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Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Linköping University, HELIX Vinn Excellence Centre.ORCID iD: 0000-0002-8031-7651
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center. Karolinska Institutet, Stockholm, Sweden. (Occupational and Environmental Medicine)
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Health Sciences. Region Östergötland, Heart and Medicine Center, Allergy Center.
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2015 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 25, no 3, 627-637 p.Article in journal (Refereed) Published
Abstract [en]

Objectives The study aims to identify individual and workplace factors associated with early return to work (RTW)-defined as within 3 months-and factors associated with later RTW-between 3 and 12 months after being sick-listed-in a cohort of newly sick-listed individuals with common mental disorders. Methods In a prospective cohort study, a cross-sectional analysis was performed on baseline measures of patients granted sick leave due to common mental disorders. A total of 533 newly sick-listed individuals fulfilled the inclusion criteria and agreed to participate. A baseline questionnaire was sent by post within 3 weeks of their first day of certified medical sickness; 354 (66 %) responded. Those who were unemployed were excluded, resulting in a study population of 319 individuals. Sick leave was recorded for each individual from the Social Insurance Office during 1 year. Analyses were made with multiple Cox regression analyses. Results Early RTW was associated with lower education, better work ability at baseline, positive expectations of treatment and low perceived interactional justice with the supervisor. RTW after 3 months was associated with a need to reduce demands at work, and turnover intentions. Conclusions Early RTW among sick-listed individuals with common mental disorders seems to be associated with the individuals need to secure her/his employment situation, whereas later RTW is associated with variables reflecting dissatisfaction with work conditions. No health measures were associated with RTW. The study highlights the importance of considering not only health and functioning, but also workplace conditions and relations at the workplace in implementing RTW interventions.

Place, publisher, year, edition, pages
Springer Verlag (Germany) , 2015. Vol. 25, no 3, 627-637 p.
Keyword [en]
Common mental disorders; Return to work; Work conditions; Sick leave duration
National Category
Basic Medicine Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-121301DOI: 10.1007/s10926-015-9570-9ISI: 000359948000017PubMedID: 25634798OAI: oai:DiVA.org:liu-121301DiVA: diva2:854342
Note

Funding Agencies|Swedish Research Council for Health, Working Life and Welfare (FORTE); County Council of Ostergotland, Sweden

Available from: 2015-09-16 Created: 2015-09-14 Last updated: 2017-12-04Bibliographically approved

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Ekberg, KerstinWåhlin, CharlottePersson, JanBernfort, LarsÖberg, Birgitta
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