title: [Work related psychosocial factors and the risk of early disability pensioning: a contribution to assessing the need for rehabilitation].
abstract: BACKGROUND
  Predicting the risk of disability in injured or sick workers is important to adequately assess the need for prevention and rehabilitation. Work-related factors could modify the risk of disability in a sustainable manner, and assessment of these factors might contribute to better risk prediction.
  
  
  OBJECTIVE
  Using the example of psychosocial work factors, empirical studies examining the question whether those exposures predict forthcoming events of disability retirement were to be identified. The review was expected to help quantify disability risks related to specific psychosocial factors at work.
  
  
  METHODS
  A systematic review was conducted. 20 studies were found which studied associations between disability retirement and different aspects of the psychosocial work environment in a longitudinal design.
  
  
  RESULTS
  Most studies found elevated disability risks in persons exposed to psychosocial factors at work. Important single factors were low control, monotonous work, work stress (job strain, effort-reward imbalance), a lack of social support, problems related to the organization of work and to leadership behaviours.
  
  
  CONCLUSIONS
  There is evidence that psychosocial work factors influence the short- and long-term risk of disability pensioning.
authors.affiliation: Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Universität Essen-Duisburg, Hufelandstraße 55, 45122 Essen. nico.dragano@uk-essen.de
authors.forename: N
authors.initials: N
authors.lastname: Dragano
authors.forename: L
authors.initials: L
authors.lastname: Schneider
mesh_terms: D004185:Disability Evaluation; D005858:Germany / Q000453:epidemiology; D006301:Health Services Needs and Demand; D006801:Humans; D007342:Insurance Benefits / Q000706:statistics & numerical data*; D009313:National Health Programs / Q000706:statistics & numerical data*; D016272:Occupational Health; D011584:Psychology; D018570:Risk Assessment