Subjective health complaints, functional ability, fear avoidance beliefs, and days on sickness benefits after work rehabilitation – a mediation model

Øyeflaten, Irene; Opsahl, Jon; Eriksen, Hege R.; Braathen, Tore Norendal; Lie, Stein Atle; Brage, Sören; Ihlebæk, Camilla; Breivik, Kyrre

doi:10.1186/s12891-016-1084-x

Cited by 9 publications

(11 citation statements)

References 60 publications

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“…( 2007 ) i Magnussen et al ( 2007b ) i Mannion et al ( 2009 ) i Morris and Watson ( 2011 ) d, i Øyeflaten et al . ( 2008 ) i Øyeflaten et al ( 2016 ) d, i Poulain et al . ( 2010 ) i, j, k Richter et al .…”

Section: Resultsmentioning

confidence: 98%

“…( 2017 ) a, g Heymans et al ( 2009 ) Huijs et al ( 2012 ) a, c Luk et al . ( 2010 ) d Øyeflaten et al ( 2008 ) a Øyeflaten et al ( 2016 ) Strober and Arnett ( 2016 ) a Truchon et al ( 2010 ) Fear-avoidance beliefs Coggon et al ( 2013 ) i Dawson et al ( 2011 ) i De Vries et al . ( 2012b ) i Dionne et al .…”

Section: Resultsmentioning

confidence: 99%

“…( 2016 ) h, j Øyeflaten et al . ( 2008 ) j Øyeflaten et al ( 2016 ) j Truchon et al ( 2012 ) j Besen et al ( 2015 ) j Carriere et al . ( 2015a ) i Dionne et al .…”

Section: Resultsunclassified

“…In total, 14 quantitative studies investigated the association between different coping strategies and work participation (Table 2 : Arwert et al 2017 ; Dawson et al 2011 ; De Vries et al 2012b ; Grytten et al 2017 ; Heymans et al 2009 ; Huijs et al 2012 ; Iakova et al 2012 ; Karoly et al 2013 ; Luk et al 2010 ; Norlund et al 2011 ; Øyeflaten et al 2008 , 2016 ; Strober and Arnett 2016 ; Truchon et al 2010 ). Nine studies found an effect of some coping strategies (Arwert et al 2017 ; Dawson et al 2011 ; Grytten et al 2017 ; Huijs et al 2012 ; Iakova et al 2012 ; Karoly et al 2013 ; Norlund et al 2011 ; Øyeflaten et al 2008 ; Strober and Arnett 2016 ).…”

Section: Resultsmentioning

confidence: 99%

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Person-related factors associated with work participation in employees with health problems: a systematic review

Wit

Wind

Hulshof

et al. 2018

Int Arch Occup Environ Health

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PurposeThe objective of this systematic review was to explore and provide systematically assessed information about the association between person-related factors and work participation of people with health problems. The research question was: what is the association between selected person-related factors and work participation of workers with health problems?MethodsA systematic review was carried out in PubMed and PsycINFO to search for original papers published between January 2007 and February 2017. The risk of bias of the studies included was assessed using quality assessment tools from the Joanna Briggs Institute. The quality of evidence was assessed using the GRADE framework for prognostic studies.ResultsIn total, 113 studies were included, all of which addressed the association between person-related factors and work participation. The factors positively associated with work participation were positive expectations regarding recovery or return to work, optimism, self-efficacy, motivation, feelings of control, and perceived health. The factors negatively associated with work participation were fear-avoidance beliefs, perceived work-relatedness of the health problem, and catastrophizing. Different coping strategies had a negative or a positive relationship with work participation.ConclusionsThe results of this review provide more insight into the associations between different cognitions and perceptions and work participation. The results of this study suggest that person-related factors should be considered by occupational- and insurance physicians when they diagnose, evaluate or provide treatment to employees. Further research is required to determine how these physicians could obtain and apply such information and whether its application leads to a better quality of care.Electronic supplementary materialThe online version of this article (10.1007/s00420-018-1308-5) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

“…( 2016 ) h, j Øyeflaten et al . ( 2008 ) j Øyeflaten et al ( 2016 ) j Truchon et al ( 2012 ) j Besen et al ( 2015 ) j Carriere et al . ( 2015a ) i Dionne et al .…”

Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

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Person-related factors associated with work participation in employees with health problems: a systematic review

