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Étude des qualités psychométriques de l’Outil d’identification de la situation de handicap au travail (OISHT) utilisé auprès de travailleurs ayant un trouble musculosquelettique ou un trouble mental courant
L'outil d'identification de la situation de handicap au travail (OISHT) consiste en une entrevue structurée qui a été développée pour aider les cliniciens à identifier de façon systématique les facteurs liés à l'incapacité au travail. L'OISHT est un des rares outils disponibles en réadaptation pour la clientèle en phase chronique d'incapacité au travail. Il tient compte de l'influence de différents systèmes (personnel, santé, travail, indemnisation) et a...
How Can Supervisors Contribute to the Return to Work of Employees Who have Experienced Depression?
Background: In Western countries, work disability due to depression is a widespread problem that generates enormous costs. Objective: The goal of this study was to determine the types and prevalence of supervisor contributions during the different phases of the return-to-work (RTW) process (before and during the sick-leave absence, and during the RTW preparations) of employees diagnosed with depression. Moreover, we sought to determine which contributions actually facilitate employees' RTW, and to identify the work accommodations most frequently implemented by supervisors at the actual time...
Quels sont les facilitateurs du maintien en emploi en santé des travailleurs seniors dans un milieu d’éducation au Québec?
Le pourcentage de travailleurs seniors âgés de 45 ans et plus augmente sans cesse sur le marché du travail au Québec. Dans le secteur de l'éducation, une large portion de la main-d'œuvre est âgée de 45 ans et plus (41 %) et un tiers du personnel aura quitté son poste entre 2009 et 2018 (Grenier, 2009). Des statistiques récentes montrent aussi que les lésions tant de nature physique que psychologique des travailleurs québécois du secteur de l'éducation sont souvent associées à...
Psychosocial work environment and mental health-related long-term sickness absence among nurses
Purpose: We investigated which job demands and job resources were predictive of mental health-related long-term sickness absence (LTSA) in nurses. Methods: The data of 2059 nurses were obtained from the Norwegian survey of Shift work, Sleep and Health. Job demands (psychological demands, role conflict, and harassment at the workplace) and job resources (social support at work, role clarity, and fair leadership) were measured at baseline and linked to mental health-related LTSA during 2-year follow-up. Cox regression models estimated hazard ratios (HR) and related 95% confidence intervals (CI)....
Évaluation de différents protocoles de gestion d’incident et de soutien aux employés après un incident grave
L'industrie ferroviaire canadienne fait régulièrement face à des incidents critiques (IC) associés à des collisions avec des personnes ou des véhicules. Ces incidents peuvent occasionner des blessures graves, ou des décès, parmi les victimes, mais aussi des problèmes de santé mentale chez les ingénieurs et conducteurs opérant les locomotives. Chaque année, environ 20 personnes décèdent lors de collisions avec un train au Québec et une centaine au Canada. À ces incidents mortels...
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...
Les facteurs influençant le retour au travail après une dépression
Le point de vue et le rôle des acteurs syndicaux En 2005, l'Organisation mondiale de la Santé (OMS) stipulait que dans moins d'une décennie, la dépression constituerait une des premières causes d'incapacité avec les maladies cardiovasculaires (World Health Organization, 2005). En effet, on constate une augmentation des prestations d'invalidité attribuables aux troubles mentaux, notamment la dépression. Celles-ci sont à l'origine de plus de 40% de toutes les réclamations d'assurance-salaire (MSSS, 2005)...
Is temporary employment a risk factor for work disability due to depressive disorders and delayed return to work?
The Finnish Public Sector Study Objectives: Research on temporary employment as a risk factor for work disability due to depression is mixed, and few studies have measured work disability outcome in detail. We separately examined the associations of temporary employment with (i) the onset of work disability due to depression, (ii) the length of disability episodes, and (iii) the recurrence of work disability, taking into account the possible effect modification of sociodemographic factors. Methods: We linked the prospective cohort study data of 107 828 Finnish public sector employees to national...
Santé mentale au travail
Projet-pilote pour passer d'une approche individuelle de réadaptation à une approche organisationnelle de prévention Les problèmes de santé mentale au travail représentent actuellement l'une des plus importantes causes d'absence du travail, et ce phénomène a connu une croissance marquée au cours des dernières années. Nos travaux antérieurs ont révélé que la majorité des travailleurs qui se sont absentés en raison d'un problème de santé mentale font...
Guide soutenir le retour au travail et favoriser le maintien en emploi
Faciliter le retour au travail d'un employé à la suite d'une absence liée à un problème de santé psychologique Ce guide a été conçu pour vous aider à élaborer une démarche d'accompagnement et de soutien au retour au travail d'un employé à la suite d'une absence liée à un problème de santé psychologique, afin de faciliter son rétablissement et son retour au travail. Il s'agit d'un outil pratique, qui allie l'accompagnement individuel...
Efficacy and cost-effectiveness of a web-based and mobile stress-management intervention for employees: design of a randomized controlled trial
BACKGROUND : Work-related stress is associated with a variety of mental and emotional problems and can lead to substantial economic costs due to lost productivity, absenteeism or the inability to work. There is a considerable amount of evidence on the effectiveness of traditional face-to-face stress-management interventions for employees; however, they are often costly, time-consuming, and characterized by a high access threshold. Web-based interventions may overcome some of these problems yet the evidence in this field is scarce. This paper describes the protocol for a study that will examine...
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