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

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Pernille U. Hjarsbech ◽  
Karl Bang Christensen ◽  
Rikke Voss Andersen ◽  
Vilhelm Borg ◽  
Birgit Aust ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sickness Absence ◽  
Working Conditions ◽  
Psychosocial Working Conditions

scholarly journals Joint association of sleep problems and psychosocial working conditions with registered long-term sickness absence. A Danish cohort study

2016 ◽  
Vol 42 (4) ◽  
pp. 299-308 ◽  
Author(s):  
Ida EH Madsen ◽  
Ann D Larsen ◽  
Sannie V Thorsen ◽  
Jan H Pejtersen ◽  
Reiner Rugulies ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sickness Absence ◽  
Working Conditions ◽  
Sleep Problems ◽  
Psychosocial Working Conditions ◽  
Danish Cohort

Joint association of physical and psychosocial working conditions with risk of long-term sickness absence: Prospective cohort study with register follow-up

2020 ◽  
pp. 140349482093642
Author(s):  
Emil Sundstrup ◽  
Lars Louis Andersen
Keyword(s):  
Cohort Study ◽  
Sickness Absence ◽  
Working Conditions ◽  
Physical Work ◽  
Trend Test ◽  
Psychosocial Working Conditions ◽  
Influence At Work ◽  
Emotional Demands

Aims: The interplay between physical and psychosocial working conditions for the risk of developing poor health is not well understood. This study aimed to determine the joint association of physical and psychosocial working conditions with risk of long-term sickness absence (LTSA) in the general working population. Methods: Based on questionnaire responses about physical working conditions and psychosocial working conditions (influence at work, emotional demands, support from colleagues and support from managers) and two-year prospective follow-up in a national register on social transfer payments, we estimated the risk of incident LTSA of >30 days among 9544 employees without previous LTSA from the Danish Work Environment Cohort Study. The analyses were censored for all events of permanent labour market drop-out (retirement, disability pension, immigration or death) and controlled for potential confounders. Results: In the total cohort, more demanding physical working conditions were associated with risk of LTSA in a dose–response fashion (trend test, p<0.0001). The combination of poor overall psychosocial working conditions (index measure of influence at work, emotional demands, support from managers and support from colleagues) and hard physical working conditions showed the highest risk of LTSA. However, poor overall psychosocial working conditions did not interact with physical working conditions in the risk of LTSA ( p=0.9677). Conclusions: The results of this study suggest that workplaces should strive to improve both psychosocial and physical work factors in order to ensure the health of workers.

scholarly journals Distress, Work Satisfaction, and Work Ability are Mediators of the Relation Between Psychosocial Working Conditions and Mental Health-Related Long-Term Sickness Absence

2020 ◽  
Author(s):  
Marieke F. A. van Hoffen ◽  
Judith J. M. Rijnhart ◽  
Giny Norder ◽  
Lisanne J. E. Labuschagne ◽  
Jos W. R. Twisk
Keyword(s):  
Mental Health ◽  
Sickness Absence ◽  
Working Conditions ◽  
Work Ability ◽  
Work Satisfaction ◽  
Mediation Analyses ◽  
Psychosocial Working Conditions ◽  
Health Related ◽  
Emotional Demands

Abstract Purpose This study investigated the effects of psychosocial working conditions on mental health-related long-term sickness absence and whether distress, work satisfaction, burnout, engagement, and work ability mediated the associations between psychosocial working conditions and mental health-related long-term sickness absence. Methods This cohort study included 53,833 non-sick listed workers who participated in occupational health surveys between 2010 and 2013. The effects of the individual psychosocial working conditions on mental long-term sickness absence were analyzed using univariable and multivariable logistic regression analyses. Mediation analyses were performed to examine the mediating role of distress, burnout, work satisfaction, engagement, and work ability between psychosocial working conditions and mental long-term sickness absence. The mediation analyses were performed using structural equation modeling. Results Role clarity, cognitive demands, emotional demands, work variety, learning opportunities, and co-worker support were related to mental health-related long-term sickness absence after adjustment for other working conditions. The relationship between emotional demands and mental health-related long-term sickness absence was the strongest, OR 1.304 (p < 0.001, 95% CI 1.135 to 1.498). The relation between psychosocial working conditions and mental health-related long-term sickness absence was mediated by distress, burnout, work satisfaction, engagement, and work ability. Distress was the most important mediator between psychosocial working conditions and mental health-related long-term sickness absence. Conclusions Psychosocial working conditions are related to mental health-related long-term sickness absence. After correction for other working conditions, the association between emotional demands and mental health-related long-term sickness absence was the strongest. Psychosocial working conditions are indirectly related to mental health-related long-term sickness absence through mediation by distress, work satisfaction, and work ability.

