Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study
Objective: To investigate the causal effect of sense of coherence on long-term work participation after rehabilitation, including stratification by age and diagnoses. Design: Longitudinal cohort study. Participants: Patients aged ≤ 60 years, employed and accepted for somatic interprofessional reha...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2023-10-01
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| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/jrm/article/view/11982 |
| _version_ | 1827789580633374720 |
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| author | Anne Mette Berget Vegard Pihl Moen Merethe Hustoft Jörg Assmus Liv Inger Strand Jan Sture Skouen Øystein Hetlevik |
| author_facet | Anne Mette Berget Vegard Pihl Moen Merethe Hustoft Jörg Assmus Liv Inger Strand Jan Sture Skouen Øystein Hetlevik |
| author_sort | Anne Mette Berget |
| collection | DOAJ |
| description | Objective: To investigate the causal effect of sense of coherence on long-term work participation after rehabilitation, including stratification by age and diagnoses.
Design: Longitudinal cohort study.
Participants: Patients aged ≤ 60 years, employed and accepted for somatic interprofessional rehabilitation in 2015 (n = 192).
Methods: Patients reported sense of coherence before rehabilitation in 2015 and mental and physical functioning in 2016. Register data were used to measure work participation during 2018 and days working without social security benefits during 2016–18. Regression models were used to explore the total effect of sense of coherence and the possible mediation of functioning. Results are reported as odds ratios (95% confidence intervals).
Results: During 2018, 77% of the total study cohort participated in work activities. The subgroup with musculoskeletal diagnoses had the fewest days of working without social security benefits. A causal relationship was found between sense of coherence and long-term work participation. Some of the effect of sense of coherence was mediated by mental functioning. The total effect of sense of coherence was strongest for patients with musculo-skeletal diagnoses (work participation: 1.11 (1.05, 1.17), days working without social security benefits: 1.05 (0.01, 109)).
Conclusion: Improving coping resources may be beneficial to facilitate long-term work participation after injury or illness, especially for individuals with musculoskeletal diagnoses.
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| first_indexed | 2024-03-11T17:21:49Z |
| format | Article |
| id | doaj.art-9e8fe9c8ebe6445ea923709b76a06460 |
| institution | Directory Open Access Journal |
| issn | 1651-2081 |
| language | English |
| last_indexed | 2024-03-11T17:21:49Z |
| publishDate | 2023-10-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-9e8fe9c8ebe6445ea923709b76a064602023-10-19T11:59:06ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812023-10-015510.2340/jrm.v55.11982Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal studyAnne Mette Berget0Vegard Pihl Moen1Merethe Hustoft2Jörg Assmus3Liv Inger Strand4Jan Sture Skouen5Øystein Hetlevik6Centre of Habilitation and Rehabilitation in Western Norway, Haukeland University Hospital, Bergen, Norway; Department of Global Public Health and Primary Care, University of Bergen, Bergen, NorwayCentre of Habilitation and Rehabilitation in Western Norway, Haukeland University Hospital, Bergen, Norway; Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, NorwayCentre of Habilitation and Rehabilitation in Western Norway, Haukeland University Hospital, Bergen, Norway; Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, NorwayCentre for Clinical Research, Haukeland University Hospital, Bergen, NorwayDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, NorwayDepartment of Physical Medicine and Rehabilitation, Haukeland University Hospital, Bergen, NorwayDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, NorwayObjective: To investigate the causal effect of sense of coherence on long-term work participation after rehabilitation, including stratification by age and diagnoses. Design: Longitudinal cohort study. Participants: Patients aged ≤ 60 years, employed and accepted for somatic interprofessional rehabilitation in 2015 (n = 192). Methods: Patients reported sense of coherence before rehabilitation in 2015 and mental and physical functioning in 2016. Register data were used to measure work participation during 2018 and days working without social security benefits during 2016–18. Regression models were used to explore the total effect of sense of coherence and the possible mediation of functioning. Results are reported as odds ratios (95% confidence intervals). Results: During 2018, 77% of the total study cohort participated in work activities. The subgroup with musculoskeletal diagnoses had the fewest days of working without social security benefits. A causal relationship was found between sense of coherence and long-term work participation. Some of the effect of sense of coherence was mediated by mental functioning. The total effect of sense of coherence was strongest for patients with musculo-skeletal diagnoses (work participation: 1.11 (1.05, 1.17), days working without social security benefits: 1.05 (0.01, 109)). Conclusion: Improving coping resources may be beneficial to facilitate long-term work participation after injury or illness, especially for individuals with musculoskeletal diagnoses. https://medicaljournalssweden.se/jrm/article/view/11982Rehabilitationsense of coherencecoping resourcesphysical and mental functioningwork participationmusculoskeletal |
| spellingShingle | Anne Mette Berget Vegard Pihl Moen Merethe Hustoft Jörg Assmus Liv Inger Strand Jan Sture Skouen Øystein Hetlevik Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study Journal of Rehabilitation Medicine Rehabilitation sense of coherence coping resources physical and mental functioning work participation musculoskeletal |
| title | Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study |
| title_full | Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study |
| title_fullStr | Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study |
| title_full_unstemmed | Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study |
| title_short | Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study |
| title_sort | effect of sense of coherence on long term work participation among rehabilitation patients a longitudinal study |
| topic | Rehabilitation sense of coherence coping resources physical and mental functioning work participation musculoskeletal |
| url | https://medicaljournalssweden.se/jrm/article/view/11982 |
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