Psychosocial Factors’ Influence on Work Ability of People Experiencing Sick Leave Resulting From Common Mental Disorders

Ekbladh, Elin; Sandqvist, Jan

doi:10.1080/0164212x.2015.1055530

Cited by 6 publications

(6 citation statements)

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“…Also, both work-related and disease-related factors seem to predict recurrent absence in CMDs [ 16 ]. The complex phenomenon of functioning at work needs to be examined using frameworks that acknowledge the interplay between the person, the work tasks and the work environment [ 17 , 18 ], and between working life and private life [ 19 ]. The psychosocial work environment affects the worker’s health [ 20 ] and this interaction is suggested to be reciprocal [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Working in dissonance: experiences of work instability in workers with common mental disorders

et al. 2017

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BackgroundCommon mental disorders have a negative impact on work functioning, but less is known about the process when the functioning starts to destabilize. This study explores experiences of work instability in workers with common mental disorders.MethodsA grounded theory study using a theoretical sampling frame, individual in-depth interviews and a constant comparative analysis conducted by a multidisciplinary research team. The sample involved 27 workers with common mental disorders, currently working full or part time, or being on sick leave not more than 6 months. They were women and men of different ages, representing different occupations and illness severity.ResultsA general process of work instability was conceptualized by the core category Working in dissonance: captured in a bubble inside the work stream. The workers described that their ordinary fluency at work was disturbed. They distanced themselves from other people at and outside work, which helped them to regain their flow but simultaneously made them feel isolated. Four categories described sub-processes of the dissonance: Working out of rhythm, Working in discomfort, Working disconnected and Working in a no man’s land.ConclusionsThe experience of work instability in CMDs was conceptualized as “working in dissonance”, suggesting a multifaceted dissonance at work, characterized by a sense of being caught up, as if in a bubble. Focusing on how the worker can re-enter their flow at work when experiencing dissonance is a new approach to explore in occupational and clinical settings.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4388-3) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Working in dissonance: experiences of work instability in workers with common mental disorders

et al. 2017

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“…Some studies have found active, positive symptoms are associated with failure to attain employment [22,23] or loss of employment [24]; while others, including a meta-analysis [15], have found no association. Psychosocial variables such as a strong work ethic [25][26][27], expressed desire to work [28][29][30], maintain habits [19,31] and self-esteem, self-efficacy [19,[32][33][34] and work history [15,35] have also been investigated and identified as predictive of success in return to employment or education.…”

Section: Introductionmentioning

confidence: 99%

An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study

et al. 2020

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Background: Employment is good for physical and mental health, however people with severe mental illness (SMI) are often excluded from employment. Standard Individual Placement and Support (IPS) is effective in supporting around 55% of people with SMI into employment or education. Current research considers enhancements to IPS to improve outcomes for those requiring more complex interventions. Clinicians need to better understand who will benefit from these enhanced IPS interventions. This study offers a new enhanced IPS intervention and an approach to predicting who may achieve successful outcomes. Methods: This prospective cohort study included people with SMI who participated in an enhanced IPS service and had prolonged absence from employment. Secondary data analysis was conducted of data gathered in routine clinical practice. Univariate analysis coupled with previous research and clinical consultation was used to select variables to be included in the initial model, followed by a backward stepwise approach to model building for the final multiple logistic regression model with an outcome of successful or unsuccessful goal attainment (employment or education). Results: Sixty-three percent of participants in the enhanced IPS successfully attained employment or education. Significant relationships from bivariate analyses were identified between outcomes (employment or education) and seven psychosocial variables. Adapting Routines to Minimise Difficulties, Work Related Goals, and Living in an Area of Lesser Deprivation were found to be significant in predicting employment or education in the final multiple logistic regression model R 2 = 0.16 (Hosmer-Lemeshow), 0.19 (Cox-Snell), 0.26 (Nagelkerke). Model χ 2 (7) = 41.38 p < .001. Conclusion: An enhanced IPS service had a 63% rate success in achieving employment or education, higher than comparable studies and provides an alternative to IPS-Lite and IPS-standard for more complex populations. Motivational and habitual psychosocial variables are helpful in predicting who may benefit from an enhanced IPS intervention supporting people after prolonged absence from employment. Trial registration: NCT04083404 Registered 05 September 2019 (retrospectively registered).

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“…Although work is often mentioned as the main cause for sickness absence due to poor mental health (Løvvik et al 2014a), helping workers with mental health problems return to work is important because work can have a positive impact on mental health problems for at least six reasons (Ekbladh and Sandqvist 2015;Harnois et al 2000). First, work means earning an income.…”

Section: Introductionmentioning

confidence: 99%

IGLOO: A Framework for Return to Work Among Workers with Mental Health Problems

Nielsen¹,

Yarker²,

Munir³

et al. 2020

Handbook of Disability, Work and Health

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Psychosocial Factors’ Influence on Work Ability of People Experiencing Sick Leave Resulting From Common Mental Disorders

Cited by 6 publications

References 21 publications

Working in dissonance: experiences of work instability in workers with common mental disorders

Working in dissonance: experiences of work instability in workers with common mental disorders

An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study

IGLOO: A Framework for Return to Work Among Workers with Mental Health Problems

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