Negative Beliefs About Working with Health Problems and Support at Work as Predictors for Return to Work for People Struggling with Common Mental Disorders.

IF 2.1 3区 医学 Q1 REHABILITATION Journal of Occupational Rehabilitation Pub Date : 2024-10-25 DOI:10.1007/s10926-024-10243-6
Marianne Tranberg Bjørndal, Kristian Pihl Frederiksen, Ragne Gunnarsdatter Hole Gjengedal, Bente Bull-Hansen, Kåre Osnes, Marit Hannisdal, Odin Hjemdal
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Abstract

Purpose: The purpose of this study was to investigate predictors for return to work for people struggling with common mental disorders on sick leave or at risk of sick leave. The first aim of this study was to evaluate the psychometric properties of a set of statements exploring different conditions at the workplace and assumptions about working with health problems, by investigating the factor structure, reliability and construct validity of these statements. The second aim of this study was to investigate the predictive value of the identified factors.

Methods: A total of 797 patients from an outpatient mental health clinic were included in a naturalistic observational study. The study design was longitudinal. The participants filled out self-report questionnaires pre- and post-treatment.

Results: A principal component factor analysis with a varimax rotation identified two factors, Negative beliefs about working with health problems and Support at work, displaying high internal consistency, 0.83 and 0.84, respectively. Separately, both factors were significant predictors of full return to work after treatment. The final multivariable analysis including both factors left Negative beliefs about working with health problems as a significant predictor explaining unique variance.

Conclusions: Negative beliefs about working with health problems and Support at work are important predictors for work status after treatment and should therefore be addressed during treatment for common mental disorders to assist people return to work.

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对有健康问题的人工作的消极信念和工作支持是与常见精神障碍作斗争的人重返工作岗位的预测因素。
目的:本研究的目的是调查正在休病假或有可能休病假的常见精神障碍患者重返工作岗位的预测因素。本研究的第一个目的是通过调查这些陈述的因子结构、可靠性和建构效度,评估一系列陈述的心理计量特性,这些陈述探讨了工作场所的不同情况以及关于带着健康问题工作的假设。本研究的第二个目的是调查已确定因素的预测价值:一项自然观察研究共纳入了 797 名心理健康门诊患者。研究设计为纵向研究。参与者在治疗前后填写了自我报告问卷:通过主成分因子分析和方差旋转,确定了两个因子,即对健康问题工作的消极信念和工作支持,这两个因子的内部一致性很高,分别为 0.83 和 0.84。单独来看,这两个因子都是治疗后完全恢复工作的重要预测因子。包括这两个因素在内的最终多变量分析结果显示,对健康问题的消极工作信念是一个重要的预测因素,可以解释独特的变异:结论:对带着健康问题工作的消极信念和工作中的支持是预测治疗后工作状况的重要因素,因此在治疗常见精神障碍的过程中应解决这一问题,以帮助患者重返工作岗位。
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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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