Skip to main content
Log in

Personal Resources and Support When Regaining the Ability to Work: An Interview Study with Exhaustion Disorder Patients

  • Published:
Journal of Occupational Rehabilitation Aims and scope Submit manuscript

Abstract

Purpose The aim of the study was to explore experiences and thoughts in the process of returning to work in employed patients with Exhaustion Disorder. Methods Twelve patients with Exhaustion Disorder (burnout) who had been referred to a Stress Rehabilitation Clinic were interviewed. All patients were employed but a majority was on full or part-time sick leave. Grounded Theory was used as the qualitative method. Results A core category, regaining the ability to work, was developed. Alongside, two categories, internal resources and the external support system, were experienced as being important to the process. The internal resources were expressed through three key features (sub-categories), perceived validation, insights and adaptive coping abilities. The external support system was diverse and described by the sub-categories practical/structural and/or emotional support. Four external support actors were identified; the workplace, health care, the Social Insurance Agency, and the union. The supervisor was described as the most important external actor. Conclusions Internal and external resources are intertwined in the process of regaining the ability to work. The internal resources and external support can directly increase the probability to regain the ability to work. Moreover, these resources can affect each other and thus indirectly have an effect on the process.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Social Insurance in Figures 2010. Swedish Social Insurance Agency. Int Arch Occ Env Hea. 2011.

  2. Åsberg M, Glise K, Herlofson J, Jacobsson L, Krakau I, Nygren Å et al. Utmattningssyndrom—stressrelaterad psykisk ohälsa [Exhaustion Disorder-stress-related mental ill-health]: Socialstyrelsen. Int Arch Occ Env Hea. 2003.

  3. Glise K, Hadzibajramovic E, Jonsdottir IH, Ahlborg G Jr. Self-reported exhaustion: a possible indicator of reduced work ability and increased risk of sickness absence among human service workers. Int Arch Occ Env Hea. 2010;83(5):511–20. doi:10.1007/s00420-009-0490-x.

    Article  CAS  Google Scholar 

  4. Norlund S, Reuterwall C, Hoog J, Nordin M, Edlund C, Slunga Birgander L. Work related factors and sick leave after rehabilitation in burnout patients: experiences from the REST-project. J Occup Rehabil. 2011;21(1):23–30. doi:10.1007/s10926-010-9250-8.

    Article  PubMed  Google Scholar 

  5. Karlson B, Jonsson P, Palsson B, Abjornsson G, Malmberg B, Larsson B, et al. Return to work after a workplace-oriented intervention for patients on sick-leave for burnout–a prospective controlled study. BMC Public Health. 2010;10:301. doi:10.1186/1471-2458-10-301.

    Article  PubMed  Google Scholar 

  6. de Vente W, Kamphuis JH, Emmelkamp PM, Blonk RW. Individual and group cognitive-behavioral treatment for work-related stress complaints and sickness absence: a randomized controlled trial. J Occup Health Psychol. 2008;13(3):214–31. doi:10.1037/1076-8998.13.3.214.

    Article  PubMed  Google Scholar 

  7. Stenlund T, Ahlgren C, Lindahl B, Burell G, Steinholtz K, Edlund C, et al. Cognitively oriented behavioral rehabilitation in combination with Qigong for patients on long-term sick leave because of burnout: REST–a randomized clinical trial. Int J Behav Med. 2009;16(3):294–303. doi:10.1007/s12529-008-9011-7.

    Article  PubMed  Google Scholar 

  8. Blank L, Peters J, Pickvance S, Wilford J, Macdonald E. A systematic review of the factors which predict return to work for people suffering episodes of poor mental health. J Occup Rehabil. 2008;18(1):27–34.

    Article  PubMed  Google Scholar 

  9. Glozier N, Hough C, Henderson M, Holland-Elliott K. Attitudes of nursing staff towards co-workers returning from psychiatric and physical illnesses. Int J Soc Psychiatry. 2006;52(6):525–34.

