scholarly journals Enhancing credibility:

2021 ◽  
Vol 12 (1) ◽  
pp. 181-200
Author(s):  
Ulla Rantakeisu ◽  
Lena Ede
Keyword(s):  
Mental Health ◽  
Sick Leave ◽  
Psychiatric Diagnosis ◽  
Mental Health Problems ◽  
Health Problems ◽  
Western World ◽  
Individual Interviews ◽  
Grounded Theory Method ◽  
Part Time ◽  
To Come

In the Western world mental health problems are increasing and in Sweden these problems are the most common reason for sick leave. Diagnoses of adjustment disorders and reactions to severe stress are increasing the fastest out of all mental health problems. The aim of this study is to contribute new insights into employees’ experiences and management of being on sick leave with a stress-related psychiatric diagnosis. The empirical material consisted of individual interviews with 26 employees who were on sick leave from at least part-time employment because of a stress-related diagnosis. The grounded theory method was used to analyse the results. In the generated model, we propose that sick-listed employees engage in enhancing credibility in relation to themselves and others, here attempting to come across as credible and, thus, avoiding disbelief and the negative attributions of being on sick leave with a psychiatric diagnosis. The interviewees shared the general concern that being perceived as either healthier or sicker than the case may be, as well as greater sensitivity to what others might think, which was manifested as being on guard and controlling their behaviour and emotional display. To return to work, the sick-listed employees tended to re-evaluate their previous performance at work and saw the illness as self-inflicted and as the result of not having been capable of drawing the line between work and leisure.

scholarly journals Psychosocial Work Environment and Certified Sick Leave among Nurses during Organizational Changes and Downsizing

2006 ◽  
Vol 60 (3) ◽  
pp. 483-509 ◽  
Author(s):  
Renée Bourbonnais ◽  
Chantal Brisson ◽  
Michel Vézina ◽  
Benoît Masse ◽  
Caty Blanchette
Keyword(s):  
Mental Health ◽  
Sick Leave ◽  
Psychosocial Factors ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychosocial Work Factors ◽  
Organizational Changes ◽  
Psychosocial Work ◽  
Telephone Interviews ◽  
Work Factors

The study aimed to determine whether the incidence and duration of certified sick leave (CSL) among nurses had increased during major restructuring of the health care system in the province of Québec, and to determine whether nurses exposed to adverse psychosocial factors at work showed an increased incidence of CSL. It involved nurses working in 13 health facilities. Sickness absence data were retrieved from administrative files (n = 1454). Incidence of CSL for all diagnoses and for mental health problems was examined. Telephone interviews were conducted to measure psychosocial factors at work with validated instruments. There was an increase in CSL among nurses during the restructuring, particularly for mental health problems. Modifiable adverse psychosocial work factors were identified and provide basis for interventions. Since human resources are the mainstay and primary resource of the health network, it is essential that people be able to perform their work under optimal conditions.

scholarly journals Recurring pain, mental health problems and sick leave in Australia

2021 ◽  
Vol 1 ◽  
pp. 100025
Author(s):  
Tea Lallukka ◽  
Aapo Hiilamo ◽  
Mark Wooden ◽  
Nick Glozier ◽  
Nathaniel Marshall ◽  
...  
Keyword(s):  
Mental Health ◽  
Sick Leave ◽  
Mental Health Problems ◽  
Health Problems

Mental health problems as a cause of long-term sick leave in the Norwegian workforce

2001 ◽  
Vol 29 (3) ◽  
pp. 175-182 ◽  
Author(s):  
Pal Nystuen ◽  
Kare B. Hagen ◽  
Jeph Herrin
Keyword(s):  
Mental Health ◽  
Sick Leave ◽  
Mental Health Problems ◽  
Health Problems

scholarly journals Assessing measurement equivalence of the Danish and Dutch Four-Dimensional Symptom Questionnaire using differential item and test functioning analysis

2020 ◽  
pp. 140349482094207
Author(s):  
Berend Terluin ◽  
Andreas Hoff ◽  
Lene Falgaard Eplov
Keyword(s):  
Mental Health ◽  
Sick Leave ◽  
Effect Size ◽  
Mental Health Problems ◽  
Measurement Equivalence ◽  
Study Groups ◽  
Health Problems ◽  
Symptom Questionnaire ◽  
Scale Scores ◽  
Essential Unidimensionality

Aims: The Dutch Four-Dimensional Symptom Questionnaire (4DSQ) measures distress, depression, anxiety and somatisation, facilitating the distinction between stress-related problems and psychiatric disorder in primary and occupational health care. The aim of the study was to examine the measurement equivalence across the Danish and Dutch 4DSQ. Methods: Danish 4DSQ data were obtained from a cohort of Danish citizens on sick leave for mental-health problems. Dutch 4DSQ data were obtained from a cohort of Dutch employees on sick leave and a cohort of general practice attenders suspected of having mental-health problems. The study samples were matched on age and sex. The 4DSQ scales were assessed for essential unidimensionality using confirmatory factor analysis. Measurement equivalence of the 4DSQ across the groups was assessed using differential item and test functioning (DIF and DTF) analysis. Results: The study groups each consisted of 1363 people (63% female, Mage=42 years). The 4DSQ scales proved essentially unidimensional. DIF was detected in 20 items. In terms of Cohen’s effect size, DIF was mostly small or moderate. In terms of effect size, the mean effect on the scale score (DTF) was negligible. Nevertheless, it is recommended to adjust some of the cut-off points for two Danish 4DSQ scales to retain the meaning of these cut-off points in Dutch respondents. Conclusions: The Danish version of the 4DSQ measures the same constructs as the original Dutch questionnaire. Twenty items functioned differently in Danish respondents than in Dutch respondents, but this had only a small impact on the scale scores.

Local terms and understandings of mental health problems in Burundi

2017 ◽  
Vol 54 (1) ◽  
pp. 66-85 ◽  
Author(s):  
Pacifique Irankunda ◽  
Laurie Heatherington ◽  
Jessica Fitts
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Clinic ◽  
Future Research ◽  
Causal Beliefs ◽  
Community Members ◽  
Individual Interviews ◽  
And Gender

A pilot study and two intensive studies were conducted to document the local vocabularies used by Burundians to describe mental health problems and their understandings about the causes. The pilot study—in which 14 different large groups of community members awaiting appointments at a village health clinic were engaged in open-ended discussions of the local terminology and causal beliefs about mental health problems—suggested three key syndromes: akabonge (a set of depression-like symptoms), guhahamuka (a set of trauma-related symptoms), and ibisigo (a set of psychosis-like symptoms). In Study 1 ( N = 542), individual interviews or surveys presented participants with the names of these syndromes and asked what they considered to be the symptoms and causes of them. Study 2 ( N = 143) cross-validated these terms with a different sample (also in individual interviews/surveys), by presenting the symptom clusters and asking what each would be called and about their causes. Findings of both studies validated this set of terms and yielded a rich body of data about causal beliefs. The influence of education level and gender on familiarity with these terms was also assessed. Implications for the development of mental health services and directions for future research are discussed.

scholarly journals Identifying return to work trajectories among employees on sick leave due to mental health problems using latent class transition analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e032016
Author(s):  
Maitta Spronken ◽  
Evelien P M Brouwers ◽  
Jeroen K Vermunt ◽  
Iris Arends ◽  
Wido G M Oerlemans ◽  
...  
Keyword(s):  
Mental Health ◽  
Sick Leave ◽  
Return To Work ◽  
Sickness Absence ◽  
Latent Class ◽  
Mental Health Problems ◽  
Health Problems ◽  
Large Individual ◽  
Work Characteristics ◽  
Transition Analysis

ObjectivesTo develop effective return to work (RTW) interventions for employees on sick leave due to mental health problems (MHPs), a better understanding of individual variation in the RTW process is needed. We investigated which RTW trajectories can be identified among employees with MHPs in terms of RTW duration and relapse occurrence during the RTW process. Additionally, we examined how different RTW trajectories can be described in terms of personal and work characteristics.MethodsLongitudinal sickness absence registry data were collected retrospectively from the largest Dutch occupational health service. Quantitative RTW information as well as personal and work characteristics were extracted. In total, 9517 employees with a sickness absence due to MHPs were included in the analyses (62 938 data points; RTW durations from 29 to 730 days).ResultsA latent class transition analysis revealed five distinct RTW trajectories, namely (1) fast RTW with little chance of relapse, (2) slow RTW with little chance of relapse, (3) fast RTW with considerable chance of relapse, (4) slow RTW with considerable chance of relapse and (5) very fast RTW with very small chance of relapse. Differences between employees in the slower and faster trajectories were observed regarding gender, age, type of MHP, organisation sector and organisation size but not regarding part-time work.ConclusionsRTW trajectories among employees with MHPs showed large individual variability and differed on personal and work characteristics. Knowledge on different RTW trajectories and their characteristics contributes to the development of personalised RTW treatments, tailored to specific individuals and organisations.

scholarly journals Occupational Health among Swedish Occupational Therapists: A Cross-Sectional Study

2020 ◽  
Vol 17 (10) ◽  
pp. 3379
Author(s):  
Annika Lexén ◽  
Ida Kåhlin ◽  
Lena-Karin Erlandsson ◽  
Carita Håkansson
Keyword(s):  
Mental Health ◽  
Occupational Health ◽  
Sick Leave ◽  
Mental Health Problems ◽  
Occupational Therapists ◽  
Health Problems ◽  
Job Turnover ◽  
Web Survey ◽  
Turnover Rates ◽  
Work Related

The Swedish public sector is facing great challenges in recruiting and retaining healthcare professionals, due to increasing sick leave numbers. The aim of this study was to describe Swedish occupational therapists’ occupational health in terms of risk factors in the social and organizational work environment, occupational balance, and work-related mental health problems. A web survey was emailed to all working members of the Swedish Association of Occupational Therapists (n = 7600) and 3658 answered the survey. The web survey included questions on sociodemographic characteristics, social and organizational environment, occupational balance, and work-related health. The occupational therapists in general rated their workload as high, which was described as leading to increased stress, difficulties doing a good job, and increased job turnover. They also reported having difficulties maintaining occupational balance. Almost a fifth reported having symptoms related to mild incipient exhaustion or a pronounced exhaustion disorder. Almost 60 percent reported having, during the last year, seriously considered seeking new employment as an occupational therapist and 35 percent had seriously intended to leave their profession. In conclusion, there is an urgent need to improve the work situation of occupational therapists. If not, increases in mental health problems, sick leave and job turnover rates may seriously jeopardize the welfare system by eroding healthcare.

scholarly journals Alcohol, Other Drugs Use and Mental Health among African Migrant Youths in South Australia

2021 ◽  
Vol 18 (4) ◽  
pp. 1534 ◽  
Author(s):  
Lillian Mwanri ◽  
William Mude
Keyword(s):  
Mental Health ◽  
Acculturative Stress ◽  
Mental Health Problems ◽  
Group Discussion ◽  
South Australia ◽  
Health Problems ◽  
Qualitative Inquiry ◽  
Social Stressors ◽  
Individual Interviews ◽  
African Migrant

This paper was part of a large study that explored suicide among African youths in South Australia. The paper reports perspectives about alcohol and other drugs (AOD) use and mental health among African migrant and refugee youths in South Australia. The study employed a qualitative inquiry, conducting 23 individual interviews and one focus group discussion with eight participants. An acculturative stress model informed data analysis, interpretation and the discussion of the findings that form the current paper. African migrant and refugee youths revealed challenging stressors, including related to cultural, socioeconomic, living conditions, and pre- and post-migration factors that contributed to mental health problems and the use of AOD in their new country. The traumatic loss of family members and social disruption experienced in their countries of origin were expressed as part of factors leading to migration to Australia. While in Australia, African migrant and refugee youths experienced substantial stressors related to inadequate socioeconomic and cultural support, discrimination, poverty, and unemployment. Participants believed that differences in cultural perspectives about AOD use that existed in Africa and Australia also shaped the experiences of social stressors. Additionally, participants believed that these cultural differences and the identified stressors determined AOD use and mental health problems. The findings highlight the need to understand these social and cultural contexts to improve mental health services and help reduce the use of AOD, which, when problematic, can influence the health and integration experiences of these populations.

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