Alessia Negrini

Mental Health Problems and Mental Disorders: Linked Determinants to Work Participation and Work Functioning

In Canada and other countries, the costs related to health care and loss of work productivity due to mental disorders exceed several billion dollars annually. The main purpose of this chapter is to help readers to better understand the relationship between mental health and work conditions. First, the authors present the economic burden of mental disorders in the workplace with particular attention to presenteeism, work absences, and long-term disability. Second, the individual, organizational, and environmental determinants of mental health problems of employees in the workplace are presented. Finally, the individual, organizational, and programmatic factors of return to work for people with common mental disorders are presented, as well as the significant factors of work reintegration of people with severe mental disorders. The presentation of the linked determinants of work participation and work functioning is supported with theories to explain the combination of factors affecting the work outcomes of different populations. Also, services/programmes and interventions designed to facilitate work participation of people with mental health problems or mental disorders are described. Finally, the authors suggest preventive interventions in the workplace as well as future avenues of research.

Validation of the Karasek-Job Content Questionnaire to Measure Job Strain in Vietnam:

The objective of this study was to validate the Karasek-Job Content Questionnaire in Vietnamese. A translation/back-translation of the questionnaire was performed prior to its administration to 344 health personnel in Vietnam. Several psychometric properties of the Vietnamese version of the Karasek-Job Content Questionnaire were assessed. A valid Vietnamese version of the Karasek-Job Content Questionnaire was produced, composed of five subscales based on the original theoretical model: Psychological demands, Social support at work, Decision latitude-Autonomy, Decision latitude—Authority, and Skill discretion. Internal consistency and reliability coefficients for each subscale of the questionnaire were satisfactory. The correlations with depression and work absence indicators were weak but statistically significant, as expected. The Vietnamese version of the Karasek-Job Content Questionnaire will help Vietnamese researchers and clinicians appropriately evaluate and document the job strain of workers in Vietnamese workplaces.

Common Psychosocial Factors Predicting Return to Work After Common Mental Disorders, Cardiovascular Diseases, and Cancers: A Review of Reviews Supporting a Cross-Disease Approach

Purpose This systematic review aimed at identifying the common psychosocial factors that facilitate or hinder the return to work (RTW) after a sick leave due to common mental disorders (CMDs), cardiovascular diseases (CVDs), or cancers (CAs). Methods We conducted a review of reviews searching 13 databases from 1994 to 2016 for peer-reviewed, quantitative, cohort studies investigating factors influencing RTW after a CMD, CVD, or CA. Then, for each disease we identified additional cohort studies published after the date of the latest review included. Data were extracted following a three steps best-evidence synthesis method: the extraction of results about each predictor from studies within each single review and in the additional papers; the synthesis of results across the reviews and additional papers investigating the same disease; and the synthesis of results across the diseases. Results The search strategy identified 1029 unique records from which 27 reviews and 75 additional studies underwent comprehensive review. 14 reviews and 32 additional cohort studies met eligibility criteria. Specific predictors of RTW with different levels of evidence are provided for each disease. We found four common facilitators of RTW (job control, work ability, perceived good health and high socioeconomic status), and six barriers of RTW (job strain, anxiety, depression, comorbidity, older age and low education). Conclusion This is the first review to systematically analyze commonalities in RTW after CMDs, CVDs, or CAs. The common factors identified indicate that the RTW process presents many similarities across various diseases, thus supporting the validity of a cross-disease approach.

Factors perceived by employees regarding their sick leave due to depression

Abstract Purpose: Depression is a leading factor of work disability throughout the world. However, a paucity of studies investigated factors related to the development of depression in the workplace prior to sick leave. This qualitative study aims to describe the factors related to the onset of depression at work prior to sick leave. Method: This study followed a descriptive interpretive design. Interviews were conducted with 22 individuals (15 women) who experienced depression while they were employed within an organization. The verbatim transcripts were coded using QDA-Miner software. Results: Participants (n = 22) reported that their depression was partially or completely related to their work. From the analysis of all 22 participants’ interviews transcripts, three major themes emerged: (1) work-related psychosocial risk factors (e.g. factors related to supervisors’ attitudes and behaviors), (2) the individual’s experience in employment (e.g. reactions to symptoms) and (3) the period preceding the sick leave of individuals who experienced depression (e.g. communication with the supervisor). Conclusions: These results support the importance of preventive intervention oriented toward decreasing psychosocial risks within organizations, and detecting workers at risk. Future studies should focus on factors that might influence individuals in their decision to reveal or not their difficulties to their supervisors. Implications for Rehabilitation The conditions in which employees were working before they started their leave of absence should be identified; notably (1) relationships with organizational stakeholders (e.g. immediate supervisor, colleagues) and (2) psychosocial risk factors (e.g. work overload, over-commitment). A good relationship between the immediate supervisor and the employee is an important factor to prevent sick leave due to depression. The supervisors should be informed quickly after the first appearance of depressive symptoms in employees in order to implement feasible and appropriate accommodations as soon as possible.

