Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions
Sickness absence is a socioeconomic global burden. In Brazil, mental disorders are the third leading cause of social security benefits payments. The aim of the present study was to compare factors associated with long-term sickness absence between workers who claimed social benefits due to mental di...
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| description | Sickness absence is a socioeconomic global burden. In Brazil, mental disorders are the third leading cause of social security benefits payments. The aim of the present study was to compare factors associated with long-term sickness absence between workers who claimed social benefits due to mental disorders or by other causes. We investigated individual features and occupational characteristics. In addition, we evaluated psychosocial factors at work assessed by the Demand-Control-Support (DCS) and Effort-Reward Imbalance (ERI) models, and whether they were associated with long-term sickness absence due to mental disorders (LTSA-MD).
The present case-control study was conducted in São Paulo, Brazil. The sample (n = 385) included workers on sick leave for more than 15 days. Cases were the participants with disabling psychiatric illnesses, and controls were the ones with other disabling diseases. Interviews were conducted to assess individual features (sociodemographic data, health habits/lifestyle, health conditions) and occupational characteristics. The participants' perception of exposure to dimensions of the DCS and ERI models was also recorded. Multiple logistic regressions were performed to evaluate the association between independent variables and LTSA-MD.
All the regression analyses showed that LTSA-MD was associated with female sex, self-reported white skin color, higher education level, high tobacco consumption, high alcohol intake, two or more comorbidities, exposure to violence at work, high job strain and low social support at work, effort-reward imbalance and high overcommitment to work. LTSA-MD was associated with separate and combined DCS and ERI stress models.
Individual features and work conditions were associated with LTSA-MD. Combined analysis of stress models showed that psychosocial factors at work were significantly associated with LTSA-MD. Resourceful use of this information may contribute to the implementation of preventive actions and strategies to facilitate return to work targeting the populations most susceptible to mental disorders. |
| doi_str_mv | 10.1371/journal.pone.0115885 |
| format | Article |
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The present case-control study was conducted in São Paulo, Brazil. The sample (n = 385) included workers on sick leave for more than 15 days. Cases were the participants with disabling psychiatric illnesses, and controls were the ones with other disabling diseases. Interviews were conducted to assess individual features (sociodemographic data, health habits/lifestyle, health conditions) and occupational characteristics. The participants' perception of exposure to dimensions of the DCS and ERI models was also recorded. Multiple logistic regressions were performed to evaluate the association between independent variables and LTSA-MD.
All the regression analyses showed that LTSA-MD was associated with female sex, self-reported white skin color, higher education level, high tobacco consumption, high alcohol intake, two or more comorbidities, exposure to violence at work, high job strain and low social support at work, effort-reward imbalance and high overcommitment to work. LTSA-MD was associated with separate and combined DCS and ERI stress models.
Individual features and work conditions were associated with LTSA-MD. Combined analysis of stress models showed that psychosocial factors at work were significantly associated with LTSA-MD. Resourceful use of this information may contribute to the implementation of preventive actions and strategies to facilitate return to work targeting the populations most susceptible to mental disorders.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0115885</identifier><identifier>PMID: 25531900</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Absenteeism ; Absenteeism (Labor) ; Adult ; Aggression ; Alcohol use ; Alcoholic beverages ; Analysis ; Biology and Life Sciences ; Brazil ; Cardiovascular disease ; Case-Control Studies ; Control methods ; Education ; Employee benefits ; Employee motivation ; Employment ; Employment - statistics & numerical data ; Employment - trends ; Environmental health ; Exposure ; Female ; Habits ; Humans ; Illnesses ; Independent variables ; Job stress ; Life Style ; Male ; Medicine and Health Sciences ; Mental disorders ; Mental Disorders - etiology ; Mental Disorders - psychology ; Occupational Diseases - epidemiology ; Occupational Diseases - etiology ; Occupational Diseases - psychology ; Occupational exposure ; Occupational health ; Occupational stress ; Payments ; Psychological aspects ; Public health ; Questionnaires ; Regression analysis ; Reinforcement ; Reward ; Sick leave ; Sick Leave - statistics & numerical data ; Sick Leave - trends ; Skin ; Social aspects ; Social Environment ; Social interactions ; Social Sciences ; Social security ; Social Support ; Sociodemographics ; Stress ; Stress analysis ; Stress, Psychological - complications ; Stress, Psychological - psychology ; Tobacco ; Violence ; Workers ; Working conditions ; Workload - psychology</subject><ispartof>PloS one, 2014-12, Vol.9 (12), p.e115885-e115885</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Silva-Junior, Fischer. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Silva-Junior, Fischer 2014 Silva-Junior, Fischer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-5ce298b043e81078b2f6578c781fe45f7324f9b25fd24fb019058472bb0272033</citedby><cites>FETCH-LOGICAL-c692t-5ce298b043e81078b2f6578c781fe45f7324f9b25fd24fb019058472bb0272033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274157/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274157/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25531900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Coyne, James</contributor><creatorcontrib>Silva-Junior, João Silvestre da</creatorcontrib><creatorcontrib>Fischer, Frida Marina</creatorcontrib><title>Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Sickness absence is a socioeconomic global burden. In Brazil, mental disorders are the third leading cause of social security benefits payments. The aim of the present study was to compare factors associated with long-term sickness absence between workers who claimed social benefits due to mental disorders or by other causes. We investigated individual features and occupational characteristics. In addition, we evaluated psychosocial factors at work assessed by the Demand-Control-Support (DCS) and Effort-Reward Imbalance (ERI) models, and whether they were associated with long-term sickness absence due to mental disorders (LTSA-MD).
