Evidence map›Paper›PMID 27215825›Full record

ArticleBMC musculoskeletal disorders2016

Subjective health complaints, functional ability, fear avoidance beliefs, and days on sickness benefits after work rehabilitation - a mediation model.

Irene Øyeflaten, Jon Opsahl, Hege R Eriksen, Tore Norendal Braathen, Stein Atle Lie, Søren Brage, Camilla M Ihlebæk, Kyrre Breivik

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Irene ØyeflatenNational Centre for Occupational Rehabilitation, Haddlandsvegen 20, NO-3864, Rauland, Norway. irene.oyeflaten@air.no.
Jon OpsahlUni Research Health, Bergen, Norway.
Hege R EriksenUni Research Health, Bergen, Norway.
Tore Norendal BraathenNational Centre for Occupational Rehabilitation, Haddlandsvegen 20, NO-3864, Rauland, Norway.
Stein Atle LieDepartment of Clinical Dentistry, University of Bergen, Bergen, Norway.
Søren BrageThe Directorate of Labour and Welfare, Oslo, Norway.
Camilla M IhlebækSection of Public Health Science, ILP, Norwegian University of Life Sciences, Ås, Norway.
Kyrre BreivikUni Research Health, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term sick leave and withdrawal from working life is a concern in western countries. In Norway, comprehensive inpatient work rehabilitation may be offered to sick listed individuals at risk of long-term absence from work. Knowledge about prognostic factors for work outcomes after long-term sick leave and work rehabilitation is still limited. The aim of this study was to test a mediation model for various hypothesized biopsychosocial predictors of continued sick leave after inpatient work rehabilitation.

methodsOne thousand one hundred fifty-five participants on long-term sick leave from eight different work rehabilitation clinics answered comprehensive questionnaires at arrival to the clinic, and were followed with official register data on sickness benefits for 3 years. Structural equation models were conducted, with days on sickness benefits after work rehabilitation as the outcome.

resultsFear avoidance beliefs for work mediated the relation between both musculoskeletal complaints and education on days on sickness benefits after work rehabilitation. The relation between musculoskeletal complaints and fear avoidance beliefs for work was furthermore fully mediated by poor physical function. Previous sick leave had a strong independent effect on continued sick leave after work rehabilitation. Fear avoidance beliefs for work did not mediate the small effect of pseudoneurological complaints on continued sick leave. Poor coping/interaction ability was neither related to continued sick leave nor fear avoidance beliefs for work.

conclusionsThe mediation model was partly supported by the data, and provides some possible new insight into how fear avoidance beliefs for work and functional ability may intervene with subjective health complaints and days on sickness benefits after work rehabilitation.

Indexed as

Adaptation, PsychologicalReturn to WorkActivities of Daily LivingAdultAvoidance LearningCognitive RemediationDiagnostic Self EvaluationFearFemaleHumansMaleMental DisordersMiddle AgedMusculoskeletal DiseasesNorwayPrognosisFear avoidance beliefsFunctional abilityMental disordersMusculoskeletal diseasesPrognostic factorsRehabilitationReturn to workSick leaveSickness absenceSubjective health complaints

Identifiers

PMID27215825
PMCPMC4878022

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.