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

BMC Musculoskeletal Disorders

Research Article

Stein Atle Lie¹  Tore Norendal Braathen²  Irene Øyeflaten³  Camilla M. Ihlebæk⁴  Søren Brage⁵  Kyrre Breivik⁶  Jon Opsahl⁶  Hege R. Eriksen⁷ 

[1] Department of Clinical Dentistry, University of Bergen, Bergen, Norway;National Centre for Occupational Rehabilitation, Haddlandsvegen 20, NO-3864, Rauland, Norway;Faculty of Health and Social Studies, Telemark University College, Porsgrunn, Norway;National Centre for Occupational Rehabilitation, Haddlandsvegen 20, NO-3864, Rauland, Norway;Uni Research Health, Bergen, Norway;Section of Public Health Science, ILP, Norwegian University of Life Sciences, Ås, Norway;The Directorate of Labour and Welfare, Oslo, Norway;Uni Research Health, Bergen, Norway;Uni Research Health, Bergen, Norway;Department of Sport and Physical Activity, Bergen University College, Bergen, Norway;

关键词: Sickness absence;    Sick leave;    Functional ability;    Subjective health complaints;    Musculoskeletal diseases;    Mental disorders;    Fear avoidance beliefs;    Rehabilitation;    Prognostic factors;    Return to work;   

DOI  :  10.1186/s12891-016-1084-x

 received in 2015-10-24, accepted in 2016-05-17,  发布年份 2016

来源: Springer

【 摘 要 】

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.

【 授权许可】

CC BY   
© Øyeflaten et al. 2016