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Psychological factors related to return to work among long-term sickness absentees who have undergone a multidisciplinary medical assessment.
MedLine Citation:
PMID:  23138390     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: To assess the associations between psychological factors and return to work among long-term sickness absentees. Design: Longitudinal study with a 3-year follow-up. Subjects: Long-term sickness absentees (n = 905) who had undergone a multidisciplinary medical assessment. Methods: Three years after multidisciplinary medical assessment, return to work status (full, partial, or none) was determined according to whether the individuals received full, partial, or no sickness benefits. Multinomial logistic regression analyses were performed to assess the odds ratios with 95% confidence intervals for return to work related to indecision, lassitude, fatigability, reduced sleep, social functioning, emotional role limitations, and vitality. Results: After adjusting for socio-demographic factors and medical diagnoses most of the studied psychological factors were significantly associated with full (odds ratios 2.13-1.50) and partial (odds ratios 2.25-1.63) return to work in the follow-up period. Low level of lassitude was associated with full return to work (odds ratio 1.72) even when the other psychological factors were controlled for. Similarly, low fatigability was associated with partial return to work (odds ratio 1.81). Conclusion: This study indicates that psychological factors are important for both full and partial return to work among long-term sickness absentees who have undergone a multidisciplinary medical assessment.
Authors:
Klas Gustafsson; Göran Lundh; Pia Svedberg; Jürgen Linder; Kristina Alexanderson; Staffan Marklund
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-9
Journal Detail:
Title:  Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine     Volume:  -     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-171 77 Stockholm, Sweden. klas.gustafsson@ki.se.
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