Department of Caring Sciences, University of Gävle, Kungsbäcksvägen 47, 801 76, Gävle, Sweden.
Department of Occupational Health and Psychology, University of Gävle, Kungsbäcksvägen 47, 801 76, Gävle, Sweden.
J Occup Rehabil. 2021 Sep;31(3):604-612. doi: 10.1007/s10926-020-09946-3. Epub 2021 Jan 25.
Long-term sick leave due to common mental disorders (CMDs) is an increasing problem, especially among women. To help these women return to work (RTW) sustainably, we need to know more about their own beliefs about RTW. One applicable theory is the theory of planned behaviour (TPB). Thus, the present study aimed to describe, based on the TPB, women's beliefs about RTW during or after long-term sick leave for a CMD.
A qualitative approach was used. Twenty women were included during a long-term sick leave period due to a CMD. A deductive content analysis was conducted using predetermined factors from the TPB: behavioural beliefs (advantages-disadvantages of RTW), normative beliefs (supporters and non-supporters of RTW), and control beliefs (facilitators of-barriers to RTW).
The women believed that RTW would give them meaning and balance in life, but also that it would be challenging to maintain balance after RTW. They believed they had several supporters of RTW, but that the support was sometimes perceived as stressful rather than encouraging. Furthermore, individual adaptation and high demands were the most mentioned facilitator and barrier, respectively. Workplace conditions and personal strategies were thought to be important aspects.
By using the TPB, the present study was able to offer new findings on women's beliefs about RTW after long-term sick leave for a CMD. Based on the findings, we suggest that various RTW stakeholders should focus on striving to provide the tasks and work pace women need so they can maintain their professional competence and sense of meaning.
由于常见精神障碍(CMDs)导致的长期病假是一个日益严重的问题,尤其是在女性中。为了帮助这些女性可持续地重返工作岗位(RTW),我们需要更多地了解她们自己对 RTW 的信念。一个适用的理论是计划行为理论(TPB)。因此,本研究旨在根据 TPB 描述女性在 CMD 长期病假期间或之后对 RTW 的信念。
采用定性方法。在因 CMD 而长期病假期间,纳入了 20 名女性。使用 TPB 中的预定因素进行了演绎内容分析:行为信念(RTW 的优缺点)、规范信念(支持和不支持 RTW 的人)和控制信念(促进 RTW 的因素-RTW 的障碍)。
女性认为 RTW 将为她们的生活带来意义和平衡,但也认为 RTW 后保持平衡将具有挑战性。她们认为自己有几个支持 RTW 的人,但有时会感到支持是有压力的,而不是鼓励的。此外,个体适应和高要求分别是最常提到的促进因素和障碍。工作场所条件和个人策略被认为是重要的方面。
通过使用 TPB,本研究能够提供有关女性在 CMD 长期病假后对 RTW 的信念的新发现。基于这些发现,我们建议各种 RTW 利益相关者应专注于努力提供女性所需的任务和工作节奏,以便她们能够保持专业能力和意义感。