caa a22 4500 606211136 CHVBK 20210128101036.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10926-015-9587-0 doi (NATIONALLICENCE)springer-10.1007/s10926-015-9587-0 Effect of Psychosocial Work Environment on Sickness Absence Among Patients Treated for Ischemic Heart Disease [Elektronische Daten] [Karin Biering, Thomas Lund, Johan Andersen, Niels Hjollund] Introduction During the last decades mortality has declined in patients with coronary heart disease due to improvements in treatments and changes in life style, resulting in more people living with chronic heart disease. This implies that focus on rehabilitation and re-integration to the work-force becomes increasingly important. Previous studies among healthy workers suggest that the psychosocial working environment is associated with sickness absence. Whether the psychosocial working environment plays a role for patients with existing cardiovascular disease on return to work and sickness absence is less studied. Methods A cohort of patients under 67years and treated with percutaneous coronary intervention (PCI) was established in 2006. Three months after the procedure the patients (n=625) answered a questionnaire about their psychosocial working environment. Patients were followed in registers for the following year. We examined the association between psychosocial working environment and sickness absence at 3months, 1year and new sick-listings during the first year with logistic regression. Results A total of 528 patients had returned to work 3months after the PCI, while 97 was still sick-listed. After 1year one was dead, 465 were working and 85 were receiving health related benefits, while 74 had left the workforce permanently. A number of 106 patients were sick-listed during the whole first year or had left the workforce permanently. After the initial return to work, 90 experienced a new sickness absence during the first year while the remaining 429 did not. High work pace, low commitment to the workplace, low recognition (rewards) and low job control were associated with sickness absence at 3months, but not after 1year. Low job control as well as job strain (combination of high demands and low control) was associated with new sick-listings. Conclusion The psychosocial working environment was associated with sickness absence 3months after the PCI, but not 1year after. Springer Science+Business Media New York, 2015 Rehabilitation nationallicence Coronary heart disease nationallicence Psychosocial working environment nationallicence Return to work nationallicence Sickness absence nationallicence Biering Karin Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark aut Lund Thomas Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark aut Andersen Johan Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark aut Hjollund Niels Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/4(2015-12-01), 776-782 1053-0487 25:4<776 2015 25 10926 https://doi.org/10.1007/s10926-015-9587-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-015-9587-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Biering Karin Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark aut NATIONALLICENCE 700 1- Lund Thomas Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark aut NATIONALLICENCE 700 1- Andersen Johan Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark aut NATIONALLICENCE 700 1- Hjollund Niels Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/4(2015-12-01), 776-782 1053-0487 25:4<776 2015 25 10926