Reducing work related psychological ill health and sickness absence: a systematic literature review
Open accessAbstract
A literature review revealed the following: key work factors associated with psychological ill health and sickness absence in staff were long hours worked, work overload and pressure, and the effects of these on personal lives; lack of control over work; lack of participation in decision making; poor social support; and unclear management and work role. There was some evidence that sickness absence was associated with poor management style. Successful interventions that improved psychological health and levels of sickness absence used training and organisational approaches to increase participation in decision making and problem solving, increase support and feedback, and improve communication. It is concluded that many of the work related variables associated with high levels of psychological ill health are potentially amenable to change. This is shown in intervention studies that have successfully improved psychological health and reduced sickness absence.
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Group support is known to reduce work-based stress.
“For example, group support is known to reduce work-based stress (Michie and Williams 2003)”
From Teaching Mindfulness to Teachers: a Systematic Review and Narrative Synthesis (2017) · cites this paper as Michie and Williams 2003
Some studies of training and organisational approaches to increase participation, decision-making, and work support and communication have reduced sickness absence.
“some studies of training and organisational approaches to increase participation, decision-making, and work support and communication have reduced sickness absence.13”
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- Authors
- Michie, S., & Williams, S.
- Affiliations
- University College London (GB)
- Royal Free London NHS Foundation Trust (GB)
- Corresponding author
- Michie, S
- ORCID
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2003-01
- Volume
- 60
- Issue
- 1
- Pages
- 3-9
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- PMC
- PMC1740370
- OpenAlex
- W2057376467
- Cited by
- 816
- References
- 54
- Citations by year
- 2026: 6 · 2025: 19 · 2024: 13 · 2023: 23 · 2022: 42 · 2021: 34 · 2020: 41 · 2019: 38 · 2018: 49 · 2017: 42 · 2016: 53 · 2015: 45 · 2014: 59 · 2013: 52 · 2012: 45
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Occupational and Environmental Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Royal Free London NHS Foundation Trust
- University College London
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- sick leave, long working hours, work overload, occupational stress, employee participation in decision-making, social support at work, management style, organizational interventions, training program, workplace communication, occupational health
- MeSH terms
- Burnout, Professional, Depressive Disorder, Health Personnel, Humans, Occupational Diseases, Work Schedule Tolerance, Occupational Exposure, Sick Leave
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