Identifying Return to Work Self-Efficacy Trajectories in Employees with Mental Health Problems
Lena Horn1, Maitta Spronken2,3, Evelien P M Brouwers2
1Tranzo Scientific Center for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, Professor Cobbenhagenlaan 125, 5037 DB, Tilburg, The Netherlands. lehorn@zohomail.eu.
Return to work self-efficacy (RTW-SE) in employees with mental health problems (MHPs) shows diverse development trajectories over one year. Understanding these patterns aids in personalized return to work support.
Area of Science:
- Occupational Health Psychology
- Mental Health Research
- Rehabilitation Science
Background:
- Return to work self-efficacy (RTW-SE) is crucial for employees with mental health problems (MHPs).
- Limited understanding exists regarding the development of RTW-SE during the return to work (RTW) process.
Purpose of the Study:
- To identify distinct RTW-SE trajectories in employees with MHPs during the year after sick leave.
- To describe these trajectories based on personal, work characteristics, and RTW status.
Main Methods:
- A multi-wave study involving 111 employees with MHPs.
- RTW-SE was measured using the RTW-SE scale at baseline, 3, 6, and 12 months.
- Latent class growth analysis was employed to identify RTW-SE trajectories.
Main Results:
- Six distinct RTW-SE trajectories were identified, including increasing, persistently high, persistently low, and decreasing scores.
- Significant differences in RTW status, age, gender, and MHP type were observed across trajectories.
- Less favorable trajectories (decreasing/low) were linked to higher age, anxiety disorders, and lower RTW rates.
Conclusions:
- Significant heterogeneity exists in RTW-SE trajectories among employees with MHPs.
- These trajectories are associated with varying personal and work characteristics and RTW outcomes.
- Understanding RTW-SE trajectory attributes is vital for developing personalized and effective RTW interventions.
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