Evidence map›Paper›PMID 36964790›Full record

Trial reportInternational archives of occupational and environmental health2023

Are psychosocial work factors and work-home interference associated with time to first full return-to-work after sick leave due to common mental disorders?

Lisa Holmlund, Ute Bültmann, Gunnar Bergström, Anna Warnqvist, Elisabeth Björk Brämberg

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International archives of occupational and environmental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
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

5 authors.

Lisa HolmlundInstitute of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, P.O.Box 210, 171 77, Stockholm, Sweden. lisa.holmlund@ki.se.ORCID 0000-0001-8321-0174
Ute BültmannDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Gunnar BergströmInstitute of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, P.O.Box 210, 171 77, Stockholm, Sweden.
Anna WarnqvistInstitute of Environmental Medicine, Division of Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Elisabeth Björk BrämbergInstitute of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, P.O.Box 210, 171 77, Stockholm, Sweden.

Funding

AFA Försäkring 190221Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2016-07415
6 · The paper itself

Abstract

objectiveTo (1) examine the time to first full return-to-work (RTW), and (2) investigate whether psychosocial work factors and work-home interference are associated with time to first full RTW after sick leave due to common mental disorders (CMDs).

methodsThe cohort study comprised 162 employees on sick leave due to CMDs participating in a two-armed cluster-randomised controlled trial in Sweden. Baseline data consisted of a web-based questionnaire and follow-up data of repeated text messages every fourth week for 12 months. The time to first full RTW was estimated using the Kaplan-Meier Estimator. Parametric Weibull survival models with interval-censored outcomes were used to determine associations between psychosocial work factors and work-home interference with time to first full RTW. In a post hoc analysis, time-interval differences in associations for 0- ≤ 6- versus > 6-12 months were tested.

resultsDuring the 12-month follow-up, n = 131 (80.9%) reported a first full RTW. The median time to this RTW was 16 weeks (95% CI 12; 20). High psychological job demands, high emotional job demands, high work-to-home interference (WHI), and low social job support were independently associated with a longer time to first full RTW. Time-interval differences were found for job control and emotional job demands.

conclusionsPsychosocial work demands and WHI are associated with a longer time to RTW after sick leave due to CMDs. Work organisations and rehabilitation practices should include accommodations for high psychological and emotional job demands during RTW, as well as pay attention to the risk of spill-over of high job demands into employees' private lives.

Indexed as

Mental DisordersReturn to WorkCohort StudiesEmploymentHumansSick LeaveDeterminantsMental disordersReturn to workSickness absenceSurvival analysisWork factors

Identifiers

PMID36964790
PMCPMC10220141

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Registered trials

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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.