Work - Volume 43, issue 2

Article Type: Other

DOI: 10.3233/WOR-2012-1466

Citation: Work, vol. 43, no. 2, pp. 113-114, 2012

Authors: Johnston, Taryn | Kristman, Vicki | Brison, Rob

Article Type: Research Article

Abstract: Objective: To determine the proportion of MVC injuries occurring while working, and to compare the age, sex, injury, and season the collision occurred between those involved in work and non-work related MVCs. Methods: The Kingston and Region Injury Surveillance Program (KRISP), a subset of the Canadian Hospitals Injury Reporting and Prevention Program, was used to identify MVCs occurring between January 1, 2000 and December 31, 2007. Variables analyzed included the characteristics of the injured …patient, the type of injury, and factors associated with the collision. Descriptive statistics were computed and a non-parametric test for trend was calculated. Results: Work-related MVC injuries accounted for 4.6% of all MVC injuries reported in the KRISP database. Work-related MVCs occurred with greater frequency in winter months and injured more males than females compared to non-work related MVCs. Pattern of injury differed among males and patient disposition differed among both males and females. Conclusions: There are important differences in terms of patient demographics and factors associated with the collision between those injured in work and non-work related MVCs. Show more

Keywords: Traffic injury, occupational injury, automobile accident, transport incident, work-related injury

DOI: 10.3233/WOR-2012-1388

Citation: Work, vol. 43, no. 2, pp. 115-121, 2012

Authors: Blom, Victoria

Article Type: Research Article

Abstract: Objective: A high work involvement is considered central in the burnout process. Yet, research investigating how high work involvement and psychosocial stressors relate to burnout is scarce. High involvement in terms of performance-based self-esteem (PBSE) refers to individuals' strivings to validate self-worth by achievements, a disposition linked to poor health. The aim of the present study was to examine longitudinally PBSE in relation to burnout while also taking into account work- and private life stressors. …Participants: The sample consisted of 2121 working women and men. Methods: Main- and mediation effects were investigated using hierarchical regression analysis. Results: The results showed performance-based self-esteem mediated partially between the stressors and burnout. Performance-based self-esteem was the strongest predictor of burnout over time, followed by private life stressors. Women experienced more work stress than did men. Men had stronger associations between work stressors and burnout, while women had stronger associations between performance-based self-esteem and burnout. Conclusions: Individual characteristics along with both private life and work stressors are important predictors of burnout. Factors associated with burnout differ somewhat between women and men. Show more

Keywords: Gender, mediation, performance-based self-esteem

DOI: 10.3233/WOR-2012-1366

Citation: Work, vol. 43, no. 2, pp. 123-131, 2012

Authors: McCanlies, Erin C. | Slaven, James E. | Smith, Lindsay M. | Andrew, Michael E. | Charles, Luenda E. | Burchfiel, Cecil M. | Violanti, John M.

Article Type: Research Article

Abstract: Objectives: To examine associations for sleep quality and quantity with metabolic syndrome (MS) and its five components in police officers. Patients or Participants: The study population consisted of 98 randomly selected officers (39 women and 59 men) for whom MS and sleep data were available. Methods: Sleep duration (categorized as short < 6 hours, long ⩾ 6 hours) for the past week and quality of sleep were collected by interviewer-administered questionnaires. MS was assessed using standard …criteria. Generalized linear models were used to assess associations between sleep duration or sleep quality and MS, and the mean number of MS components. Results: Metabolic syndrome was present in 22.0% and 2.6% of the male and female officers, respectively. Women with short sleep had a significantly higher mean number of MS components (mean=1.43) than those with longer sleep (mean=0.81, p=0.0316). Officers who stopped breathing during the night had more MS components (mean=2.43) compared to those who did not (mean =1.13, p=0.0206). Conclusions: Sleep duration and quality were associated with the mean number of MS components, particularly in women. Future research should examine these associations prospectively, in a larger cohort, exploring possible gender differences. Show more

Keywords: Short sleep, occupation, sleep quality

DOI: 10.3233/WOR-2012-1399

Citation: Work, vol. 43, no. 2, pp. 133-139, 2012

Authors: Krieger, Beate | Kinébanian, Astrid | Prodinger, Birgit | Heigl, Franziska