The predictors of absenteeism due to psychological disability: A longitudinal study in the education sector

BACKGROUND Being absent from work because of a psychological disability is costly for both individuals and organizations and frequent in employees working in the field of education. Absenteeism from work has been mostly studied as an organizational withdrawal behavior related to negative factors. OBJECTIVE The purpose of this longitudinal study is to define the predictors of absenteeism due to psychological disability by taking into account resources, such as Self-determined work motivation and Subjective well-being, as well as symptoms of Psychological distress. PARTICIPANTS The sample consisted of 261 employees from a Canadian public school organization. METHODS Independent sample t-tests were conducted to compare the mean scores of participants who were not absent from work and participants who were absent due to psychological disability. Logistic regression analyses were computed for the dependent variable to assess the contribution of the three independent variables. RESULTS Participants who were absent from work due to psychological disability in the year following the data collection scored significantly lower on resources, and higher on symptoms than those participants who were not absent. The three-predictor model was found to be significant. However, only Self-determined work motivation and Psychological distress significantly predicted absenteeism due to psychological disability. CONCLUSIONS Results are discussed in terms of psychological processes regulating the relationships between the work-related factors (i.e., work motivation) and life-related factors (i.e., psychological distress and subjective well-being) of personal adjustment and accomplishment.

Psychosocial well-being construct in people with severe mental disorders enrolled in supported employment programs.

The main purpose of this prospective study is to validate the construct of psychosocial well-being (PSWB) for people with severe mental disorders enrolled in Supported Employment (SE) programs. This paper also aims to assess the impact of job acquisition on PSWB after obtaining competitive employment. A two-phase study approach was used and 231 individuals with severe mental disorders enrolled in SE programs who took part in both phases. The shortened versions of the Psychological Well-Being Scale (Keyes et al. in J Personal Soc Psychol, 82(6):1007–1022, 2002; Ryff and Keyes in J Personal Soc Psychol 69(4):719–727, 1995) and the Social Well-Being Scale (Keyes in Soc Psychol Q 61(2):121–140, 1998) were used. The PSWB’s multidimensionality construct was confirmed. The results of repeated measure ANOVA analyses revealed that job acquisition, as well as, being involved in a work-seeking process increase the PSWB of people with severe mental disorders. Employment specialists might find clinical utility in using this validated tool for assessing PSWB in their clients with severe mental disorders. In a recovery oriented approach to psychiatric services and SE programs, clinicians and employment specialists should continue to encourage their clients in their work integration process even though they may not all obtain competitive employment quickly.

How Can Supervisors Contribute to the Return to Work of Employees Who have Experienced Depression

Background In Western countries, work disability due to depression is a widespread problem that generates enormous costs. Objective The goal of this study was to determine the types and prevalence of supervisor contributions during the different phases of the return-to-work (RTW) process (before and during the sick-leave absence, and during the RTW preparations) of employees diagnosed with depression. Moreover, we sought to determine which contributions actually facilitate employees’ RTW, and to identify the work accommodations most frequently implemented by supervisors at the actual time of their employee’s RTW. Methods Telephone interviews were conducted in Québec (Canada) with 74 supervisors working with employees who were already back at work or still on sick leave due to depression. A sub-sample of 46 supervisors who had already taken measures to facilitate their employees’ RTW was questioned about the work accommodations implemented. Results Most of the supervisors got along well with their employees before their sick leave and 72% stayed in contact with them during their leave. Nearly 90% of the supervisors encouraged their employees to focus primarily on their recovery before their RTW, but 43% pressured their employees to RTW as soon as possible. Cox regression analyses performed for the entire sample revealed that “the supervisors’ intention to take measures to facilitate their employees’ RTW” was the only significant predictor of the RTW at the time of the interview. The Kaplan–Meier survival curve showed that 50% of the employees were expected to RTW within the first 8 months of absence. Four of the most frequently implemented work accommodations were actions directly involving the supervisor (i.e. providing assistance, feedback, recognition, and emotional support to the employee). Conclusions This study shed light on the less explored point of view of the supervisor involved in the RTW process of employees post-depression. It highlighted the most frequent and effective supervisor contributions to the process. These results can be used to develop concrete action plans for training supervisors to contribute to the sustainable RTW of employees on sick leave due to depression.

Quality of work life and impact on well-being: the role of mental fatigue

psychosocial risk factors, mental fatigue, health, stress - Many studies focused on the relationship between psychosocial risk factor at work and health outcomes. The aim of the present research is to verify the direct effect of the psychosocial work environment on the well-being of workers and the mediating effect of mental fatigue between the workplace characteristics and physical and psychological symptoms. An Italian version of the Questionnaire for Psychosocial Work Environment and Stress (PWSQ) has been administered to 314 public employees. The results showed that job demands, job control, role and social environment are related to psychological symptoms. Furthermore, the mental fatigue has a total mediating effect especially between job demand and control, and subjective wellbeing.