Beyond return to work: the effect of multimorbidity on work functioning trajectories after sick leave due to common mental disorders.

Details

• Personal Author:
  Almansa J ; Arends I ; Bültmann U ; Delclos GL ; Gimeno D ; Ubalde-Lopez M
• Description:
  Objectives: Patients with common mental disorders (CMDs) often suffer from comorbidities, which may limit their functioning at work. We assessed the longitudinal impact of multimorbidity, defined as two or more co-occurring chronic health conditions, on work functioning over time among workers who had returned to work after sick leave due to CMDs. Methods: Prospective cohort study of 156 workers followed for 1 year after return to work from sick leave due to CMDs. A multimorbidity score was computed by counting severity-weighted chronic health conditions measured at baseline. Work functioning was measured at baseline and at 3, 6 and 12 months follow-up with the Work Role Functioning Questionnaire. Work functioning trajectories, i.e. the course of work functioning after return to work over time, were identified through latent class growth analysis. Results: A total of 44 % of workers had multimorbidity. Four work functioning trajectories were identified: one (12 % of the workers) showed increasing work functioning scores during follow-up, whereas the other trajectories showed low, medium and high scores (23, 41 and 25 %, respectively) that remained stable across time points. Although multimorbidity did not predict membership in any trajectory, within the increasing score trajectory levels of work functioning were lower among those with high baseline multimorbidity score (p < 0.001). Conclusions: Over time, multimorbidity negatively impacts work functioning after return to work from sick leave due to CMDs. [Description provided by NIOSH]
• Subjects:
  Absenteeism Chronic Disease Cohort Studies Mental Health Nervous System Occupational Health Safety Workload
• Keywords:
  Author Keywords: Mental Health; Chronic Health Conditions; Job Performance; Work Capacity; Sickness Absence Return To Work; Mental Health; Chronic Diseases; Work Performance; Work Capacity; Absenteeism; Longitudinal Study; Cohort Studies;
• ISSN:
  1053-0487
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  210-217
• Volume:
  27
• Issue:
  2
• NIOSHTIC Number:
  nn:20065405
• Citation:
  J Occup Rehabil 2017 Jun; 27(2):210-217
• Contact Point Address:
  Monica Ubalde-Lopez, CISAL-Center for Research in Occupational Health, Barcelona Biomedical Research Park (PRBB), Pompeu Fabra University, C/Dr. Aiguader, 80, 08003, Barcelona, Spain
• Email:
  monica.ubalde@upf.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Texas Health Science Center, Houston
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational Rehabilitation
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:522384cd7cbdb608168f143bf485452bd37a4e40fec5b13d35990b48e857674c996374e708dd01d2f9fad75efee8df1a8ad4cb8edb6aa8f327506f03c4ac3080
• Download URL:
  https://stacks.cdc.gov/view/cdc/248781/cdc_248781_DS1.pdf
• File Type:
  [PDF - 431.25 KB ]