Beyond Return to Work: The Effect of Multimorbidity on Work Functioning Trajectories After Sick Leave due to Common Mental Disorders

Monica Ubalde-Lopez, I. Arends, J. Almansa, G. L. Delclos, D. Gimeno, U. Bültmann

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Objectives Patients with common mental disorders (CMDs) often suffer from comorbidities, which may limit their functioning at work. We assessed the longitudinal impact of multimorbidity, defined as two or more co-occurring chronic health conditions, on work functioning over time among workers who had returned to work after sick leave due to CMDs. Methods Prospective cohort study of 156 workers followed for 1 year after return to work from sick leave due to CMDs. A multimorbidity score was computed by counting severity-weighted chronic health conditions measured at baseline. Work functioning was measured at baseline and at 3, 6 and 12 months follow-up with the Work Role Functioning Questionnaire. Work functioning trajectories, i.e. the course of work functioning after return to work over time, were identified through latent class growth analysis. Results A total of 44 % of workers had multimorbidity. Four work functioning trajectories were identified: one (12 % of the workers) showed increasing work functioning scores during follow-up, whereas the other trajectories showed low, medium and high scores (23, 41 and 25 %, respectively) that remained stable across time points. Although multimorbidity did not predict membership in any trajectory, within the increasing score trajectory levels of work functioning were lower among those with high baseline multimorbidity score (p < 0.001). Conclusions Over time, multimorbidity negatively impacts work functioning after return to work from sick leave due to CMDs.

Original languageEnglish (US)
Pages (from-to)210-217
Number of pages8
JournalJournal of Occupational Rehabilitation
Volume27
Issue number2
DOIs
StatePublished - Jun 1 2017
Externally publishedYes

Keywords

  • Chronic health conditions
  • Job performance
  • Mental health
  • Sickness absence
  • Work capacity

ASJC Scopus subject areas

  • Rehabilitation
  • Occupational Therapy

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