Wit

Wind

Hulshof

et al. 2018

Int Arch Occup Environ Health

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“…In addition, those with sick leave lasting more than one year had a higher prevalence of sleep problems and less social contact with friends, family, co-workers and workplaces. Length of previous sick leave at the time of admittance to occupational rehabilitation was also found to be a strong and independent prognostic factor for prolonged sick leave after occupational rehabilitation in another Norwegian multicentre study [ 8 ]. For those on long-term sick leave, RTW might be a challenging and complex process, and many need close follow-up both during and after a rehabilitation programme [ 4 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

How do occupational rehabilitation clinicians approach participants on long-term sick leave in order to facilitate return to work? A focus group study

Eftedal¹,

Kvaal²,

Ree

et al. 2017

BMC Health Serv Res

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BackgroundThe objective of this study was to explore occupational rehabilitation clinicians’ experiences on how to approach their participants on long-term sick leave in order to facilitate return to work (RTW).MethodsAn exploratory qualitative design was used. Four focus groups were conducted with 29 clinicians working on interdisciplinary inpatient and outpatient occupational rehabilitation teams in Norway. The clinicians shared narratives from clinical practice. Transcripts were analysed, and results were reported by use of systematic text condensation.ResultsThe clinicians used several approaches to facilitate RTW among individuals on sick leave. Three themes emerged as especially important in order to succeed: 1) To get a basic understanding of the participant’s life-world through a mapping process; 2) To build a therapeutic alliance through communication characterised by sensitivity to the participants’ needs and emotional concerns; and 3) To initiate processes of change that increase the possibilities for RTW. Four main areas targetable for change were identified, three directed at the individual and one encompassing the participants’ surroundings. These approaches were: a) To increase feelings of confidence and coping; b) To increase the participants’ awareness of their own limits; c) To challenge inefficient and negative attitudes and thoughts related to the sick-role; and d) Close and immediate dialogue with key stakeholders.ConclusionsTo increase the possibilities for RTW among individuals on long-term sick leave, a thorough mapping process and the construction of a therapeutic alliance are seen as crucial elements in approaches by occupational rehabilitation clinicians. By gaining the participants’ trust and identifying their barriers and possibilities for work, the clinicians can target modifiable factors, especially at the individual level, and obstacles for RTW in their individual surroundings. This study elucidates what occupational rehabilitation clinicians do, say and provide to increase their participants’ abilities and possibilities to RTW.

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Sustained Attention and Working Memory Predict the Number of Days on Health-Related Benefits in the Year Following Occupational Rehabilitation

Johansen¹,

Øyeflaten

Eriksen

et al. 2021

J Occup Rehabil

Self Cite

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Purpose The objective of this study was to investigate the association between cognitive and emotional functioning and the number of days on health-related benefits such as sick leave, work assessment allowance and disability pension. We investigated whether cognitive and emotional functioning at the start of rehabilitation and the change from the start to the end of rehabilitation predicted the number of days on health-related benefits in the year after occupational rehabilitation. Methods A sample of 317 individuals (age 19–67 years), mainly diagnosed with a musculoskeletal or mental and behavioural ICD-10 disorder, participated. The sample was stratified depending on the benefit status in the year before rehabilitation. Those receiving health-related benefits for the full year comprised the work assessment allowance and disability pension (WAA) group and those receiving benefits for less than a year comprised the sick leave (SL) group. The participants were administered cognitive and emotional computerised tests and work and health questionnaires at the beginning and end of rehabilitation. The cumulative number of days on health-related benefits during 12 months after rehabilitation was the primary outcome variable and age, gender, educational level, subjective health complaints, anxiety, and depression were controlled for in multiple regression analyses. Results The WAA group (n = 179) was significantly impaired at baseline compared to the SL group (n = 135) in focused attention and executive function, and they also scored worse on work and health related variables. Higher baseline scores and change scores from the start to the end of rehabilitation, for sustained attention, were associated with fewer number of health-related benefit days in the WAA group, while higher baseline scores for working memory were associated with fewer number of health-related benefit days in the SL group. Conclusions New knowledge about attention and memory and return to work in individuals with different benefit status may pave the way for more targeted programme interventions. Rehabilitation programmes could benefit from designing interventions that respectively improve sustain attention and working memory related to working life in individuals on sick leave or work assessment allowance and disability pension.

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Subjective health complaints, functional ability, fear avoidance beliefs, and days on sickness benefits after work rehabilitation – a mediation model

Cited by 9 publications

References 60 publications

Person-related factors associated with work participation in employees with health problems: a systematic review

Person-related factors associated with work participation in employees with health problems: a systematic review

How do occupational rehabilitation clinicians approach participants on long-term sick leave in order to facilitate return to work? A focus group study

Sustained Attention and Working Memory Predict the Number of Days on Health-Related Benefits in the Year Following Occupational Rehabilitation

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