Women's experiences of long term sickness absence: implications for rehabilitation practice and theory.
BACKGROUND
In most European countries, spells of long-term absence contribute the largest number of days that are reimbursed as a result of sickness absence. This group is growing and it is constituted mainly of women.


OBJECTIVE
The present study seeks further knowledge about what happens then and there, i.e. how women on long-term sickness absence handle and explain, for themselves and others, this interruption in their daily life.


METHODS
Semi-structured interviews were performed with 82 middle-aged women with personal experience of long-term sickness absence.


RESULTS
The women's accounts of sickness absence contained interpretations of what had happened to them, how things were at present, and what they thought the future would bring. Three different accounts could be distinguished: crisis, breakpoint, and migration. The perception of their own situation and especially what they thought about their future was associated with their feeling of power to take the initiative, and their well-being.


CONCLUSIONS
From this study the authors have found implications for central topics of importance: time elapse, sense of coherence, reorientation/adaptation, vital goals, and gender.
Department of Social Medicine and Public Health Science, Linköping University, Sweden.SE-581 85 maroc@ihm.liu.se
Marlene K
MK
Ockander
Toomas
T
Timpka
D000041:Absenteeism; D000223:Adaptation, Psychological; D000328:Adult; D015928:Cognitive Behavioral Therapy; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008016:Life Change Events; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000523:psychology / Q000534:rehabilitation*; D012050:Rehabilitation, Vocational; D018582:Sick Leave; D012803:Sick Role; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013548:Sweden; D014931:Women, Working / Q000523:psychology*