizational justice to evaluate its association with disability pension in a cohort of 24 895 Finnish public sector employees. High organizational justice was associated with lower risk of disability pension due to depression and musculoskeletal diseases. Source: Juvani A, Oksanen T, Virtanen M, Elovainio M, Salo P, Pentti J, Kivimäki M, Vahtera J. Scand J Work Environ Health , 2016. http...
Sickness absence and mental health
Evidence from a nationally representative longitudinal Survey Objectives Previous studies have consistently reported evidence of large significant associations between measures of psychological health and sickness absence. Some of this association, however, may be confounded by relevant covariates that have not been controlled. By using data with repeated observations from the same individuals, this study aimed to quantify the bias due to unobserved characteristics that are time invariant. Methods Longitudinal data from the Household, Income, and Labour Dynamics in Australia (HILDA) Survey were...
Stability of return to work after a coordinated and tailored intervention for sickness absence compensation beneficiaries with mental health problems
Results of a two-year follow-up study Purpose: Mental health problems (MHPs) are increasingly common as reasons for long-term sickness absence. However, the knowledge of how to promote a stable return to work (RTW) after sickness absence due to MHPs is limited. The purpose of this study was to assess the effects of a multidisciplinary, coordinated and tailored RTW-intervention in terms of stability of RTW, cumulative sickness absence and labour market status after 2 years among sickness absence compensation beneficiaries with MHPs. Methods: In a quasi-randomised, controlled trial, we followed recipients...
Interventions to improve return to work in depressed people
Depression is a major problem that affects about 300 million people globally. Symptoms of depression include the core symptoms of low mood or loss of interest coupled with other symptoms such as feelings of inadequacy and hopelessness or sleep problems. These symptoms usually impair functioning and therefore sickness absence is common in people with depression. We evaluated the effectiveness of interventions that can help depressed workers to resume work activities. Source: Nieuwenhuijsen K, Faber B, Verbeek JH, Neumeyer-Gromen A, Hees HL, Verhoeven AC, van der Feltz-Cornelis CM, Bültmann...
Barriers to change in depressive symptoms following multidisciplinary rehabilitation for whiplash
The role of perceived injustice OBJECTIVE: Depressive symptoms complicate patients' recovery following musculoskeletal injury. There is strong evidence to support the utility of multidisciplinary approaches for treating comorbid pain and depressive symptoms. Despite this, a significant proportion of patients may not experience meaningful reductions in depressive symptoms following intervention. The purpose of this study was to identify barriers to change in depressive symptom during multidisciplinary rehabilitation for patients with whiplash injuries. METHODS: 53 patients with clinically meaningful...
La reconstruction professionnelle après un burnout
Pour continuer à s'intégrer dans une vie professionnelle et sociale, un cadre victime de burnout (épuisement professionnel) doit se reconstruire. L'analyse sociologique du parcours de reconstruction post-burnout permet de montrer que les étapes traversées par les victimes sont identiques. Cette même analyse met en évidence les places respectives de la centralité et du sens du travail qui ont un rôle essentiel dans l'identité professionnelle. Cet article propose aux médecins du travail et/ou aux gestionnaires...
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