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Original Article

Work Ability Impairment and Facets of Workplace Perception Are Predictive of Sick Leave Duration in Persons With Work Anxiety

Published Online:March 19, 2018https://doi.org/10.1026/0932-4089/a000271

Abstract

Abstract. Individuals with work anxiety are at risk for long-term sick leave and create high costs for society, companies, and their own work biography. Understanding psychological return-to-work predictors is important for early reintegration of these persons into the work context. This longitudinal study for the first time investigates the predictive value of workplace perception and objective work ability impairment for future sick leave duration in persons with work anxiety. The investigation was carried out with 103 individuals with work anxieties. They were of working age and confronted with a return-to-work situation after somatic illness. Work ability impairment was assessed in a structured interview by a state-licensed sociomedical specialist using the established Mini-ICF-APP Scale. Participants completed a questionnaire on their workplace perception (KFZA). The degree of work ability impairment (Mini-ICF-APP) was predictive of longer sick leave as well as workplace perception (KFZA dimensions scope of action, social support, need for cooperation). Training and return-to-work support in persons with work anxiety should focus on both work ability impairment and on workplace perception.


Arbeitsfähigkeitsbeeinträchtigung und Aspekte der Arbeitsplatzwahrnehmung sind Prädiktoren für die Arbeitsunfähigkeitsdauer bei Menschen mit Arbeitsängsten

Zusammenfassung. Menschen mit Arbeitsängsten haben ein ausgeprägtes Risiko für Langzeitarbeitsunfähigkeit und damit verbunden hohen Kosten für ihre Berufsbiographie und für Unternehmen. Diese Längsschnittstudie untersucht bei 103 Menschen mit Arbeitsängsten subjektive Arbeitsplatzwahrnehmung (KFZA) und objektive Arbeitsfähigkeitsbeeinträchtigung (sozialmedizinische Beobachterratings mittels Mini-ICF-APP) im Hinblick auf ihre prädiktive Wertigkeit für die Dauer der nachfolgenden Arbeitsunfähigkeit. Stärkere Arbeitsfähigkeitsbeeinträchtigung (Mini-ICF-APP) war vorhersagewertig für längere Arbeitsunfähigkeitsdauer innerhalb der nächsten sechs Monate. Darüber hinaus zeigte sich Arbeitswahrnehmung (KFZA) zusätzlich varianzaufklärend für die Arbeitsunfähigkeitsdauer. Training und Wiedereingliederungsbemühungen sollten sich bei Menschen mit Arbeitsängsten auf die Arbeitsfähigkeit konzentrieren, sowie die subjektive Wahrnehmung (v. a. Handlungsspielraum, sozialer Rückhalt, Kooperationsnotwendigkeit) der Arbeit mitberücksichtigen.

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