Lifestyle factors, resources and barriers for return-to-work after time-limited pension for reduced earning capacity

Abstract

Background: Return-to-work (RTW) rates are low in people who draw a time-limited pension for reduced earning capacity (PREC) due to health issues. Studies point out that RTW intentions do not automatically result in problem-solving behavior, especially in subjects with mental disorders. This study aimed at identifying RTW-related expectations and barriers in people with physical and/or psychological challenges. Methods: Structured, computer-assisted telephone interviews were conducted with 452 individuals receiving a PREC for on average 42 months, including questions on symptoms, social-cognitive resources, barriers, lifestyle factors and RTW-aims. Results: Participants with predominantly psychological complaints (PSY) did not differ from participants with mostly physical illnesses (PHY) regarding their plans for RTW or social support. However, PSY were younger at PREC onset, less likely to have participated in medical rehabilitation, and reported lower work-related self-efficacy and poorer self-regulation (all p Ë‚.01). Both groups exhibited high lifestyle risks like physical inactivity and a high body mass index. Discussion: Our results suggest that mental (co)morbidity is associated with fewer work-related psychological resources and different RTW expectations. These factors should be considered in RTW interventions.