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Behavioral Health and Occupational Medicine: Concepts

Chapter

Abstract

The extensive role and impact of behavioral health factors are still poorly recognized and accepted in occupational and environmental medicine. They strongly influence worker absenteeism and presenteeism and workplace function, generating very significant direct and indirect costs to enterprises and exacting a large societal toll in terms of productivity. They contribute to delayed and failed recovery from work-related conditions and unnecessary disability, exert profound iatrogenic effects, and are fundamental to medically unexplained physical symptoms. This chapter reviews these considerations in detail, discusses how they constitute a major management dilemma for all stakeholders, and explores some reasons for the widespread reluctance to address these issues.

Keywords

Delayed recovery Failed recovery Unnecessary disability Medically unexplained symptoms Psychophysiology Health ethos Iatrogenicity Fear avoidance Catastrophization Health locus of control Adverse childhood experiences Perceived injustice Personality disorders Workplace Occupational medicine 

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Authors and Affiliations

  1. 1.Occupational and Environmental MedicineMechanicsburgUSA

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