title: Beyond Return to Work: The Effect of Multimorbidity on Work Functioning Trajectories After Sick Leave due to Common Mental Disorders.
abstract: Objectives Patients with common mental disorders (CMDs) often suffer from comorbidities, which may limit their functioning at work. We assessed the longitudinal impact of multimorbidity, defined as two or more co-occurring chronic health conditions, on work functioning over time among workers who had returned to work after sick leave due to CMDs. Methods Prospective cohort study of 156 workers followed for 1 year after return to work from sick leave due to CMDs. A multimorbidity score was computed by counting severity-weighted chronic health conditions measured at baseline. Work functioning was measured at baseline and at 3, 6 and 12 months follow-up with the Work Role Functioning Questionnaire. Work functioning trajectories, i.e. the course of work functioning after return to work over time, were identified through latent class growth analysis. Results A total of 44 % of workers had multimorbidity. Four work functioning trajectories were identified: one (12 % of the workers) showed increasing work functioning scores during follow-up, whereas the other trajectories showed low, medium and high scores (23, 41 and 25 %, respectively) that remained stable across time points. Although multimorbidity did not predict membership in any trajectory, within the increasing score trajectory levels of work functioning were lower among those with high baseline multimorbidity score (p < 0.001). Conclusions Over time, multimorbidity negatively impacts work functioning after return to work from sick leave due to CMDs.
authors.affiliation: CISAL-Center for Research in Occupational Health, Barcelona Biomedical Research Park (PRBB), Pompeu Fabra University, C/Dr. Aiguader, 80, 08003, Barcelona, Spain. monica.ubalde@upf.edu.|CIBERESP, CIBER in Epidemiology and Public Health, Madrid, Spain. monica.ubalde@upf.edu.|IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. monica.ubalde@upf.edu.
authors.forename: Monica
authors.initials: M
authors.lastname: Ubalde-Lopez
authors.affiliation: Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.
authors.forename: I
authors.initials: I
authors.lastname: Arends
authors.affiliation: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Almansa
authors.affiliation: CISAL-Center for Research in Occupational Health, Barcelona Biomedical Research Park (PRBB), Pompeu Fabra University, C/Dr. Aiguader, 80, 08003, Barcelona, Spain.|CIBERESP, CIBER in Epidemiology and Public Health, Madrid, Spain.|IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.|Southwest Center for Occupational and Environmental Health, Division of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas Health Science Center at Houston, Houston, TX, USA.
authors.forename: G L
authors.initials: GL
authors.lastname: Delclos
authors.affiliation: CISAL-Center for Research in Occupational Health, Barcelona Biomedical Research Park (PRBB), Pompeu Fabra University, C/Dr. Aiguader, 80, 08003, Barcelona, Spain.|CIBERESP, CIBER in Epidemiology and Public Health, Madrid, Spain.|IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.|Southwest Center for Occupational and Environmental Health, Division of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas School of Public Health, San Antonio Campus, San Antonio, TX, USA.
authors.forename: D
authors.initials: D
authors.lastname: Gimeno
authors.affiliation: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
authors.forename: U
authors.initials: U
authors.lastname: Bültmann
mesh_terms: D000041:Absenteeism; D000328:Adult; D016022:Case-Control Studies; D002908:Chronic Disease; D004651:Employment / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000534:rehabilitation; D008875:Middle Aged; D000076322:Multimorbidity; D009426:Netherlands; D009786:Occupational Health Services; D011446:Prospective Studies; D062707:Return to Work / Q000523:psychology* / Q000706:statistics & numerical data*; D057566:Self Report; D012720:Severity of Illness Index; D018582:Sick Leave
keywords: Chronic health conditions; Job performance; Mental health; Sickness absence; Work capacity