Do psychosocial working conditions modify the effect of depressive symptoms on long‐term sickness absence?

Hjarsbech, Pernille U; Andersen, Rikke Voss; Borg, Vilhelm; Aust, Birgit; Rugulies, Reiner

doi:10.1002/ajim.22230

Cited by 11 publications

(16 citation statements)

References 48 publications

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“…The seriousness of the stress condition in the form of number of days on sick leave, being on full-time sick leave, GSI, and most pronounced work ability index was also significantly associated with RTW. A recent Danish paper has reported similar results on the association between depressive symptoms and long-term sickness absence, but in that study poor psychosocial work environment did not predict sickness absence [ 23 ]. However, the psychosocial work environment was assessed by the use of unit level aggregated measures on work environment.…”

Section: Discussionmentioning

confidence: 84%

Prognostic Factors of Returning to Work after Sick Leave due to Work-Related Common Mental Disorders: A One- and Three-Year Follow-Up Study

Netterstrøm

Eller

Borritz

2015

BioMed Research International

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The aim of this paper was to assess the prognostic factors of return to work (RTW) after one and three years among people on sick leave due to occupational stress. Methods. The study population comprised 223 completers on sick leave, who participated in a stress treatment program. Self-reported psychosocial work environment, life events during the past year, severity of the condition, occupational position, employment sector, marital status, and medication were assessed at baseline. RTW was assessed with data from a national compensation database (DREAM). Results. Self-reported high demands, low decision authority, low reward, low support from leaders and colleagues, bullying, high global symptom index, length of sick leave at baseline, and stressful negative life events during the year before baseline were associated with no RTW after one year. Low work ability and full-time sick leave at inclusion were predictors after three years too. Being single was associated with no RTW after three years. The type of treatment, occupational position, gender, age, and degree of depression were not associated with RTW after one or three years. Conclusion. The impact of the psychosocial work environment as predictor for RTW disappeared over time and only the severity of the condition was a predictor for RTW in the long run.

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Section: Discussionmentioning

confidence: 84%

Prognostic Factors of Returning to Work after Sick Leave due to Work-Related Common Mental Disorders: A One- and Three-Year Follow-Up Study

Netterstrøm

Eller

Borritz

2015

BioMed Research International

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“…There is consistent evidence that higher perceived job demands combined with low job control is related with SA of workers with CMD [ 31 , 33 , 34 , 37 , 43 , 51 , 55 , 63 ]. A job with high decision latitude can largely neutralize the risk of high job demands.…”

Section: Discussionmentioning

confidence: 98%

Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders: A Scoping Review

et al. 2017

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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 of SA or RTW of workers with a CMD. We classified all factors according to the domains of the International Classification of Functioning, Disability and Health. Results Our searches identified 2447 possible relevant articles, of which 71 were included for data extraction. There is consistent evidence in ≥3 studies that previous episodes of CMD, higher symptom severity, previous absenteeism, co-morbidity, high job demands, low job control, high job strain, female gender, lower educational level, smoking behavior, and low perceived general health are predictors of SA in people with CMDs. Earlier RTW is consistently predicted by lower symptom severity, having no previous absenteeism, younger age, and positive expectations concerning sick-leave duration or RTW. Conclusions The amount of research on determinants for SA and RTW in workers with CMD has increased dramatically in recent years, although most studies are from the Netherlands and Scandinavia. There are some research gaps identified in this scoping review that need further attention in primary and secondary studies. Based on the summary of the evidence, we provide guidance for policy, practice and research.Electronic supplementary materialThe online version of this article (doi:10.1007/s10926-017-9730-1) contains supplementary material, which is available to authorized users.

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“…Previous research on the interrelation between psychosocial working conditions, mental health and work ability has focused on overall working populations aged between 18 and 67 years. Those studies have not observed significant interactions between mental health and psychosocial working conditions and rather pointed to independent and additive effects on work ability (Hjarsbech et al 2013;Leijon et al 2017;Munir et al 2011). To the best of our knowledge, similar research that specifically focused on employees of the Baby Boom generation is missing.…”

Section: Introductionmentioning

confidence: 95%

The moderating role of psychosocial working conditions on the long-term relationship between depressive symptoms and work ability among employees from the Baby Boom generation

Weber

Hasselhorn

Borchart

et al. 2020

Int Arch Occup Environ Health

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Objective Mental disorders have been identified as a leading cause for reduced work ability in industrialized countries. Identification of workplace factors that can increase the work ability of employees with depressive symptoms from the Baby Boom generation is, therefore, highly relevant. This study thus aims to investigate whether changes in psychosocial working conditions can moderate the negative association between depressive symptoms and work ability. Methods Two waves with a 3-year time lag of the German lidA cohort study with 3609 participants born in 1959 and 1965 (aged 46 and 52 years at first wave) were analyzed. Self-report data about depressive symptoms at baseline and changes of working conditions from baseline to follow-up were used to calculate main and interaction effects on perceived work ability at follow-up. These analyses were controlled for baseline work ability and working conditions. Results Depressive symptoms were predictive for an unfavorable course of work ability from baseline to follow-up (B = − 0.173, 95% CI = − 0.219 to − 0.128). However, no interaction effect between depressive symptoms and psychosocial working conditions was found. Instead, independent from the level of depressive symptoms, a decrease in quantitative demands (B = − 0.279, 95% CI = − 0.326 to − 0.232) and increases in leadership quality (B = 0.242, 95% CI = 0.192–0.292) and development opportunities (B = 0.177, 95% CI = 0.127–0.277) were related to a more favorable course of work ability. Only small effects were found for social support (B = 0.057, 95% CI = 0.008–0.106) and job control (B = 0.043, 95% CI = − 0.005–0.091). Conclusions The results indicate that the lagged and negative effect of depressive symptoms on work ability was not moderated by changes in psychosocial working conditions. However, the promotion of favorable working conditions may contribute to a positive development of work ability among employees from the Baby Boom generation independently from the level of depressive symptoms.

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Do psychosocial working conditions modify the effect of depressive symptoms on long‐term sickness absence?

Abstract: Psychosocial working conditions did not modify the effect of depressive symptoms on LTSA. The results, however, need to be interpreted with caution, as we cannot rule out lack of exposure contrast and non-differential misclassification of the exposure.

Cited by 11 publications

References 48 publications

Prognostic Factors of Returning to Work after Sick Leave due to Work-Related Common Mental Disorders: A One- and Three-Year Follow-Up Study

Prognostic Factors of Returning to Work after Sick Leave due to Work-Related Common Mental Disorders: A One- and Three-Year Follow-Up Study

Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders: A Scoping Review

The moderating role of psychosocial working conditions on the long-term relationship between depressive symptoms and work ability among employees from the Baby Boom generation

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