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De sjukskrivna i rehabiliteringsprocessen: hinder och möjligheter
Stockholm University, Faculty of Social Sciences, Department of Social Work.
2005 (Swedish)Doctoral thesis, comprehensive summary (Other academic)Alternative title
The persons on sick leave in the rehabilitation process : obstacles and possibilities (English)
Abstract [en]

The background to the thesis is the high rate for sickness absence in Sweden since the end of the 1990s. In an international perspective, the Swedish sickness absence appears exceptionally high. This can appear paradoxical bearing in mind the high standard of living and the high average length of life in Sweden, and there is much to indicate that complex causal correlations are involved.

The overall aim of the thesis is to study and analyse the return to work or transition to disability pension, for persons on long-term sick leave from their own perspective. The focus of the thesis is the individual in a social context.

The theoretical frame of reference is within medical sociology and is about sickness concepts and models and on medicalisation. The concept of work capacity is also taken up based on the concepts of disability and impairment.

The empirical material consists of four studies. Two of these are qualitative interview studies with women. One of them (I) is about Greek women who have been granted Swedish disability pension. The aim of this study is to find explanations why such a large number of Greek women have become disability pensioners in Sweden. The analysis indicated some important factors: the doctors, the family and the social insurance system. The women had unclear psychosomatic complaints, which had been medicalised. The other qualitative study (IV) concerned women who after sick leave and rehabilitation succeeded in returning to work. It was seen to be strong and stubborn women who had to struggle to get back to working life. They had also been well taken care of in rehabilitation.

The other two studies (II and III) are quantitative, prospective cohort studies with persons on sick leave with unspecified back and neck complaints. One main aim of one study (III) was to investigate the importance of motivation for rehabilitation and return to work. Two specially designed forms were used. It was seen, among other things that the forecasts of the person on sick leave on return to work coincided quite well with a follow-up two years later. One important result was that those who had undergone rehabilitation measures had returned to work to a much lesser extent than those who had not.

Overall, the results showed the importance of listening to the individual and taking their own assessments of obstacles and possibilities in the rehabilitation process into consideration. The results in study III indicated that rehabilitation had not been sufficiently effective and in many cases did not lead to a return to work.

Place, publisher, year, edition, pages
Stockholm: Institutionen för socialt arbete - Socialhögskolan , 2005. , 122 p.
Series
Rapport i socialt arbete, ISSN 0281-6288 ; 113
Keyword [sv]
Rehabilitation, motivation, return to work, long-term sick leave.
Identifiers
URN: urn:nbn:se:su:diva-521ISBN: 91-7155-004-6 (print)OAI: oai:DiVA.org:su-521DiVA: diva2:194969
Public defence
2005-06-03, Aula Svea, Socialhögskolan, Sveaplan, Stockholm, 10:00
Opponent
Supervisors
Available from: 2005-05-10 Created: 2005-05-10Bibliographically approved
List of papers
1. Förtidspensioner bland grekiska kvinnor bosatta i Grekland: En kartläggning och intervjuundersökning
Open this publication in new window or tab >>Förtidspensioner bland grekiska kvinnor bosatta i Grekland: En kartläggning och intervjuundersökning
1994 In: Rapport/ Försäkringskassan Stockholms län, ISSN 1103-5986, no 11Article in journal (Refereed) Published
Identifiers
urn:nbn:se:su:diva-23852 (URN)
Note
Part of urn:nbn:se:su:diva-521Available from: 2005-05-10 Created: 2005-05-10Bibliographically approved
2. Rehabilitering ur ett individperspektiv: en enkätundersökning bland sjukskrivna i Stockholms, Kristianstads och Västernorrlands län
Open this publication in new window or tab >>Rehabilitering ur ett individperspektiv: en enkätundersökning bland sjukskrivna i Stockholms, Kristianstads och Västernorrlands län
1999 In: Rygg och nacke 4, Stockholm: Riksförsäkringsverket (RFV) , 1999Chapter in book (Other academic) Published
Place, publisher, year, edition, pages
Stockholm: Riksförsäkringsverket (RFV), 1999
Identifiers
urn:nbn:se:su:diva-23853 (URN)91-89303-07-5 (ISBN)
Note
Part of urn:nbn:se:su:diva-521Available from: 2005-05-10 Created: 2005-05-10Bibliographically approved
3. Åter till arbete - hinder och möjligheter: en studie av motivationens betydelse i rehabiliteringsprocessen för långvarigt sjukskrivna
Open this publication in new window or tab >>Åter till arbete - hinder och möjligheter: en studie av motivationens betydelse i rehabiliteringsprocessen för långvarigt sjukskrivna
2002 In: Rapport i socialt arbete 105, Stockholm: Institutionen för socialt arbete - Socialhögskolan , 2002Chapter in book (Other academic) Published
Place, publisher, year, edition, pages
Stockholm: Institutionen för socialt arbete - Socialhögskolan, 2002
Identifiers
urn:nbn:se:su:diva-23854 (URN)91-7265-492-9 (ISBN)
Note
Part of urn:nbn:se:su:diva-521Available from: 2005-05-10 Created: 2005-05-10Bibliographically approved
4. Tillbaka till arbetslivet – trots allt: En intervjustudie om åtta kvinnors väg tillbaka till arbetet efter sjukskrivning
Open this publication in new window or tab >>Tillbaka till arbetslivet – trots allt: En intervjustudie om åtta kvinnors väg tillbaka till arbetet efter sjukskrivning
2004 In: Rapport / Försäkringskassan Stockholms län, ISSN 1103-5986, no 46Article in journal (Refereed) Published
Identifiers
urn:nbn:se:su:diva-23855 (URN)
Note
Part of urn:nbn:se:su:diva-521Available from: 2005-05-10 Created: 2005-05-10Bibliographically approved

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