Predictors of Work Ability in Individuals With a Common Mental Disorder: Is There an Effect of Metacognitive Beliefs Among Poor Physical Health and Emotional Distress?

Nordahl, Henrik; Wells, Adrian

doi:10.1017/bec.2019.15

Cited by 6 publications

(4 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, there seem to be a role for metacognitions to work ability beyond more objective indicators such as health status. This finding is in line with a previous cross-sectional study that reported an association between metacognitions and work ability beyond physical health status and emotional distress symptoms (Nordahl & Wells, 2019b), but our findings add to this study by demonstrating a prospective effect from metacognitions to work ability. Furthermore, our modeling approach incorporates a within-person effect of metacognitions, such that its effect alters an individual's work ability change trajectory.…”

Section: Discussionsupporting

confidence: 93%

“…In a recent cross-sectional study, Nordahl and Wells (2019a) reported a positive correlation between dysfunctional metacognitions and self-reported work ability and showed that metacognitive beliefs in the form of judgements of memory confidence accounted for independent variance in work ability even when controlling for the effects of physical health status and emotional distress symptoms in individuals with a diagnosed common mental disorder. Other studies have indicated that dysfunctional metacognitive beliefs correlate with work status (Nordahl & Wells, 2019b and that, dysfunctional metacognitions are prospective predictors of return-to-work (RTW) in patients with chronic pain, chronic fatigue, and emotional disorders (Jacobsen et al, 2020). There is also evidence suggesting that Metacognitive therapy (Wells, 2009), which aims to modify dysfunctional metacognitive knowledge is associated with RTW in patients with Major Depressive Disorder (Solem et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Testing the longitudinal effect of metacognitive beliefs on the trajectory of work ability

2022

Self Cite

View full text Add to dashboard Cite

There is increasing need to identify factors that contribute to poor work ability with an aim to prevent work related problems such as sick leave and disability pension. In the Metacognitive Control System model, dysfunctional metacognitive beliefs are seen as an underlying factor in psychological vulnerability beyond disorder, and recent studies have reported that metacognitions are associated with work ability and work status. In the present study, we set out to test if there is a prospective relationship between dysfunctional metacognitions and self-assessed work ability. Individuals in working age (M = 37.19; SD = 10.31) participated in a four-timepoint self-report survey (N = 528; 75% females) separated by six weeks between each timepoint. Baseline gender differences and differences between participants by job status were conducted using t-test and one-way ANOVA, respectively. Latent growth curve with covariates assessed the impact of dysfunctional metacognitions on work ability across the four timepoints. Males reported higher work ability. Participants in fulltime job also reported higher work ability followed by those in part-time job, jobseekers, sick leave up to 12 months, and sick leave > 12 months, respectively. Dysfunctional metacognitions predicted work ability over time when controlling for gender, age, physical health status, and three common categories of emotional distress symptoms. This finding suggest that dysfunctional metacognitions are a prospective predictor of work ability beyond health status and implies that these beliefs should be targeted with a view to increasing work ability and thus potentially reduce risk for sick leave and other work-related problems.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Testing the longitudinal effect of metacognitive beliefs on the trajectory of work ability

2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…This might be due to negative metacognitive beliefs resulting from adverse experiences in childhood that are associated with high levels of depression. Researchers have found that a low confidence in one's own memory was associated with low work ability ( 41 ). When adjusting in a structural equation model, the significant associations for depression were lowest for working a blue-collar job and highest for being currently unemployed.…”

Section: Discussionmentioning

confidence: 99%

Childhood maltreatment, depression and their link to adult economic burdens

et al. 2022

View full text Add to dashboard Cite

BackgroundAdult depression is a common consequence of adverse childhood experiences. There is also a higher likelihood of being affected by economic burdens after having experienced a traumatic event in childhood. As depression has been associated with economic burden, these long-term sequelae of childhood adversity are likely to interact.GoalsWe investigated depression and economic consequences, such as unemployment, lower level of education, lower income as long-term sequelae of adverse childhood experiences in adulthood and their interaction.MethodsChildhood Maltreatment was measured by the German version of the Adverse Childhood Experience (ACE) questionnaire. Depression was measured by the Patient Health Questionnaire (PHQ-2). Logistic regressions were applied to investigate the risks of suffering economic burdens, with depression as a moderator.ResultsDepressive symptoms increased with the number of ACEs and were highest in those reporting four or more ACEs, especially amongst those who experienced sexual and emotional abuse, as well as neglect. Moderation analysis showed a significant effect of depression increasing almost all economic burdens. Migration background additionally increased the risk of unemployment and working in a blue-collar job. Female gender decreased the risk of unemployment and working in a blue-collar job, but increased the risk of low income and part-time employment.ConclusionThe moderation effect of depression increased the negative impact of exposure to multiple ACEs on economic life in adulthood. Prevention of ACEs and early intervention are needed to prevent the mental health and economic consequences.

show abstract

“…The present study focuses on how patients experience MCT and work interventions as an integrated part of psychological treatment for CMD. MCT is a relatively new treatment for depression and anxiety [15]. The results are promising and possibly even superior to those of other treatment methods [16].…”

Section: Introductionmentioning

confidence: 99%

Work after mental-health-related absence: a qualitative study of perceived change after a combination of metacognitive therapy and work-focused interventions

et al. 2022

View full text Add to dashboard Cite

Background Sick leave caused by common mental health disorders (CMD) is becoming more prevalent. For most people, work is essential for good mental and physical health. It is necessary to provide treatments that facilitate return to work (RTW) and a reduction of symptoms. A qualitative study can contribute to an understanding of what makes an intervention successful. The aim of this study was to investigate how individuals who are on sick leave because of CMD perceive and handle their symptoms and their work, after completing metacognitive therapy and work-focused interventions. Methods Semi-structured interviews were conducted with 23 participants after they had completed therapy. Thematic analysis was used to analyse the data. Results Through both therapy and the process of RTW, the participants had gained increased awareness and understanding of their mental health problems and the relationship between those problems and work. Together with the sense that they were in charge of their own process of RTW, this helped to improve their self-confidence. An important part of the process was the change to new strategies and the rejection of older maladaptive ones, in relation to both mental health and work. Being open about their mental illness in the workplace could lead to support but also to the opposite, and therefore not an option for everyone. After treatment, most had returned to work and gained a more positive outlook on the future, but some had less confidence in their ability to deal with future symptoms and workplace issues. Conclusions Achieving improved self-confidence and adopting new strategies, which enabled them to change how they related to their mental problems and how they addressed their problems at work, seemed to have increased their self-efficacy. Active involvement in therapy and at work was also important, both for the process and as a way of increasing self-efficacy. This gave them renewed belief in themselves and in their ability to handle their work at present and in the future. Despite this being a manualized treatment, the participants’ experience was that it was adapted to each individual, something they regarded as important.

show abstract

Predictors of Work Ability in Individuals With a Common Mental Disorder: Is There an Effect of Metacognitive Beliefs Among Poor Physical Health and Emotional Distress?

Cited by 6 publications

References 48 publications

Testing the longitudinal effect of metacognitive beliefs on the trajectory of work ability

Testing the longitudinal effect of metacognitive beliefs on the trajectory of work ability

Childhood maltreatment, depression and their link to adult economic burdens

Work after mental-health-related absence: a qualitative study of perceived change after a combination of metacognitive therapy and work-focused interventions

Contact Info

Product

Resources

About