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Who Returns to work? Exploring the Role of Interpersonal Problems in Occupational Rehabilitation
David Aleksander Nilsen1, Oda Nissen2, Trond Nordfjærn3
1St. Olav's University Hospital, Trondheim, Norway. davidanilsen@gmail.com.
Journal of Occupational Rehabilitation
|June 20, 2023
Summary
Hostile-dominant interpersonal problems negatively impact return to work (RTW) after long-term sick leave. Addressing these specific issues may improve occupational rehabilitation outcomes.
Area of Science:
- Occupational health
- Psychology
- Rehabilitation medicine
Background:
- Current return to work (RTW) interventions show limited effectiveness.
- Social relationships are key in RTW, but interpersonal problems are understudied.
- Hostile-dominant interpersonal issues are known to cause disadvantages in life.
Purpose of the Study:
- To investigate if general interpersonal problems predict lower likelihood of RTW.
- To determine if hostile-dominant interpersonal problems specifically predict lower likelihood of RTW.
- To control for symptom levels in the analysis of RTW predictors.
Main Methods:
- Prospective cohort study of 189 patients undergoing a RTW program.
- Collected self-reported data on interpersonal problems, pain, insomnia, fatigue, anxiety, and depression pre-treatment.
- Gathered RTW data for one year post-program from official records.
Main Results:
- Hostile-dominant interpersonal problems significantly predicted a lower likelihood of RTW (OR=0.44).
- General interpersonal problems did not significantly predict RTW.
- Logistic regression analysis controlled for symptom levels.
Conclusions:
- Hostile-dominant interpersonal problems are a significant negative predictor of RTW after long-term sick leave.
- These findings highlight an overlooked factor in occupational rehabilitation.
- Further research and targeted interventions for interpersonal issues are warranted.
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