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Related Experiment Video

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Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View
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Capacity to work while depressed and anxious--a phenomenological study.

Monica Bertilsson1, Eva-Lisa Petersson, Gunnel Ostlund

  • 1Institute of Medicine/Social Medicine, The Sahlgrenska Academy at University of Gothenburg, University of Gothenburg , Gothenburg , Sweden .

Disability and Rehabilitation
|January 24, 2013
PubMed
Summary

Working while experiencing depression and anxiety involves a hidden struggle with tasks, time, and social interactions. Understanding this invisible reduced capacity to work is crucial for effective rehabilitation and workplace support.

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Area of Science:

  • Occupational Health
  • Psychiatry
  • Psychology

Background:

  • Depression and anxiety significantly impact an individual's ability to work.
  • Understanding the lived experience of working while mentally unwell is essential for targeted support.

Purpose of the Study:

  • To explore the phenomenon of capacity to work in individuals experiencing depression and anxiety.
  • To identify the core constituents of this capacity to work.

Main Methods:

  • Four focus groups were conducted with 17 employed participants.
  • A phenomenological approach was utilized to explore subjective experiences.
  • Participants represented a range of illness experiences, from symptoms to clinical diagnoses.

Main Results:

  • Capacity to work is characterized by nine constituents across task, time, context, and social interactions.
  • Key findings include a loss of work familiarity, use of a 'working facade,' and adoption of new, time-consuming work practices.
  • Participants reported feelings of exposure, workplace disruption, loss of 'refueling' opportunities, and a trade-off between work capacity and personal time. The invisibility of reduced capacity was a significant challenge.

Conclusions:

  • A novel, complex concept of 'capacity to work' emerged, distinct from previous studies.
  • Rehabilitation processes require a deeper understanding of individual work capacity challenges for effective workplace adjustments.
  • Findings are relevant for clinical practice, occupational health, and supporting employees returning after sickness absence.