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

• Published in: Journal of occupational rehabilitation Vol. 27; no. 2; pp. 210 - 217
• Main Authors: Ubalde-Lopez, Monica, Arends, I., Almansa, J., Delclos, G. L., Gimeno, D., Bültmann, U.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.06.2017; Springer; Springer Nature B.V
• Subjects: Absenteeism; Adult; Analysis; Body mass index; Case-Control Studies; Chronic Disease; Chronic illnesses; Clinical Psychology; Cohort analysis; Comorbidity; Employees; Employment - psychology; Environmental Health; Environmental science; Epidemiology; Female; Health Psychology; Humans; Job performance; Longitudinal Studies; Male; Medicine; Medicine & Public Health; Mental disorders; Mental Disorders - complications; Mental Disorders - rehabilitation; Mental health; Mental illness; Mentally ill; Metabolism; Middle Aged; Multimorbidity; Netherlands; Occupational health; Occupational Health Services; Occupational Medicine/Industrial Medicine; Occupational therapy; Orthopedics; Prospective Studies; Public health; Questionnaires; Rehabilitation; Research parks; Return to Work - psychology; Return to Work - statistics & numerical data; Return to work programs; Self Report; Severity of Illness Index; Sick Leave; Studies; Work environment; United States > US; Chronic health conditions; Job performance; Work capacity; Sickness absence; Mental health
• DOI: 10.1007/s10926-016-9647-0
• ISSN: 1053-0487

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.