Self-efficacy beliefs predict sustained long-term sick absenteeism in individuals with chronic musculoskeletal pain
2007 (English)In: Pain Practice, ISSN 1530-7085, E-ISSN 1533-2500, Vol. 7, no 3, 234-240 p.Article in journal (Refereed) Published
Recovery beliefs are assumed to predict rehabilitation outcomes and return-to-work in various clinical conditions but are less frequently assessed in musculoskeletal disorders. We tested the hypothesis that recovery beliefs constitute a risk factor for sustained long-term sick absenteeism in men and women suffering from nonspecific chronic musculoskeletal disorders. A total of 233 subjects with a recent or ongoing experience of long-term sick leave were included in a prospective design. Subjects answered a postal baseline questionnaire and were followed up via register data for 1 year. Multivariate logistic regression analyses indicated that subjects with negative recovery beliefs (OR: 2.41; CI: 1.22–4.77), low sense of mastery (OR: 2.08; CI: 1.27–3.40), perceived high mental demands at work (OR: 1.77; CI: 1.05–2.99), and prior experiences of long-term sick absenteeism (OR: 1.86; CI: 1.02–3.37) had an increased probability of receiving sickness benefits at follow-up. We conclude that prolonged sickness absence contributes strongly to increase patients' sense of helplessness, lower self-efficacy, and hinder future work return. To improve work return, patients' maladaptive beliefs should be clarified and challenged early in the rehabilitation process.
Place, publisher, year, edition, pages
2007. Vol. 7, no 3, 234-240 p.
musculoskeletal disorders recovery beliefs return-to-work self-efficacy sickness absence
IdentifiersURN: urn:nbn:se:su:diva-24386DOI: 10.1111/j.1533-2500.2007.00134.xOAI: oai:DiVA.org:su-24386DiVA: diva2:197425
Part of urn:nbn:se:su:diva-69922007-08-132007-08-132010-07-12Bibliographically approved