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Work Related Factors and Sick Leave After Rehabilitation in Burnout Patients: Experiences from the REST-Project.
MedLine Citation:
PMID:  20552390     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Introduction The aim of this study was to investigate the impact of psychosocial working conditions and coping strategies at work on change in sick leave level for patients on long-term sick leave due to burnout. Methods A cohort sample of patients (n = 117) on long-term sick leave due to burnout was analyzed. The patients answered a questionnaire at baseline and sick leave information was collected from the Swedish Social Insurance Agency at baseline and at follow-up 2 years later. Two groups were formed depending on whether the patients had "improved" and reduced their sick leave level (56%) or if the sick leave level was "unchanged" (44%) at follow-up. The association between change in sick leave and predictors measuring psychosocial working conditions and coping strategies at work were analyzed using logistic regression. Results The predictor, low control at work, was associated with unchanged sick leave at follow-up. When background characteristics were taken into account, usage of covert coping towards supervisors and covert coping towards workmates, respectively, also predicted unchanged sick leave level. High overcommitment was of borderline significance and associated with a reduced sick leave level at follow-up. Conclusions Patients with burnout who have experienced low control at work and used covert coping towards supervisors and/or workmates have a higher risk of not reducing their sick leave after rehabilitation. The workplace may contribute to a reduction of sick leave lengths with a more flexible work environment and improvement in communication strategies for employees and supervisors.
Authors:
Sofia Norlund; Christina Reuterwall; Jonas Höög; Maria Nordin; Curt Edlund; Lisbeth Slunga Birgander
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of occupational rehabilitation     Volume:  21     ISSN:  1573-3688     ISO Abbreviation:  J Occup Rehabil     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9202814     Medline TA:  J Occup Rehabil     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  23-30     Citation Subset:  IM    
Affiliation:
Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, 901 87, Umeå, Sweden, sofia.norlund@envmed.umu.se.
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