Working in dissonance: experiences of work instability in workers with common mental disorders

Abstract Background Common mental disorders have a negative impact on work functioning, but less is known about the process when the functioning starts to destabilize. This study explores experiences of work instability in workers with common mental disorders. Methods A grounded theory study using a...

Full description

Bibliographic Details
Main Authors: Louise Danielsson, Monica Bertilsson, Kristina Holmgren, Gunnel Hensing
Format: Article
Language:English
Published: BMC 2017-05-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-017-4388-3
_version_ 1819168519625900032
author Louise Danielsson
Monica Bertilsson
Kristina Holmgren
Gunnel Hensing
author_facet Louise Danielsson
Monica Bertilsson
Kristina Holmgren
Gunnel Hensing
author_sort Louise Danielsson
collection DOAJ
description Abstract Background Common mental disorders have a negative impact on work functioning, but less is known about the process when the functioning starts to destabilize. This study explores experiences of work instability in workers with common mental disorders. Methods A grounded theory study using a theoretical sampling frame, individual in-depth interviews and a constant comparative analysis conducted by a multidisciplinary research team. The sample involved 27 workers with common mental disorders, currently working full or part time, or being on sick leave not more than 6 months. They were women and men of different ages, representing different occupations and illness severity. Results A general process of work instability was conceptualized by the core category Working in dissonance: captured in a bubble inside the work stream. The workers described that their ordinary fluency at work was disturbed. They distanced themselves from other people at and outside work, which helped them to regain their flow but simultaneously made them feel isolated. Four categories described sub-processes of the dissonance: Working out of rhythm, Working in discomfort, Working disconnected and Working in a no man’s land. Conclusions The experience of work instability in CMDs was conceptualized as “working in dissonance”, suggesting a multifaceted dissonance at work, characterized by a sense of being caught up, as if in a bubble. Focusing on how the worker can re-enter their flow at work when experiencing dissonance is a new approach to explore in occupational and clinical settings.
first_indexed 2024-12-22T19:04:54Z
format Article
id doaj.art-f5b27fca48b948d4a62bbd02da914120
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-12-22T19:04:54Z
publishDate 2017-05-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-f5b27fca48b948d4a62bbd02da9141202022-12-21T18:15:51ZengBMCBMC Public Health1471-24582017-05-0117111110.1186/s12889-017-4388-3Working in dissonance: experiences of work instability in workers with common mental disordersLouise Danielsson0Monica Bertilsson1Kristina Holmgren2Gunnel Hensing3Section for Epidemiology and Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, University of GothenburgSection for Epidemiology and Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, University of GothenburgSection for Epidemiology and Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, University of GothenburgSection for Epidemiology and Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, University of GothenburgAbstract Background Common mental disorders have a negative impact on work functioning, but less is known about the process when the functioning starts to destabilize. This study explores experiences of work instability in workers with common mental disorders. Methods A grounded theory study using a theoretical sampling frame, individual in-depth interviews and a constant comparative analysis conducted by a multidisciplinary research team. The sample involved 27 workers with common mental disorders, currently working full or part time, or being on sick leave not more than 6 months. They were women and men of different ages, representing different occupations and illness severity. Results A general process of work instability was conceptualized by the core category Working in dissonance: captured in a bubble inside the work stream. The workers described that their ordinary fluency at work was disturbed. They distanced themselves from other people at and outside work, which helped them to regain their flow but simultaneously made them feel isolated. Four categories described sub-processes of the dissonance: Working out of rhythm, Working in discomfort, Working disconnected and Working in a no man’s land. Conclusions The experience of work instability in CMDs was conceptualized as “working in dissonance”, suggesting a multifaceted dissonance at work, characterized by a sense of being caught up, as if in a bubble. Focusing on how the worker can re-enter their flow at work when experiencing dissonance is a new approach to explore in occupational and clinical settings.http://link.springer.com/article/10.1186/s12889-017-4388-3DepressionAnxietyWork abilityGrounded theoryQualitative research
spellingShingle Louise Danielsson
Monica Bertilsson
Kristina Holmgren
Gunnel Hensing
Working in dissonance: experiences of work instability in workers with common mental disorders
BMC Public Health
Depression
Anxiety
Work ability
Grounded theory
Qualitative research
title Working in dissonance: experiences of work instability in workers with common mental disorders
title_full Working in dissonance: experiences of work instability in workers with common mental disorders
title_fullStr Working in dissonance: experiences of work instability in workers with common mental disorders
title_full_unstemmed Working in dissonance: experiences of work instability in workers with common mental disorders
title_short Working in dissonance: experiences of work instability in workers with common mental disorders
title_sort working in dissonance experiences of work instability in workers with common mental disorders
topic Depression
Anxiety
Work ability
Grounded theory
Qualitative research
url http://link.springer.com/article/10.1186/s12889-017-4388-3
work_keys_str_mv AT louisedanielsson workingindissonanceexperiencesofworkinstabilityinworkerswithcommonmentaldisorders
AT monicabertilsson workingindissonanceexperiencesofworkinstabilityinworkerswithcommonmentaldisorders
AT kristinaholmgren workingindissonanceexperiencesofworkinstabilityinworkerswithcommonmentaldisorders
AT gunnelhensing workingindissonanceexperiencesofworkinstabilityinworkerswithcommonmentaldisorders