Beyond return to work: the effect of multimorbidity on work functioning trajectories after sick leave due to common mental disorders

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• dc.contributor.author Ubalde López, Mònica, 1972-
• dc.contributor.author Arends, Iris
• dc.contributor.author Almansa, Josué
• dc.contributor.author Delclos, George L.
• dc.contributor.author Gimeno Ruiz de Porras, David
• dc.contributor.author Bültmann, Ute
• dc.date.accessioned 2025-01-20T07:34:44Z
• dc.date.available 2025-01-20T07:34:44Z
• dc.date.issued 2017
• dc.description.abstract Objectives Patients with common mental disorders (CMDs) often suffer from comorbidities, which may limit their functioning at work. We assessed the longitudinal impact of multimorbidity, defined as two or more co-occurring chronic health conditions, on work functioning over time among workers who had returned to work after sick leave due to CMDs. Methods Prospective cohort study of 156 workers followed for 1 year after return to work from sick leave due to CMDs. A multimorbidity score was computed by counting severity-weighted chronic health conditions measured at baseline. Work functioning was measured at baseline and at 3, 6 and 12 months follow-up with the Work Role Functioning Questionnaire. Work functioning trajectories, i.e. the course of work functioning after return to work over time, were identified through latent class growth analysis. Results A total of 44 % of workers had multimorbidity. Four work functioning trajectories were identified: one (12 % of the workers) showed increasing work functioning scores during follow-up, whereas the other trajectories showed low, medium and high scores (23, 41 and 25 %, respectively) that remained stable across time points. Although multimorbidity did not predict membership in any trajectory, within the increasing score trajectory levels of work functioning were lower among those with high baseline multimorbidity score (p < 0.001). Conclusions Over time, multimorbidity negatively impacts work functioning after return to work from sick leave due to CMDs.en
• dc.format.mimetype application/pdf
• dc.identifier.citation Ubalde-Lopez M, Arends I, Almansa J, Delclos GL, Gimeno D, Bültmann U. Beyond return to work: the effect of multimorbidity on work functioning trajectories after sick leave due to common mental disorders. J Occup Rehabil. 2017 Jun;27(2):210-7. DOI: 10.1007/s10926-016-9647-0
• dc.identifier.doi http://dx.doi.org/10.1007/s10926-016-9647-0
• dc.identifier.issn 1573-3688
• dc.identifier.uri http://hdl.handle.net/10230/69180
• dc.language.iso eng
• dc.publisher Springer
• dc.relation.ispartof Journal of Occupational Rehabilitation . 2017 Jun;27(2):210-7
• dc.rights This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Mental healthen
• dc.subject.keyword Chronic health conditionsen
• dc.subject.keyword Job performanceen
• dc.subject.keyword Work capacityen
• dc.subject.keyword Sickness absenceen
• dc.title Beyond return to work: the effect of multimorbidity on work functioning trajectories after sick leave due to common mental disordersen
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion