Factors relevant to a return to work: a multivariate approach

This paper contributes to the understanding of the factors that are significant for returning to work, and identifies factors that might be used early on in a period of sick leave to discern whether people are likely to work again. In the design, the multivariate Partial Least Squares (PLS) of Latent Structures method was used to analyse information from a questionnaire containing socio-demographic items, and information on symptoms, consequences on daily life, expectations and psychosocial factors. Data about the incidence of sickness over a four-year period was included. 121 adults aged 18-64 years on sick leave participated, irrespective of their diagnoses. A reliable prediction of a return to work required the combination of many factors: individual psychosocial instruments are not useful when considered in isolation. The strongest predictive factors for a return to work concern the individuals' expectations, the number of days of sick leave taken in the past, somatic disorders, and a high level of life satisfaction and sense of coherence. Many factors influence the outcome for people on sick leave: PLS analysis demonstrated that a multivariate approach using this method could predict the long-term outcome early on in a period of sick leave.     

Quality of life among U.S. Army spouses during the Iraq war

ABSTRACT

During the course of previous military conflicts, attention has been focused on separations experienced by service members and their loved ones. This study utilized the ABC-X model of Family Stress and Resiliency Theory to provide information about specific family and parental stressors, family coping, appraisal of stress and coping abilities, and quality of life for spouses at various stages of a recent military deployment. Three groups of spouses differed primarily for levels of family stress and quality of life. In addition to comparative analysis, path analyses were conducted for each group to determine the influence of stressors, coping, wellbeing, and sense of coherence on quality of life. The model for the group of spouses with service members deployed longest accounted for the greatest amount of variability in quality of life. Implications for family counseling, social work practice, and community policy have been provided.     

Negative situation appraisal and mental well-being among refugees in Germany: Serial mediation by religious coping and sense of coherence

It has been widely demonstrated that pre- and post-migration experiences can be highly traumatic for refugees. The purpose of this study was to assess the mediating effects of religious coping and sense of coherence on the association of negative dysfunctional situation appraisal and mental well-being among refugees. Paper surveys were completed by 600 people representing various refugee groups (mostly from Mashreq Countries) in German Bavaria, aged 18–65. Mediation analysis revealed that negative religious coping and sense of coherence singly and serially mediated the relationship between negative dysfunctional situation appraisal and well-being, whereas positive religious coping did not have statistically significant relationships with these variables. The data obtained suggest that the negative religious coping style and sense of coherence are two important targets for future experimental studies, and interventions on them may bring the synergistic effect on improving mental well-being in refugees.     

A comprehensive workplace intervention and its outcome with regard to lifestyle, health and sick leave: the AHA study

This study is a prospective multicentre cohort study entitled Work and Health in the Processing and Engineering Industries, the AHA Study (AHA is the Swedish abbreviation for the study). Four large workplaces in Sweden participated during the years from 2000 to 2003. The present report has two objectives: (1) to present a comprehensive occupational health intervention programme and (2) to evaluate this programme with a focus on lifestyle (smoking and exercise), health related quality of life (HRQoL) and sick leave. Interventions were provided on an individual and group level, including evidence-based methods for four health/focus areas (individual level) and a group intervention based on a survey-feedback methodology. The analyses in this report were exclusively employed at an organizational level. The proportion of smokers decreased at three companies and the course of the HRQoL was advantageous at two of the companies as compared to a gainfully employed reference group. A significant decrease in sick leave was revealed at one company, whereas a break in an ascending sick-leave trend appeared at a second company as compared to their respective corporate groups. This comprehensive workplace intervention programme appears to have had positive effects on smoking habits, HRQoL and sick leave.     

Self-reported musculoskeletal pain and working conditions among employees in the Swedish public sector

Musculoskeletal disorders constitute a considerable public health problem, often resulting in sickness absence, particularly in public sector employees. Increased knowledge on how this is related to individual and work-related factors is required. The objective of this study was to investigate the associations between self-reported musculoskeletal pain and the following factors: physical and psychosocial work conditions, lifestyle, psychosomatic symptoms and sick leave. A comprehensive questionnaire was completed by a total of 2523 people, of which 87% were women and 13% men. The participants were employed in public hospitals, educational institutions, home care services for the elderly and domestic/catering services in a Swedish county. The response rate was 92%. Multiple logistic regression analyses showed that the high level of self-reported musculoskeletal pain was highly associated with strenuous physical and psychosocial work conditions. The physical factor with the highest odds ratio (OR) was working in a forward-bent position. High work demands was the most prominent psychosocial factor and distinctly associated with musculoskeletal pain among men. Physical work strain and other demanding working conditions, which were associated with musculoskeletal pain, were frequent among employees in home care services for the elderly and domestic/catering services. There was a strong association between long-term sick leave and high musculoskeletal pain. Furthermore, there was a strong association between a high level of musculoskeletal pain and the exhibition of psychosomatic symptoms in both women and men; this is an interaction that may intensify the total experience of illness and thus needs to be further investigated.     

Atheistic, agnostic, and religious older adults on well-being and coping behaviors

Previous research reports relationships between religion and both well-being and positive coping, especially among the older adult age group. However, researchers have failed to consider the non-religious when comparing groups categorized by religious belief, ignoring possible differences between those with a belief and the non-religious, atheists, and agnostics. To explore possible differences, we gathered data from a sample of 134 religious and non-religious older adults (55 years old plus) who completed an online questionnaire assessing relationships between religiosity and well-being, social support, locus of control, and meaning in life. Belief groups, including atheists, agnostics, and those high and low on religious beliefs, were compared on coping behaviors. The religious groups did not significantly differ from atheists and agnostics on well-being, satisfaction with social support, or locus of control; however, the high religiosity group did endorse higher levels of presence of meaning in life than the atheists and a greater number of social supports compared to the non-religious groups. The groups significantly differed on their use of religious coping (p < .05), and differences approached significance on the groups utilization of humor and substances as coping mechanisms (p = .07). The religious groups endorsed religious-oriented coping at significantly greater rates, whereas the atheists endorsed a greater use of substances to cope than the other three groups. Additionally, atheists endorsed humor for coping more so than their low religiosity counterparts.     

Employees with Long Term Illnesses or Disabilities in the UK Social Services Workforce

Between 6% and 16% of the working age population have a long term illness or disability. 'Disability' is not consistently defined, however, and neither the distribution of disabled employees nor the nature of their disabilities is well documented. This paper presents the findings of a study of statutory social services employees in the UK and for the first time provides an estimate of the proportion of workers with long term illnesses or disabilities. Over a fifth had a self-reported long term illness or disability, 8% a condition which affected daily life. The distribution and nature of these, and the effects of gender, age, occupational categories, and work experience such as job satisfaction, stress and sick leave, are examined. Changes in legislation and the profile of the working age population are likely to increase the number of people with disabilities in work. The paper concludes that at a time of difficulties with recruitment and retention, social services and other social care employers must develop a range of responses to support and retain the diversity of people with disabilities in work.     

Sick leave -- Cushion or entitlement? A study of age cohorts' attitudes and practices in two Australian workplaces

Stereotypes of older people suggest that they may experience more sickness and injury therefore may not be as productive as younger employees. The present paper attempts to test these stereotypes and reports research into patterns of sick leave in different age cohorts and attitudes towards the use of sick leave. The research was carried out at two case study sites. Managers were interviewed and focus groups were held with workers. A complex pattern was found, suggesting structural issues such as sick leave entitlements, workplace organisation, and flexible work patterns interacted with managers' and workers' attitudes, age, gender and family responsibilities. Flexible workplace hours, and part payment for unused sick leave and insecurity of employment appeared as important factors in reducing absenteeism. The most striking finding was that older workers past pensionable age took the least sick leave. Older workers were careful to conserve sick leave as a 'cushion' for serious illness. Workplace pressures especially those resulting from the failure of management to replace absent workers resulted in work pressure on peers and thus reluctance of workers to take leave.     

Workers' compensation for psychological injury: personal and environmental correlates

The aim of this study was to determine the personal and environmental factors that contribute to the lodging of a workers' compensation claim for psychological injury. Four groups were compared: individuals who had lodged a workers' compensation claim, people who had sought psychological assistance for the management of work-related stress reactions but who had not lodged a workers' compensation claim; people who had experienced stress symptoms but who had not lodged a claim or sought help; and people who experienced stressful work events but who had not developed symptoms. Examination was made of cognitive distortion, irrational beliefs and coping resources as individual factors, and stressful life events, daily hassles and work environment factors as environmental variables. The Compensation group was distinguished from other groups only on the basis of work environmental factors. The implications of these results in the understanding of the decision to lodge a workers' compensation claim are considered.     

The United States Economic Crisis: Young Adults’ Reports of Economic Pressures, Financial and Religious Coping and Psychological Well-Being

Using a sample of 222 young adults attending college, the present study examined the relative contribution of young adults’ perceived economic pressures, financial coping and religious meaning-making coping strategies in accounting for variation in their reports of psychological well-being within the context of the United States economic crisis. Results suggest a direct relationship between perceived economic pressure and psychological well-being such that young adults who reported having to make more economic adjustments as a result of economic crisis also reported higher levels of depressed mood and anxiety. Young men and women who reported having to make fewer economic adjustments and being able to meet their material needs reported higher levels of life satisfaction. Regardless of young adults’ self-reported level of economic pressures, the use of education and communication financial coping strategies was related to lower levels of self-reported anxiety and depressed mood and greater life satisfaction. Viewing the financial crisis as a punishment from God was generally associated with young adults’ reports of greater depressed mood and less life satisfaction. Implication of findings for research and practice are discussed.     

Dimensions of life satisfaction: Immigrant and ethnic minorities

The article investigates the dimensions of life satisfaction of immigrant and ethnic minorities comparing them with the majority population. It constructs a theoretical framework, taking into account both pecuniary and non‐pecuniary dimensions of welfare. This study is based on the data of the Social Survey, administered by the Israeli Central Bureau of Statistics. Immigrants in this study are regarded as a migrant minority and Israeli‐born Arab citizens as an ethnic minority. The results reveal significant life satisfaction gaps between the groups, which can be partially explained by the value of work per se and the value of leisure activities. Applying the Blinder‐Oaxaca decomposition technique, the study revealed that the gap in life satisfaction could be attributed both to the differences in pecuniary and non‐pecuniary resources for each group, and to different returns on resources. Policy targeted on increasing the economic possibilities of minority groups would decrease the life satisfaction gaps.     

Coping Resources and Stress Reactions Among Three Cultural Groups One Year After a Natural Disaster

The aim of this study was to examine patterns of personal and community coping resources in explaining stress reactions among three cultural groups: Jews, Muslims and Druze, 1 year after the massive forest fire on Mount Carmel, Israel. We first compared the three cultures in their levels of personal and community resources as well as their stress reactions: anxiety, anger and psychological distress. Data on demographics, personal and community sense of coherence (SOC), as well as stress reactions of state anxiety, state anger and psychological distress, were gathered a year after the fire in northern Israel, among adolescents aged 12–18 belonging to three cultural groups. Results indicate that the personal coping resource of SOC was the strongest predictor of ‘stress reactions’ in all cultures. Community SOC, however, played a significant role especially for the collectivistic culture of the Druze. We will discuss the results in the framework of Antonovsky’s salutogenic model and his conviction that the personal resource of SOC functions as a protective or resiliency mechanism in all cultures whose members are in a chronic state of stress. Implementation of the findings for establishing interventions for social workers to promote sense of coherence and increase resiliency of adolescents will be presented as well.     

Zest for work? Assessment of enthusiasm and satisfaction with the present work situation and health--a 1.5-year follow-up study

The aim of the study was to investigate whether assessing zest for work is a valuable approach in occupational health work. The term "zest for work" comes from the expression "zest for life" and can roughly be interpreted as the degree of enthusiasm and satisfaction with the present work situation. The measurements comprise three components: listing important factors for the feeling of zest for work, attitude rating and stating whether it is possible to have any influence over the listed factors. Included in this study were 5539 employees, mainly women. Low zest for work was associated with job strain and insufficient social support and imposed an increased risk for poor health for working and long spells of sick leave. The results support that assessing zest for work can be useful in occupational health work.     

Blessed assurance: The role of religion and spirituality in Alzheimer's disease caregiving and other significant life events

Increasing attention in the scientific literature is being given to the relationships among religion, spirituality, and overall well-being. Moreover, research has repeatedly identified religion and spirituality as significant coping resources throughout the life course. For this study, a group of 20 Catholic and Protestant older adults were interviewed; half were caregivers of a spouse with Alzheimer's disease and half were noncaregivers. The informants were asked about their views on religion, spirituality, and how they integrated their faith into their lives. Qualitative analysis identified several themes reinforcing previous work that has shown religion and spirituality are important dimensions to the human experience. All of the informants had integrated religious and spiritual beliefs and practices into their lives to help make sense out of stressful situations. The findings underscore the need for further scientific inquiry that examines how religion and spirituality promote healthy adaptation to significant life events.     

Divorcing Parents

This study looked at factors contributing to a favor- able adjustment and sense of well being among a non-clinical popu- lation of divorcing parents. Subjects responded to a survey of demo- graphic and divorce data and self perceptions about stress coping abilities. The results suggest that higher levels of coping resources are connected with greater optimism about the future, fewer finan- cial problems, more confidence in parenting ability, and a more satisfactory relationship with the former spouse. Coping resources may also be affected by a person's race or a combination of race and gender.     

Moderators of Stress in Salvadoran Refugees: The Role of Social and Personal Resources1

Refugee research has tended to focus exclusively on the mental health consequences of migration with little attention being devoted to factors that facilitate adjustment. Recently, several cross‐cultural researchers have suggested that the growing literature on moderators of stress may elucidate why some migrants experience adverse effects whereas others remain relatively unscathed. This study examines the moderating effects of social and personal resources on the relationship between stress and subjective well‐being in 60 recently‐arrived and 60 established Salvadoran refugees in Canada. The participants completed a questionnaire that included scales pertaining to stress (life events, hassles, migration‐related events), resources (social support, locus of control, self‐esteem) and well‐being (quality of life, life satisfaction). Varying results were found for both groups. For Recent Refugees, personal resources were found to moderate migration stress. In particular, locus of control buffered the relationships between migration stress and quality of life and life satisfaction, whereas self‐esteem buffered the migration stress‐quality of life relation. For Established Refugees, social support and self‐esteem moderated the relationship between life events and life satisfaction. In addition, social support buffered the effects of hassles on quality of life. The findings underscore the relevance of integrating more firmly the study of refugee adjustment with current developments in stress research.     

The ‘Building Blocks’ of Professional Identity among Social Work Graduates

Based on systems theory, the current study aimed to examine the relationships between the following sets of variables: input variables—satisfaction with supervision, self-differentiation, and sense of coherence; throughput variables—values and empathy; and the output variable—professional identity of BSW students. Questionnaires were completed by 160 social work students who were about to graduate the social work program. Path analysis (The AMOS 5 program) was used to analyze the research model. Satisfaction with supervision was the only input variable that was directly related to professional identity. Of the throughput variables, empathy and personal values were directly related to professional identity, whereas sense of coherence was indirectly related to empathic concern, with social values as a mediator. Practical recommendations are discussed.     

Individual status at the start of rehabilitation: Implications for vocational rehabilitation programs

This research investigated the situation of 143 unemployed sick leavers at the start of vocational rehabilitation in Sweden. It is argued in this paper that in order to gain a meaningful picture of the vocational rehabilitation process it is necessary to know and understand something of individual differences and status at the onset. In doing so, assessment was carried out of the possible influence of one contextual factor and five individual factors on health, duration of sick leave and unemployment. Findings suggest that individual differences exist in health status, length of sick leave and unemployment, at the upstart of vocational rehabilitating. Locus of control was found to exert important influence on the differences between the individuals in the study sample, with persons of external locus of control having a less favourable point of departure at the start of vocational rehabilitation compared to other groups. It is therefore assumed that these persons will be in greater need of support during the vocational rehabilitation process. The level of unemployment within a geographical area was also found to influence the length of sick leave. CONCLUSIONS: Our suggestion is for rehabilitation programs to be developed and selected to match the special needs and differences whether they are of individual or of social nature.     

Can Family Policy Reduce Mothers’ Sick Leave Absence? A Causal Analysis of the Norwegian Paternity Leave Reform

This paper was motivated by the high absentee rate due to sickness among women and the assumption that mothers’ combination of gainful employment and family obligations may results in higher levels of sick leave absence. One popular policy used in Norway to encourage more equal sharing of domestic work between parents is paternity leave. Using Norwegian register data, we took advantage of the introduction of a Norwegian paternity leave reform in 1993 to empirically examine the importance of fathers’ involvement in childcare an attempt to explain the relationship between mothers’ stress in reconciling their work and family life and sick leave absence. Sick leave absence was measured in the number of days paid by the National Insurance Administration at 15 days and above. The reform raised the total leave period by 7 weeks, but reserved 4 weeks for the father. The reform process was fast, so all mothers were already pregnant at the time of the policy announcement. The results indicate that we can reject an effect of the paternity leave reform on mothers’ sick leave absence.     

How does functional disability affect depressive symptoms in late life? The role of perceived social support and psychological resources

This study examines the process whereby functional disability amplifies depressive symptoms through decreasing perceived social support and psychological resources. The study analyzed two waves of panel data (1986 to 1992) of a large sample of older adults from the National Institutes of Aging Established Populations for Epidemiologic Studies of the Elderly. The results of longitudinal change models and path analyses show that the perceived availability of a confidant, satisfaction with support, sense of control, and self-esteem mediate the effects of disability on increments in depressive symptoms in late life. Psychological resources play a dominant role in mediating the effects of functional impairment. Scales of sense of control and self-esteem account for 53 percent of the total effect of baseline disability and 43 percent of the total effect of changes in disability on changes in the CES-D depression scale. Self-esteem appears to be the strongest mediator.