The present case-control study was conducted in São Paulo, Brazil. The sample (n = 385) included workers on sick leave for more than 15 days. Cases were the participants with disabling psychiatric illnesses, and controls were the ones with other disabling diseases. Interviews were conducted to assess individual features (sociodemographic data, health habits/lifestyle, health conditions) and occupational characteristics. The participants' perception of exposure to dimensions of the DCS and ERI models was also recorded. Multiple logistic regressions were performed to evaluate the association between independent variables and LTSA-MD.
All the regression analyses showed that LTSA-MD was associated with female sex, self-reported white skin color, higher education level, high tobacco consumption, high alcohol intake, two or more comorbidities, exposure to violence at work, high job strain and low social support at work, effort-reward imbalance and high overcommitment to work. LTSA-MD was associated with separate and combined DCS and ERI stress models.
Individual features and work conditions were associated with LTSA-MD. Combined analysis of stress models showed that psychosocial factors at work were significantly associated with LTSA-MD. Resourceful use of this information may contribute to the implementation of preventive actions and strategies to facilitate return to work targeting the populations most susceptible to mental disorders.</description><subject>Absenteeism</subject><subject>Absenteeism (Labor)</subject><subject>Adult</subject><subject>Aggression</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Brazil</subject><subject>Cardiovascular disease</subject><subject>Case-Control Studies</subject><subject>Control methods</subject><subject>Education</subject><subject>Employee benefits</subject><subject>Employee motivation</subject><subject>Employment</subject><subject>Employment - statistics & numerical data</subject><subject>Employment - trends</subject><subject>Environmental health</subject><subject>Exposure</subject><subject>Female</subject><subject>Habits</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Independent variables</subject><subject>Job stress</subject><subject>Life Style</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva-Junior, João Silvestre da</au><au>Fischer, Frida Marina</au><au>Coyne, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-12-22</date><risdate>2014</risdate><volume>9</volume><issue>12</issue><spage>e115885</spage><epage>e115885</epage><pages>e115885-e115885</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Sickness absence is a socioeconomic global burden. In Brazil, mental disorders are the third leading cause of social security benefits payments. The aim of the present study was to compare factors associated with long-term sickness absence between workers who claimed social benefits due to mental disorders or by other causes. We investigated individual features and occupational characteristics. In addition, we evaluated psychosocial factors at work assessed by the Demand-Control-Support (DCS) and Effort-Reward Imbalance (ERI) models, and whether they were associated with long-term sickness absence due to mental disorders (LTSA-MD).
The present case-control study was conducted in São Paulo, Brazil. The sample (n = 385) included workers on sick leave for more than 15 days. Cases were the participants with disabling psychiatric illnesses, and controls were the ones with other disabling diseases. Interviews were conducted to assess individual features (sociodemographic data, health habits/lifestyle, health conditions) and occupational characteristics. The participants' perception of exposure to dimensions of the DCS and ERI models was also recorded. Multiple logistic regressions were performed to evaluate the association between independent variables and LTSA-MD.
All the regression analyses showed that LTSA-MD was associated with female sex, self-reported white skin color, higher education level, high tobacco consumption, high alcohol intake, two or more comorbidities, exposure to violence at work, high job strain and low social support at work, effort-reward imbalance and high overcommitment to work. LTSA-MD was associated with separate and combined DCS and ERI stress models.
Individual features and work conditions were associated with LTSA-MD. Combined analysis of stress models showed that psychosocial factors at work were significantly associated with LTSA-MD. Resourceful use of this information may contribute to the implementation of preventive actions and strategies to facilitate return to work targeting the populations most susceptible to mental disorders.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25531900</pmid><doi>10.1371/journal.pone.0115885</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-12, Vol.9 (12), p.e115885-e115885 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1639491566 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Absenteeism Absenteeism (Labor) Adult Aggression Alcohol use Alcoholic beverages Analysis Biology and Life Sciences Brazil Cardiovascular disease Case-Control Studies Control methods Education Employee benefits Employee motivation Employment Employment - statistics & numerical data Employment - trends Environmental health Exposure Female Habits Humans Illnesses Independent variables Job stress Life Style Male Medicine and Health Sciences Mental disorders Mental Disorders - etiology Mental Disorders - psychology Occupational Diseases - epidemiology Occupational Diseases - etiology Occupational Diseases - psychology Occupational exposure Occupational health Occupational stress Payments Psychological aspects Public health Questionnaires Regression analysis Reinforcement Reward Sick leave Sick Leave - statistics & numerical data Sick Leave - trends Skin Social aspects Social Environment Social interactions Social Sciences Social security Social Support Sociodemographics Stress Stress analysis Stress, Psychological - complications Stress, Psychological - psychology Tobacco Violence Workers Working conditions Workload - psychology |
| title | Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T01%3A41%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Long-term%20sickness%20absence%20due%20to%20mental%20disorders%20is%20associated%20with%20individual%20features%20and%20psychosocial%20work%20conditions&rft.jtitle=PloS%20one&rft.au=Silva-Junior,%20Jo%C3%A3o%20Silvestre%20da&rft.date=2014-12-22&rft.volume=9&rft.issue=12&rft.spage=e115885&rft.epage=e115885&rft.pages=e115885-e115885&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0115885&rft_dat=%3Cgale_plos_%3EA418126808%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1639491566&rft_id=info:pmid/25531900&rft_galeid=A418126808&rft_doaj_id=oai_doaj_org_article_3cdcaf2d5f0d4b6798e6038c233f4b4b&rfr_iscdi=true |