Psychosomatic Rehabilitation Research Group at Charité University Medicine Berlin and Seehof Rehabilitation Centre, Teltow, Berlin.
Psychol Health Med. 2012;17(1):95-104. doi: 10.1080/13548506.2011.592840. Epub 2011 Jun 30.
Health problems are often associated with activity limitations and participation restrictions, as defined in the International Classification of Functioning, Disability and Health (ICF). This often affects the workplace in the form of sick leave or a reduction in productivity. The question is, "to what extent are participation restrictions at work related to participation restrictions in other domains of life?" A total of 382 primary health care patients (aged 18-65) were asked to provide information on their employment status, perceived health-related workplace problems and sick leave status. Health-dependent participation restrictions across different domains of life were assessed using the Index for Measuring Participation Restrictions (IMET) self rating questionnaire. Currently unemployed patients reported significantly higher degrees of participation restrictions across all domains of life than the employed participants. Employed patients with workplace problems scored higher than patients without workplace problems. The domain of work encompassed the highest level of impairment, while the lowest was observed in personal relationships. Workplace problems occur frequently for primary health care patients. They coincide with participation restrictions in other domains of life. For patients who complain about their capacity to work, diagnosis and treatment must not only focus on the work domain, but also enquire into and consider participation restrictions in other domains of life.
健康问题通常与活动受限和参与受限有关，这是《国际功能、残疾和健康分类》（ICF）所定义的。这通常以病假或生产力下降的形式影响工作场所。问题是，“工作中的参与受限在多大程度上与生活其他领域的参与受限有关？”共询问了 382 名初级保健患者（18-65 岁）有关其就业状况、感知与健康相关的工作场所问题和病假状况的信息。使用参与限制测量指数（IMET）自我评估问卷评估不同生活领域的健康相关参与限制。与在职参与者相比，目前失业的患者在所有生活领域的参与受限程度明显更高。有工作场所问题的在职患者的得分高于没有工作场所问题的患者。工作领域的损伤程度最高，而个人关系的损伤程度最低。工作场所问题经常发生在初级保健患者中。它们与生活其他领域的参与受限同时发生。对于那些抱怨自己工作能力的患者，诊断和治疗不仅必须关注工作领域，还必须询问和考虑生活其他领域的参与限制。
