From the National Research Centre for the Working Environment (Dr Clausen and Mr Borg), Copenhagen, Denmark; and Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany (Dr Burr).
J Occup Environ Med. 2014 Feb;56(2):129-35. doi: 10.1097/JOM.0000000000000078.
To investigate whether experience of low meaning at work (MAW) and low affective organizational commitment (AOC) predicts long-term sickness absence (LTSA) for more than 3 consecutive weeks and whether this association is dependent on the occupational group.
Survey data pooling 61,302 observations were fitted to the DREAM register containing information on payments of sickness absence compensation. Using multiadjusted Cox regression, observations were followed for an 18-month follow-up period to assess the risk for LTSA.
Low levels of MAW and AOC significantly increased the risk for LTSA during follow-up. Subgroup analyses showed that associations were statistically significant for employees working with clients and office workers but not for employees working with customers and manual workers. Further analyses showed that associations between MAW and LTSA varied significantly across the four occupational groups.
Meaning at work and affective organizational commitment significantly predict LTSA. Promoting MAW and AOC may contribute toward reducing LTSA in contemporary workplaces.
探讨工作意义低体验（MAW）和情感组织承诺低（AOC）是否预示着连续超过 3 周的长期病假（LTSA），以及这种关联是否取决于职业群体。
对 DREAM 登记处的调查数据进行汇总，该登记处包含了病假补偿支付的信息。使用多调整的 Cox 回归，对观察结果进行了为期 18 个月的随访，以评估 LTSA 的风险。
MAW 和 AOC 水平低显著增加了随访期间 LTSA 的风险。亚组分析表明，对于与客户打交道的员工和办公室工作人员，这些关联具有统计学意义，但对于与客户打交道的员工和体力劳动者则没有。进一步的分析表明，MAW 和 LTSA 之间的关联在四个职业群体中差异显著。
工作意义和情感组织承诺显著预测 LTSA。提高 MAW 和 AOC 可能有助于减少当代工作场所的 LTSA。
