Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions.

Sickness absence is a socioeconomic global burden. In Brazil, mental disorders are the third leading cause of social security benefits payments. The aim of the present study was to compare factors associated with long-term sickness absence between workers who claimed social benefits due to mental di...

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Main Authors: João Silvestre da Silva-Junior, Frida Marina Fischer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4274157?pdf=render
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author João Silvestre da Silva-Junior
Frida Marina Fischer
author_facet João Silvestre da Silva-Junior
Frida Marina Fischer
author_sort João Silvestre da Silva-Junior
collection DOAJ
description Sickness absence is a socioeconomic global burden. In Brazil, mental disorders are the third leading cause of social security benefits payments. The aim of the present study was to compare factors associated with long-term sickness absence between workers who claimed social benefits due to mental disorders or by other causes. We investigated individual features and occupational characteristics. In addition, we evaluated psychosocial factors at work assessed by the Demand-Control-Support (DCS) and Effort-Reward Imbalance (ERI) models, and whether they were associated with long-term sickness absence due to mental disorders (LTSA-MD).The present case-control study was conducted in São Paulo, Brazil. The sample (n = 385) included workers on sick leave for more than 15 days. Cases were the participants with disabling psychiatric illnesses, and controls were the ones with other disabling diseases. Interviews were conducted to assess individual features (sociodemographic data, health habits/lifestyle, health conditions) and occupational characteristics. The participants' perception of exposure to dimensions of the DCS and ERI models was also recorded. Multiple logistic regressions were performed to evaluate the association between independent variables and LTSA-MD.All the regression analyses showed that LTSA-MD was associated with female sex, self-reported white skin color, higher education level, high tobacco consumption, high alcohol intake, two or more comorbidities, exposure to violence at work, high job strain and low social support at work, effort-reward imbalance and high overcommitment to work. LTSA-MD was associated with separate and combined DCS and ERI stress models.Individual features and work conditions were associated with LTSA-MD. Combined analysis of stress models showed that psychosocial factors at work were significantly associated with LTSA-MD. Resourceful use of this information may contribute to the implementation of preventive actions and strategies to facilitate return to work targeting the populations most susceptible to mental disorders.
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spelling doaj.art-3cdcaf2d5f0d4b6798e6038c233f4b4b2022-12-21T23:24:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11588510.1371/journal.pone.0115885Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions.João Silvestre da Silva-JuniorFrida Marina FischerSickness absence is a socioeconomic global burden. In Brazil, mental disorders are the third leading cause of social security benefits payments. The aim of the present study was to compare factors associated with long-term sickness absence between workers who claimed social benefits due to mental disorders or by other causes. We investigated individual features and occupational characteristics. In addition, we evaluated psychosocial factors at work assessed by the Demand-Control-Support (DCS) and Effort-Reward Imbalance (ERI) models, and whether they were associated with long-term sickness absence due to mental disorders (LTSA-MD).The present case-control study was conducted in São Paulo, Brazil. The sample (n = 385) included workers on sick leave for more than 15 days. Cases were the participants with disabling psychiatric illnesses, and controls were the ones with other disabling diseases. Interviews were conducted to assess individual features (sociodemographic data, health habits/lifestyle, health conditions) and occupational characteristics. The participants' perception of exposure to dimensions of the DCS and ERI models was also recorded. Multiple logistic regressions were performed to evaluate the association between independent variables and LTSA-MD.All the regression analyses showed that LTSA-MD was associated with female sex, self-reported white skin color, higher education level, high tobacco consumption, high alcohol intake, two or more comorbidities, exposure to violence at work, high job strain and low social support at work, effort-reward imbalance and high overcommitment to work. LTSA-MD was associated with separate and combined DCS and ERI stress models.Individual features and work conditions were associated with LTSA-MD. Combined analysis of stress models showed that psychosocial factors at work were significantly associated with LTSA-MD. Resourceful use of this information may contribute to the implementation of preventive actions and strategies to facilitate return to work targeting the populations most susceptible to mental disorders.http://europepmc.org/articles/PMC4274157?pdf=render
spellingShingle João Silvestre da Silva-Junior
Frida Marina Fischer
Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions.
PLoS ONE
title Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions.
title_full Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions.
title_fullStr Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions.
title_full_unstemmed Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions.
title_short Long-term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions.
title_sort long term sickness absence due to mental disorders is associated with individual features and psychosocial work conditions
url http://europepmc.org/articles/PMC4274157?pdf=render
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AT fridamarinafischer longtermsicknessabsenceduetomentaldisordersisassociatedwithindividualfeaturesandpsychosocialworkconditions