Predictors of self-efficacy in women on long-term sick leave
Abstract
Self-efficacy has been shown to be related to sick leave and to be a predictor of return to work after sickness absence. The aim of this study was to investigate whether factors related to sick leave predict self-efficacy in women on long-term sick leave because of pain and/or mental illness. This cross-sectional study uses baseline data from 337 Swedish women with pain and/or mental illness. All included women took part in vocational rehabilitation. Data were collected through a sick leave register and a baseline questionnaire. General self-efficacy, sociodemographics, self-rated health, anxiety, depression, view of the future, and social support were measured and analyzed by univariate and multivariate linear regression analyses. The full multivariate linear regression model, which included mental health factors together with all measured factors, showed that anxiety and depression were the only predictive factors of lower self-efficacy (adjusted R2=0.46, P<0.001) and explained 46% of the variance in self-efficacy. The mean scores of general self-efficacy were low, especially in women born abroad, those with low motivation, those with uncertainties about returning to work, and women reporting distrust. Anxiety and depression are important factors to consider when targeting self-efficacy in vocational rehabilitation.
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The study sample had lower self-efficacy (mean 2.3) compared to the general population (mean 2.9).
“In previous analysis using partly the same data set [20], we concluded that participants had lower self-efficacy (mean 2.3) compared to the general population (mean 2.9) [26, 27].”
From Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial. (2018) · cites this paper as [20]
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Lytsy, P., Carlsson, L., & Anderzén, I. (2017) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-2188 · Cited by 31 · see citing works
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Self-citationNakaso, Y., Inoue, S., Makita, K., Arai, Y.-C. P., Shimo, K., Inoue, M., Wakabayashi, T., 宮川, 博., Iwamoto, K., Niwa, K., et al. (2025) · Pain Practice · doi:10.1111/papr.70102
- Authors
- Andersén, Å., Larsson, K., Lytsy, P., Kristiansson, P., & Anderzén, I.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Andersén, Åsa
- Venue
- International Journal of Rehabilitation Research
- Published
- 2015-12
- Volume
- 38
- Issue
- 4
- Pages
- 320-326
- ISSN
- 0342-5282 (ISSN-L)
- OpenAlex
- W2474287772
- Cited by
- 8
- References
- 20
- Citations by year
- 2025: 1 · 2021: 1 · 2019: 1 · 2018: 2 · 2017: 3
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Rehabilitation Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Socialdepartementet
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- self-efficacy, long-term sick leave, women, pain, mental illness, anxiety, depression, vocational rehabilitation, return to work, social support, self-rated health, motivation, distrust
- MeSH terms
- Adult, Mental Disorders, Cross-Sectional Studies, Female, Humans, Middle Aged, Motivation, Surveys and Questionnaires, Rehabilitation, Vocational, Social Support, Sweden, Sick Leave, Self Efficacy, Young Adult, Chronic Pain, Return to Work
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