Article Type: Research Article

Abstract: Objective: Research has shown that comparatively few adults with Asperger Syndrome (AS) participate in the competitive work force. The purpose of this study was to gain in-depth knowledge about contextual factors, which contribute to successful labor market participation in some adults with AS. Participants: This study was conducted by indepth-interviewing six adults with AS working in the competitive job market in Switzerland. Methods: A developmental and hermeneutic narrative approach was used for data collection and analysis. Two …in-depth narrative interviews were conducted with each participant. A narrative analysis according to the theories of Paul Ricoeur was performed. Results: Results showed that participants received pre-vocational requisites during their childhood through parents and friends that provided a feeling of security in social contexts. For participants, a supportive school setting resulted in academic achievements. The narratives reveal participants' capacities for understanding and adapting to social norms. Participants' understanding of their own needs was essential to the successful labor market participation. However, disclosure is rare and social stigma is still present. Conclusions: This study showed that successful labor participation of adults with AS can be enhanced through adequate social support already in the early stages of an individual's lifetime. Show more

Keywords: Pervasive developmental disorder, competitive work, biographic narrative, pre-vocational requisites, occupational therapy

DOI: 10.3233/WOR-2012-1392

Citation: Work, vol. 43, no. 2, pp. 141-157, 2012

Authors: Bathe, Anja | Diepgen, Thomas L. | Matterne, Uwe

Article Type: Research Article

Abstract: Objective: Occupational skin disease (OSD) is the most frequent work-related disease in most industrialised countries and poses a high social, economic and personal burden. However, to date no study has examined the illness perceptions of individuals with refractory OSD. Participants and Methods: Semi-structured guided interviews with 50 patients with OSD were conducted. Data was subjected to qualitative content analysis. Results: Most patients were not able to see the prodromal symptom-character of dry …skin or the involvement of psychological factors in the formation and maintenance of eczema. Patients rejected a personal accountability for the condition. Before being willing to act upon skin protection measures, external agencies (employer, insurance organisations) have to overcome a variety of perceived barriers. Previous negative experiences with skin protection often lead to the conclusion that these measures, in general, are not efficacious. Conclusions: In order to accommodate the needs of patients with OSD, health care providers need to be aware of what these patients' illness cognitions consist of, and how they interact with current preventive efforts. Many details of the patient's perspective are often overlooked, but need to be considered. Failure to do so may mean that well-meant interventions will not reach the addressed audience successfully. Show more

Keywords: Subjective illness perceptions, tertiary prevention, rehabilitation, interviews, content analysis

DOI: 10.3233/WOR-2012-1365

Citation: Work, vol. 43, no. 2, pp. 159-169, 2012

Authors: Soeker, Mogammad Shaheed | Van Rensburg, Viki | Travill, Andre

Article Type: Research Article

Abstract: Objective: To describe the perceptions and experiences of individuals with brain injury with regard to return to work rehabilitation programmes. Participants: Nine males and one female who were diagnosed with a moderate to mild brain injury participated in the study. Methods: In-depth interviews were conducted and data were analyzed using a qualitative approach to explicate patterns and themes. Results: Two themes emerged that reflected the lived experiences of individuals with brain injury regarding intervention …programmes that influenced their ability to return to work after the brain injury: 1) Enablers of return to work programmes, 2) Barriers related to return to work programmes. Conclusions: Occupational therapy practitioners as well as rehabilitation personnel should identify and eliminate the barriers that impact on return to work intervention programmes, incorporate the enablers identified in this study when designing return to work programmes. Show more

Keywords: Vocational rehabilitation, traumatic brain injury, qualitative research, enablers and barriers

