Evidence map›Paper›PMID 41811479›Full record

Trial reportInternational archives of occupational and environmental health2026

The relationship between psychosocial working conditions and sickness absence days among employees reporting symptoms of common mental disorders in Germany.

Meike Heming, Florian Angerer, Christoph Kröger, Gianni Lidolt, Nicole R Hander, Eva Rothermund, Harald Gündel, Nadine Mulfinger, Ute Schröder, Uta Wegewitz and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International archives of occupational and environmental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Meike HemingInstitute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany. meike.heming@hhu.de.ORCID 0000-0001-9533-4158
Florian AngererInstitute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Christoph KrögerInstitute of Psychology, University of Hildesheim, Universitätsplatz 1, 31141, Hildesheim, Germany.ORCID 0000-0002-2176-6078
Gianni LidoltInstitute of Psychology, University of Hildesheim, Universitätsplatz 1, 31141, Hildesheim, Germany.ORCID 0009-0001-4569-9316
Nicole R HanderDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89071, Ulm, Baden-Württemberg, Deutschland.ORCID 0000-0003-3155-9547
Eva RothermundDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89071, Ulm, Baden-Württemberg, Deutschland.ORCID 0000-0002-8295-2632
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89071, Ulm, Baden-Württemberg, Deutschland.ORCID 0000-0001-7827-320X
Nadine MulfingerDepartment of Psychiatry II, Ulm University & BKH Günzburg, Günzburg, Germany.ORCID 0000-0002-0567-1386
Ute SchröderDivision 3 Work and Health, Federal Institute for Occupational Safety and Health, Nöldnerstraße 40-42, 10317, Berlin, Germany.
Uta WegewitzDivision 3 Work and Health, Federal Institute for Occupational Safety and Health, Nöldnerstraße 40-42, 10317, Berlin, Germany.ORCID 0000-0003-3590-7537
Regina HeroldDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.ORCID 0000-0002-9551-6661
Peter AngererInstitute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.ORCID 0000-0002-9602-7405

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePsychosocial working conditions influence the risk for sickness absence days. These relationships can differ for employees with common mental disorders (CMDs). This study therefore investigates relationships between psychosocial working conditions and sickness absence days in employees reporting CMD symptoms.

methodsData of participants of a randomized controlled trial are investigated (n = 529). The Copenhagen Psychosocial Questionnaire assessed 12 scales of working conditions at baseline. The outcomes number of sickness absence days were assessed nine and 15 months later, as well as during the follow-up period. Negative binomial regression analyses were adjusted for several factors and were conducted for imputed data and supplemented by complete case analyses.

resultsInfluence at work was associated with lower risks of sickness absence days nine (RR= -0.009, CI= − 0.018; − 0.001) and 15 months later (RR= − 0.008, CI= − 0.015; 0.000). Dissolution (i.e., reporting to work outside of work hours or being available for colleagues during free time) was associated with lower risks of sickness absence days during the follow-up period. Complete case analyses showed positive associations between social support and sickness absence days nine (RR = 0.01, CI = 0.0; 0.02; n = 377) and 15 months later (RR = 0.01, CI = 0.0; 0.03; n = 320).

conclusionsAmong employees reporting symptoms of CMDs, influence at work and dissolution predicted sickness absence days for different time periods. However, many psychosocial working conditions showed no such relevance, indicating that other factors may be more relevant in regard of sickness absence days among this particular group of employees.

trial registrationThe randomized controlled trial was registered at the German Clinical Trial Register on 01.03.2021 (DRKS00023049; https://drks.de/search/en/trial/DRKS00023049).

Indexed as

AbsenteeismMental DisordersSick LeaveWorking ConditionsWorkplaceAdultFemaleGermanyHumansMaleMiddle AgedSocial SupportSurveys and QuestionnairesMental disordersMental healthOccupational stressSick leaveWorking conditionsWorkplace

Identifiers

PMID41811479
PMCPMC12979410

What OpenQuestion holds

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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.