The Influence of Multi-morbidity on the Work Ability of Ageing Employees and the Role of Coping Style

Purpose With an ageing workforce, employees are increasingly confronted with multi-morbidity. Especially physical and mental health problems often occur together. This study aims to (i) explore the effect of multi-morbidity on work ability of ageing employees, more specifically the effects of the nu...

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Veröffentlicht in:Journal of occupational rehabilitation 2019-09, Vol.29 (3), p.503-513
Hauptverfasser: Kadijk, Emelien A., van den Heuvel, Swenneke, Ybema, Jan Fekke, Leijten, Fenna R. M.
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container_end_page 513
container_issue 3
container_start_page 503
container_title Journal of occupational rehabilitation
container_volume 29
creator Kadijk, Emelien A.
van den Heuvel, Swenneke
Ybema, Jan Fekke
Leijten, Fenna R. M.
description Purpose With an ageing workforce, employees are increasingly confronted with multi-morbidity. Especially physical and mental health problems often occur together. This study aims to (i) explore the effect of multi-morbidity on work ability of ageing employees, more specifically the effects of the number of health problems and the combination of physical and mental health problems, and to (ii) explore to what extent the effects of physical and mental health problems on work ability are explained by applying differing coping styles. Methods A 1 year follow up study (2012–2013) was conducted among 7175 employees aged 45–64 years. Linear regression analyses were conducted to examine longitudinal relationships between multi-morbidity, coping styles and work ability. To determine whether coping styles mediate the effects of multi-morbidity on work ability, Sobel tests were conducted. Results A higher number of health problems was related to poorer work ability, but this negative effect stabilized from three health problems onwards. The combination of physical and mental health problem(s) was more strongly related to poorer work ability than only physical health problems. The negative relation between physical health problems and work ability was partly suppressed by active coping, while the negative relation between the combination of physical and mental health problem(s) on work ability was partly explained by avoidant coping. Conclusions Ageing employees with multi-morbidity have a reduced work ability, especially when mental health problems are present. The greater negative effects of the combination of physical and mental health problems on work ability are partially due to unfavorable coping styles.
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To determine whether coping styles mediate the effects of multi-morbidity on work ability, Sobel tests were conducted. Results A higher number of health problems was related to poorer work ability, but this negative effect stabilized from three health problems onwards. The combination of physical and mental health problem(s) was more strongly related to poorer work ability than only physical health problems. The negative relation between physical health problems and work ability was partly suppressed by active coping, while the negative relation between the combination of physical and mental health problem(s) on work ability was partly explained by avoidant coping. Conclusions Ageing employees with multi-morbidity have a reduced work ability, especially when mental health problems are present. The greater negative effects of the combination of physical and mental health problems on work ability are partially due to unfavorable coping styles.</description><identifier>ISSN: 1053-0487</identifier><identifier>ISSN: 1573-3688</identifier><identifier>EISSN: 1573-3688</identifier><identifier>DOI: 10.1007/s10926-018-9811-9</identifier><identifier>PMID: 30178434</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adaptation, Psychological ; Aging ; Analysis ; Clinical Psychology ; Comorbidity ; Coping ; Employees ; Employment - statistics &amp; numerical data ; Environmental Health ; Female ; Health problems ; Health Psychology ; Health Status ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental Disorders - epidemiology ; Mental health ; Middle Aged ; Morbidity ; Multimorbidity ; Occupational Medicine/Industrial Medicine ; Orthopedics ; Regression analysis ; Rehabilitation ; Work Capacity Evaluation ; Workers</subject><ispartof>Journal of occupational rehabilitation, 2019-09, Vol.29 (3), p.503-513</ispartof><rights>The Author(s) 2018</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Journal of Occupational Rehabilitation is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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M.</creatorcontrib><title>The Influence of Multi-morbidity on the Work Ability of Ageing Employees and the Role of Coping Style</title><title>Journal of occupational rehabilitation</title><addtitle>J Occup Rehabil</addtitle><addtitle>J Occup Rehabil</addtitle><description>Purpose With an ageing workforce, employees are increasingly confronted with multi-morbidity. Especially physical and mental health problems often occur together. This study aims to (i) explore the effect of multi-morbidity on work ability of ageing employees, more specifically the effects of the number of health problems and the combination of physical and mental health problems, and to (ii) explore to what extent the effects of physical and mental health problems on work ability are explained by applying differing coping styles. Methods A 1 year follow up study (2012–2013) was conducted among 7175 employees aged 45–64 years. Linear regression analyses were conducted to examine longitudinal relationships between multi-morbidity, coping styles and work ability. To determine whether coping styles mediate the effects of multi-morbidity on work ability, Sobel tests were conducted. Results A higher number of health problems was related to poorer work ability, but this negative effect stabilized from three health problems onwards. The combination of physical and mental health problem(s) was more strongly related to poorer work ability than only physical health problems. The negative relation between physical health problems and work ability was partly suppressed by active coping, while the negative relation between the combination of physical and mental health problem(s) on work ability was partly explained by avoidant coping. Conclusions Ageing employees with multi-morbidity have a reduced work ability, especially when mental health problems are present. 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M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Influence of Multi-morbidity on the Work Ability of Ageing Employees and the Role of Coping Style</atitle><jtitle>Journal of occupational rehabilitation</jtitle><stitle>J Occup Rehabil</stitle><addtitle>J Occup Rehabil</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>29</volume><issue>3</issue><spage>503</spage><epage>513</epage><pages>503-513</pages><issn>1053-0487</issn><issn>1573-3688</issn><eissn>1573-3688</eissn><abstract>Purpose With an ageing workforce, employees are increasingly confronted with multi-morbidity. Especially physical and mental health problems often occur together. This study aims to (i) explore the effect of multi-morbidity on work ability of ageing employees, more specifically the effects of the number of health problems and the combination of physical and mental health problems, and to (ii) explore to what extent the effects of physical and mental health problems on work ability are explained by applying differing coping styles. Methods A 1 year follow up study (2012–2013) was conducted among 7175 employees aged 45–64 years. Linear regression analyses were conducted to examine longitudinal relationships between multi-morbidity, coping styles and work ability. To determine whether coping styles mediate the effects of multi-morbidity on work ability, Sobel tests were conducted. Results A higher number of health problems was related to poorer work ability, but this negative effect stabilized from three health problems onwards. The combination of physical and mental health problem(s) was more strongly related to poorer work ability than only physical health problems. The negative relation between physical health problems and work ability was partly suppressed by active coping, while the negative relation between the combination of physical and mental health problem(s) on work ability was partly explained by avoidant coping. Conclusions Ageing employees with multi-morbidity have a reduced work ability, especially when mental health problems are present. The greater negative effects of the combination of physical and mental health problems on work ability are partially due to unfavorable coping styles.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30178434</pmid><doi>10.1007/s10926-018-9811-9</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Adaptation, Psychological
Aging
Analysis
Clinical Psychology
Comorbidity
Coping
Employees
Employment - statistics & numerical data
Environmental Health
Female
Health problems
Health Psychology
Health Status
Humans
Male
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - epidemiology
Mental health
Middle Aged
Morbidity
Multimorbidity
Occupational Medicine/Industrial Medicine
Orthopedics
Regression analysis
Rehabilitation
Work Capacity Evaluation
Workers
title The Influence of Multi-morbidity on the Work Ability of Ageing Employees and the Role of Coping Style
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