    Article  PubMed  Google Scholar 

  10. Nieuwenhuijsen K, Verbeek JH, de Boer AG, Blonk RW, van Dijk FJ. Supervisory behaviour as a predictor of return to work in employees absent from work due to mental health problems. Occup Environ Med. 2004;61(10):817–23. doi:10.1136/oem.2003.009688.

    Article  PubMed  CAS  Google Scholar 

  11. Tjulin A, Maceachen E, Ekberg K. Exploring workplace actors experiences of the social organization of return-to-work. J Occup Rehabil. 2010;20(3):311–21. doi:10.1007/s10926-009-9209-9.

    Article  PubMed  Google Scholar 

  12. Brouwers EP, Terluin B, Tiemens BG, Verhaak PF. Predicting return to work in employees sick-listed due to minor mental disorders. J Occup Rehabil. 2009;19(4):323–32. doi:10.1007/s10926-009-9198-8.

    Article  PubMed  Google Scholar 

  13. Cornelius LR, van der Klink JJ, Groothoff JW, Brouwer S. Prognostic factors of long term disability due to mental disorders: a systematic review. J Occup Rehabil. 2011;21(2):259–74. doi:10.1007/s10926-010-9261-5.

    Article  PubMed  CAS  Google Scholar 

  14. Nielsen MB, Madsen IE, Bultmann U, Christensen U, Diderichsen F, Rugulies R. Predictors of return to work in employees sick-listed with mental health problems: findings from a longitudinal study. Eur J Public Health. 2011;21(6):806–11. doi:10.1093/eurpub/ckq171.

    Article  PubMed  Google Scholar 

  15. Aas RW, Ellingsen KL, Lindoe P, Moller A. Leadership qualities in the return to work process: a content analysis. J Occup Rehabil. 2008;18(4):335–46.

    Article  PubMed  Google Scholar 

  16. Soklaridis S, Ammendolia C, Cassidy D. Looking upstream to understand low back pain and return to work: psychosocial factors as the product of system issues. Soc Sci Med. 2010;71(9):1557–66. doi:10.1016/j.socscimed.2010.08.017.

    Article  PubMed  Google Scholar 

  17. MacEachen E, Clarke J, Franche RL, Irvin E. Systematic review of the qualitative literature on return to work after injury. Scand J Work Environ Health. 2006;32(4):257–69.

    Article  PubMed  Google Scholar 

  18. Ockander M, Timpka T, Nyce JM. How to avoid long-term sickness absence: the advice from women with personal experience. Fam Pract. 2005;22(4):394–8. doi:10.1093/fampra/cmh725.

    Article  PubMed  CAS  Google Scholar 

  19. Svensson T, Mussener U, Alexanderson K. Sickness absence, social relations, and self-esteem: a qualitative study of the importance of relationships with family, workmates, and friends among persons initially long-term sickness absent due to back diagnoses. Work. 2010;37(2):187–97. doi:10.3233/WOR-2010-1069.

    PubMed  Google Scholar 

  20. Friesen MN, Yassi A, Cooper J. Return-to-work: the importance of human interactions and organizational structures. Work. 2001;17(1):11–22.

    PubMed  Google Scholar 

  21. Noordik E, Nieuwenhuijsen K, Varekamp I, van der Klink JJ, van Dijk FJ. Exploring the return-to-work process for workers partially returned to work and partially on long-term sick leave due to common mental disorders: a qualitative study. Disabil Rehabil. 2011;33(17–18):1625–35. doi:10.3109/09638288.2010.541547.

    Article  PubMed  Google Scholar 

  22. Lydell M, Hildingh C, Mansson J, Marklund B, Grahn B. Thoughts and feelings of future working life as a predictor of return to work: a combined qualitative and quantitative study of sick-listed persons with musculoskeletal disorders. Disabil Rehabil. 2011;33(13–14):1262–71. doi:10.3109/09638288.2010.527029.

    Article  PubMed  Google Scholar 

  23. Holmgren K, Dahlin Ivanoff S. Women on sickness absence–views of possibilities and obstacles for returning to work. A focus group study. Disabil Rehabil. 2004;26(4):213–22.

