瑞典因常见精神障碍病假的员工返回工作轨迹
Anna Toropova1, Elisabeth Björk Brämberg2,3, Gunnar Bergström2,4
1Unit of Intervention and Implementation Research for Worker Health, Institute for Environmental Medicine, Karolinska Institute, 171 77, Stockholm, Sweden. anna.toropova@ki.se.
由于常见精神障碍 (CMD) 病假的瑞典员工遵循五种不同的返回工作 (RTW) 轨迹. 识别这些路径及其预测因素可以为更好的康复结果提供定制的工作场所干预措施.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 工作场所心理学 工作场所心理学
背景情况:
- 回归工作 (RTW) 被认为是一个复杂的,个性化的过程.
- 常见的精神疾病 (CMD) 是员工病假的重要原因之一.
- 了解各种RTW模式对于有效的员工支持至关重要.
研究的目的:
- 为因常见精神疾病 (CMD) 病假的瑞典员工确定明确的返回工作 (RTW) 轨迹.
- 探索人口,就业,健康和工作环境因素,预测特定RTW轨迹中的成员资格.
主要方法:
- 利用了两个群集随机对照试验的数据,随着12个月的随访.
- 采用潜增长混合模型和后勤回归分析.
- 样本包括197名参与者在病假由于CMDs在基线.
主要成果:
- 确定了五种不同的RTW轨迹:早期,延迟,晚期,扎和没有RTW.
- 以前的病假时间和在工作中的社会支持始终是不同的轨迹.
- 性别,工作奖励,与健康相关的工作损害,家庭与工作之间的干扰以及与压力相关的疲劳障碍预测了特定的轨迹.
结论:
- 结果为确定员工的RTW轨迹提供了临床见解.
- 可修改的工作环境因素可以指导为CMD的员工设计有针对性的工作场所干预措施.
- 为了更广泛的临床应用,建议复制结果.
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