DOI: 10.3233/WOR-2012-1413

Citation: Work, vol. 43, no. 2, pp. 171-182, 2012

Authors: Lindfors, Sara | Boman, John | Alexanderson, Kristina

Article Type: Research Article

Abstract: Objective: Research is limited regarding occupational stress and coping strategies among academic physicians; professionals whose work situation includes the three areas of clinical practice, research, and teaching. The aim was to gain knowledge of stress-coping strategies used by academic physicians. Participants: Seventeen academic physicians employed at the University Hospital, Linköping, Sweden. Methods: Qualitative analyses were conducted of data from five focus-group interviews. Results: We identified eight different categories of coping …strategies, e.g. self-awareness, time management, to cut corners, and to be in control. We also attempted to fit the dimensions of coping strategies into the models proposed by Folkman and Lazarus and Beehr and McGrath, respectively. The strategies were predominantly used to prevent stress from occurring, to manage anticipated stress, or to handle stress when occurring. Furthermore, the majority of the strategies identified could be placed in the problem-focused category, which we divided in a behavioural and a cognitive sub-category and in a new cognitive problem-focused and emotion-focused category. Conclusion: The study contributes to a wider understanding of the stress coping strategies academic physicians use. Further studies are needed to determine the consequences of these findings in order to enable the design of measures to reduce and prevent stress among academic physicians. Show more

Keywords: Occupational stress, coping strategies, psychosocial work environment, physician

DOI: 10.3233/WOR-2012-1364

Citation: Work, vol. 43, no. 2, pp. 183-193, 2012

Authors: Colantonio, A. | Comper, P.

Article Type: Research Article

Abstract: Objectives: To examine the nature and extent of persistent post-injury symptoms of persons who have experienced a work-related traumatic brain injury (WrTBI) in Ontario, Canada. Methods: Using a retrospective case series design, post-injury symptoms, occupation, and work factors were examined for WrTBIs among an adult population. Data were abstracted from medical records of individuals who sustained a WrTBI and were discharged from a referral-based outpatient neurology service between the years of 1998 and 2001. …Results: Of the 435 individuals who sustained a WrTBI, most were ⩾ 45 years of age and male. Approximately 50% had injuries to the head only, while others had multiple injuries. The most common post-injury symptoms were headaches (85.1%), memory changes (74.3%), and mood/personality changes (68.3%). A small subset of individuals reported very long-term post-injury symptoms, and a majority of individuals had not yet returned to work. Conclusions: This study profiles the demographic and clinical characteristics of an outpatient injured worker population with a history of WrTBI which provides a basis for the planning and implementation of assessment and treatment programs for this clinical population. Show more

Keywords: Work, post-concussion syndrome, return to work, rehabilitation

DOI: 10.3233/WOR-2012-1377

Citation: Work, vol. 43, no. 2, pp. 195-201, 2012

Authors: Abma, Femke I. | Amick III, Benjamin C. | Brouwer, Sandra | van der Klink, Jac J.L. | Bültmann, Ute

Article Type: Research Article

Abstract: Objective: The study objectives were to perform a cross-cultural adaptation of the Work Role Functioning Questionnaire, a health-related work outcome measure, into Dutch and to assess the questionnaire's reliability and validity in the Dutch context (WRFQ-DV). Participants: 40 workers with a health problem (duration > one month). Methods: The WRFQ translation and adaptation were conducted using a systematic approach with the following steps: forward translation, synthesis, back-translation, consolidation of translations with expert …committee, and pre-testing. To evaluate the comprehensibility, usability, applicability and completeness of the translated questionnaire, a total of 40 interviews with workers with a health problem were performed. Results: The questionnaire translation was conducted without major difficulties. During the process, questionnaire instructions were modified and 5 items reformulated based on the participants' responses. Participants were positive on the comprehensibility, usability, applicability and completeness of the questionnaire, and also made suggestions for the further development of the WRFQ-DV. Furthermore, the study shows promising results concerning the psychometric properties of the WRFQ-DV (e.g. Cronbach's alphas for the subscales between 0.70 and 0.91, and good content validity). Conclusions: The results indicate that the cross-cultural adaptation of the WRFQ-DV was successful and that the psychometric properties of the translated version are promising. Show more

Keywords: Psychometrics, validation, work outcome measure, health condition

DOI: 10.3233/WOR-2012-1362

Citation: Work, vol. 43, no. 2, pp. 203-210, 2012