    Article  PubMed  Google Scholar 

  24. Glaser B, Strauss A. The discovery of grounded theory. New York: Aldine de Gruyter; 1967.

    Google Scholar 

  25. Stenlund T, Ahlgren C, Lindahl B, Burell G, Knutsson A, Stegmayr B, et al. Patients with burnout in relation to gender and a general population. Scand J Public Health. 2007;35(5):516–23.

    Article  PubMed  Google Scholar 

  26. Dahlgren L, Emmelin M, Winkvist A. Qualitative methodology for international public health. Umeå: Print och Media; 2004.

    Google Scholar 

  27. Bryant A, Charmaz K, editors. The SAGE handbook of grounded theory. London: SAGE Publications Ltd; 2007.

    Google Scholar 

  28. Mead GH. Mind, self and society: from the standpoint of social behaviorist. Chicago: University of Chicago Press; 1934.

    Google Scholar 

  29. Öhman A, Hägg K, Dahlgren L. Competent women and competing professions-physiotherapy educators’ perceptions of the field. Adv Physiother. 1999;1:59–72.

    Article  Google Scholar 

  30. Biernat M, Kobrynowicz D. Gender- and race-based standards of competence: lower minimum standards but higher ability standards for devalued groups. J Pers Soc Psychol. 1997;72(3):544–57.

    Article  PubMed  CAS  Google Scholar 

  31. Jackson D, Firtko A, Edenborough M. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review. J Adv Nurs. 2007;60(1):1–9.

    Article  PubMed  Google Scholar 

  32. Lazarus RS. Stress and emotion: a new synthesis. New York: Springer Publishing Company, Inc.; 1999.

    Google Scholar 

  33. Eden L, Andersson HI, Ejlertsson G, Ekstrom BI, Johansson Y, Leden I. Characteristics of disability pensioners returning to work: an interview study among individuals with musculoskeletal disorders. Disabil Rehabil. 2007;29(22):1720–6.

    Article  PubMed  Google Scholar 

  34. Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37(2):122–47.

    Article  Google Scholar 

  35. Brouwer S, Reneman MF, Bultmann U, van der Klink JJ, Groothoff JW. A prospective study of return to work across health conditions: perceived work attitude, self-efficacy and perceived social support. J Occup Rehabil. 2010;20(1):104–12. doi:10.1007/s10926-009-9214-z.

    Article  PubMed  Google Scholar 

  36. Krause N, Dasinger LK, Deegan LJ, Rudolph L, Brand RJ. Psychosocial job factors and return-to-work after compensated low back injury: a disability phase-specific analysis. Am J Ind Med. 2001;40(4):374–92.

    Article  PubMed  CAS  Google Scholar 

  37. Janssen N, van den Heuvel WP, Beurskens AJ, Nijhuis FJ, Schroer CA, van Eijk JT. The demand-control-support model as a predictor of return to work. Int J Rehabil Res. 2003;26(1):1–9.

    Article  PubMed  CAS  Google Scholar 

  38. Canivet C, Ostergren PO, Lindeberg SI, Choi B, Karasek R, Moghaddassi M, et al. Conflict between the work and family domains and exhaustion among vocationally active men and women. Soc Sci Med. 2010;70(8):1237–45. doi:10.1016/j.socscimed.2009.12.029.

    Article  PubMed  Google Scholar 

  39. Cutrona CE, Russell DW. Type of social support and specific stress: toward a theory of optimal matching. In: Sarason BR, Sarason IG, Pierce GR, editors. Social support: An interactional view. New York: John Wiley & sons, Inc; 1990. p. 319–66.

    Google Scholar 

Download references

Acknowledgments

The authors would like to thank Lars Dahlgren for valuable comments. This study was funded by the Västerbotten County Council.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sofia Norlund.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Norlund, S., Fjellman-Wiklund, A., Nordin, M. et al. Personal Resources and Support When Regaining the Ability to Work: An Interview Study with Exhaustion Disorder Patients. J Occup Rehabil 23, 270–279 (2013). https://doi.org/10.1007/s10926-012-9396-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10926-012-9396-7

Keywords

Navigation