Predictive value of work-related self-efficacy change on RTW for employees with common mental disorders
Open accessAbstract
To improve interventions that aim to promote return to work (RTW) of workers with common mental disorders (CMD), insight into modifiable predictors of RTW is needed. This study tested the predictive value of self-efficacy change for RTW in addition to preintervention levels of self-efficacy. RTW self-efficacy was measured 5 times within 9 months among 168 clients of a mental healthcare organisation who were on sick leave due to CMD. Self-efficacy parameters were modelled with multilevel analyses and added as predictors into a Cox regression analysis. Results showed that both high baseline self-efficacy and self-efficacy increase until full RTW were predictive of a shorter duration until full RTW. Both self-efficacy parameters remained significant predictors of RTW when controlled for several relevant covariates and within subgroups of employees with either high or low preintervention self-efficacy levels. This is the first study that demonstrated the prognostic value of self-efficacy change, over and above the influence of psychological symptoms, for RTW among employees with CMD. By showing that RTW self-efficacy increase predicted a shorter duration until full RTW, this study points to the relevance of enhancing RTW self-efficacy in occupational or mental health interventions for employees with CMD. Efforts to improve self-efficacy appear valuable both for people with relatively low and high baseline self-efficacy.
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Higher self-efficacy at baseline is associated with shorter duration to RTW, and an increase in self-efficacy during occupational rehabilitation predicts shorter time to RTW.
“An earlier study by Lagerveld et al. [31] on women on long-term sick leave showed that a higher self-efficacy at baseline was associated with a shorter duration to RTW, and that an increase in self-efficacy during an occupational rehabilitation intervention was a predictor for a shorter time to RTW [31].”
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 [31]
The 'Predictive value of self-efficacy change on RTW' results report that higher baseline self-efficacy and greater increases both predicted faster full return to work. But the Methods (page not specified) describe employees on sick leave due to common mental disorders receiving cognitive-behavioural therapy; only 60% were women, and the copy does not establish that all were on long-term sick leave or in an occupational rehabilitation intervention. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThe participants in the present study had been on sick leave for an extremely long time (mean 7.8 years) and may not be fully comparable to other studies.
“In comparison to the above presented studies whose participants had been on sick leave for a maximum of 1 year [31, 32, 38, 39], the participants in the present study had been on sick leave for an extremely long time (a mean time of 7.8 years) and may therefore not be fully comparable to other studies.”
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 [31]
The citation is attached to the comparison studies’ sick-leave duration, not to the present study’s mean of 7.8 years. The Methods Procedure section says participants were on sick leave and were followed for nine months, but it does not state how long they had been on sick leave before enrollment or establish a one-year maximum (searched for baseline sick-leave duration and a one-year limit). (LLM, conf=0.72)
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- Authors
- Lagerveld, S. E., Brenninkmeijer, V., Blonk, R. W. B., Twisk, J., & Schaufeli, W. B.
- Affiliations
- Utrecht University (NL)
- Netherlands Organisation for Applied Scientific Research (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Lagerveld, Suzanne E
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2016-12-22
- Volume
- 74
- Issue
- 5
- Pages
- 381-383
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- OpenAlex
- W2563950394
- Cited by
- 48
- References
- 10
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 7 · 2023: 8 · 2022: 7 · 2021: 8 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 4
- FWCI
- 6.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Occupational and Environmental Medicine (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- TNO Repository (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion)
- Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Funders
- Ministerie van Volksgezondheid, Welzijn en Sport
- 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
- return to work, common mental disorders, work-related self-efficacy, self-efficacy change, sick leave, prognostic factors
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Male, Mental Health Services, Middle Aged, Prognosis, Surveys and Questionnaires, Cognitive Behavioral Therapy, Sick Leave, Self Efficacy, Multilevel Analysis, Return to Work
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