scholarly journals Perceived and content-related emotional demands at work and risk of long-term sickness absence in the Danish workforce: a cohort study of 26 410 Danish employees

2019 ◽  
Vol 76 (12) ◽  
pp. 895-900 ◽  
Author(s):  
Elisabeth Framke ◽  
Jeppe Karl Sørensen ◽  
Mads Nordentoft ◽  
Nina Føns Johnsen ◽  
Anne Helene Garde ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sickness Absence ◽  
Cox Regression ◽  
Environment And Health ◽  
Frequency Of Contact ◽  
Increased Risk ◽  
Unit Increase ◽  
Estimated Risk ◽  
Emotional Demands

ObjectivesThis study aimed to examine whether high emotional demands at work predict long-term sickness absence (LTSA) in the Danish workforce and whether associations differ by perceived and content-related emotional demands.MethodsWe included 26 410 individuals from the Work Environment and Health in Denmark Study, a nationwide sample of the Danish workforce. Emotional demands at work were measured with two items: one assessing perceived emotional demands (asking how often respondents were emotionally affected by work) and one assessing content-related emotional demands (frequency of contact with individuals in difficult situations). LTSA was register based and defined as spells of ≥6 weeks. Respondents with LTSA during 2 years before baseline were excluded. Follow-up was 52 weeks. Using Cox regression, we estimated risk of LTSA per one-unit increase in emotional demands rated on a five-point scale.ResultsDuring 22 466 person-years, we identified 1002 LTSA cases. Both perceived (HR 1.20, 95% CI 1.12 to 1.28) and content-related emotional demands (HR 1.07, 95% CI 1.01 to 1.13) predicted risk of LTSA after adjustment for confounders. Further adjustment for baseline depressive symptoms substantially attenuated associations for perceived (HR 1.08, 95% CI 1.01 to 1.16) but not content-related emotional demands (HR 1.05, 95% CI 1.00 to 1.11). Individuals working in occupations with above-average values of both exposures had an increased risk of LTSA (HR 1.32, 95% CI 1.14 to 1.52) compared with individuals in all other job groups.ConclusionsPerceived and content-related emotional demands at work predicted LTSA, also after adjustment for baseline depressive symptoms, supporting the interpretation that high emotional demands may be hazardous to employee’s health.

scholarly journals Favorable Working Conditions Related to Health Behavior Among Nurses and Care Assistants in Sweden—A Population-Based Cohort Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Magnus Helgesson ◽  
Staffan Marklund ◽  
Klas Gustafsson ◽  
Gunnar Aronsson ◽  
Constanze Leineweber
Keyword(s):  
Health Behavior ◽  
Work Environment ◽  
Risk Behavior ◽  
Sickness Absence ◽  
Working Conditions ◽  
Good Health ◽  
Health Complaints ◽  
Psychosocial Working Conditions ◽  
Sickness Presence ◽  
Recovery Behavior

Objective: To analyze the associations between favorable physical and psychosocial work factors and health behavior among healthcare employees (nurses and care assistants) with health complaints.Methods: The study was based on seven iterations (2001–2013) of a biennial Swedish work environment survey linked with data from public registers. In all, 7,180 healthcare employees, aged 16–64 years, who had reported health complaints, were included. Health behavior was operationalized through four combinations of sickness absence (SA) and sickness presence (SP): ‘good health behavior' (Low SP/Low SA), ‘recovery behavior' (Low SP/High SA), ‘risk behavior' (High SP/Low SA), and ‘poor health behavior' (High SP/High SA). Odds ratios (OR) were calculated by multinomial logistic regression with 95% confidence intervals (CI).Results: After adjusting for socio-demographic factors, those who rarely worked in strenuous postures had an increased probability of having ‘good health behavior' (OR range: nurses 1.72–2.02; care assistants 1.46–1.75). Those who rarely experienced high job demands had increased odds for having ‘good health behavior' (OR: nurses 1.81; OR range: care assistants 1.67–2.13), while having good job control was found to be related to ‘good health behavior' only among care assistants (OR range 1.30–1.68). In the full model, after also considering differences in health, none of the work environment indicators affected ‘good health behavior' among nursing professionals. Among care assistants, rarely having heavy physical work and having low psychosocial demands remained significantly associated with ‘good health behavior' (OR range: 1.24–1.58) and ‘recovery behavior' (OR range: 1.33–1.70). No associations were found between favorable work environment factors and ‘risk behavior' among the two groups of employees. However, positive assessments of the work situation were associated with ‘good health behavior,' even after controlling for all confounders for both groups (OR range: 1.43–2.69).Conclusions: ‘Good health behavior' and ‘recovery behavior' among care assistants were associated with favorable physical and psychosocial working conditions even when health was considered. This implies that reduced sickness presence and sickness absence among care assistants can be achieved through improved physical and psychosocial working conditions.

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