Expectations and Illness Perceptions As Predictors of Benefit Recipiency Among Workers with Common Mental Disorders: Secondary Analysis from a Randomised Controlled Trial

Overview

Journal BMJ Open

Specialty General Medicine

Date 2014 Mar 5

PMID 24589824

Citations 19

Authors

Camilla Lovvik

William Shaw

Simon Overland

Silje Endresen Reme

Affiliations

Soon will be listed here.

Abstract

Objective: Common mental disorders (CMDs) are among the leading causes of sick leave, and more knowledge on factors related to work participation and return-to-work (RTW) in CMDs is needed. The aim of this study was to investigate RTW-expectations and illness perceptions as predictors of benefit recipiency in CMDs.

Design: Study participants were enrolled in a randomised controlled trial and reported CMDs as a main obstacle for work participation. Three prespecified subgroups were included: people at risk of going on sick leave, people on sick leave (>3 weeks) or people on long-term benefits. Baseline questionnaire data and registry data at baseline and 6 months were used to investigate predictors of benefit recipiency at 6-month follow-up. Benefit recipiency included sickness benefits, disability pension, work assessment allowance and unemployment benefits.

Results: In this study, uncertain and negative RTW-expectations were strong predictors of benefit recipiency at 6 months follow-up. Illness perceptions predicted benefit recipiency in the unadjusted model, but not in the fully adjusted model. In the subgroup on sick leave, uncertain and negative RTW-expectations predicted benefit recipiency, while in the subgroup of people at risk of going on sick leave, negative RTW-expectations predicted benefit recipiency. In the subgroup on long-term benefits, only female gender predicted benefit recipiency.

Conclusions: For people with CMDs, uncertain and negative RTW-expectations predict later benefit recipiency, and expectations seem particularly important for those at risk of or on sick leave. For those at risk of sick leave, benefit recipiency at follow-up denoted a transition onto sick leave or long-term benefit, while those on sick leave had remained so or were receiving long-term benefits. Addressing RTW-expectations in occupational healthcare services or vocational rehabilitation might be beneficial in early stages or even prior to a sick leave episode.

Trial Registration: http://www.clinicaltrials.gov, NCT01146730.

Citing Articles

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Predictors of time until return to work and duration of sickness absence in sick-listed precarious workers with common mental disorders: a secondary data-analysis of two trials and one cohort study.

Suijkerbuijk Y, Schaafsma F, Jansen L, Audhoe S, Lammerts L, Anema J Int J Ment Health Syst. 2023; 17(1):48.

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The Associations Between Illness Perceptions and Expectations About Return to Work of Workers With Chronic Diseases and Their Significant Others: A Dyadic Analysis.

Snippen N, de Vries H, Roelen C, Brouwer S, Hagedoorn M J Occup Rehabil. 2022; 33(1):189-200.

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Pre- and post-operative psychological interventions to prevent pain and fatigue after breast cancer surgery (PREVENT): Protocol for a randomized controlled trial.

Reme S, Munk A, Smogeli Holter M, Falk R, Jacobsen H PLoS One. 2022; 17(7):e0268606.

PMID: 35802618 PMC: 9269362. DOI: 10.1371/journal.pone.0268606.

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