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Does job satisfaction predict early return to work after coronary angioplasty or cardiac surgery?

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Abstract

Purpose

Few studies have analyzed the relationship between job satisfaction and return to work (RTW) in cardiac patients. The aim of this paper was to investigate whether job satisfaction predicted early RTW in patients sick listed after cardiac invasive procedures.

Methods

A 6-month prospective study was carried out in a sample of 83 patients in working age who had recently been treated with angioplasty or cardiac surgery. Job satisfaction was measured using the scale from the Occupational Stress Indicator during cardiac rehabilitation. Time to RTW was assessed at the 6-month occupational physician examination. Logistic regression analyses were used to study the association between job satisfaction at baseline and early RTW at follow-up, adjusted for socio-demographic, medical (type of cardiac intervention, ejection fraction) and psychological (depression, locus of control, illness perception) factors.

Results

Participants with high job satisfaction were more likely to return early to work, with an odds ratio (OR) of 5.92 (95 % CI, 1.69–20.73) in the most-adjusted model, compared to participants with low job satisfaction. Satisfaction with organizational processes was the job satisfaction component most strongly associated with early RTW (OR, 4.30; 95 % CI, 1.21–15.03).

Conclusions

To the best of our knowledge, this is the first prospective study that investigated whether job satisfaction predicts time to RTW after cardiac interventions. The results suggested that when patients are satisfied with their job and positively perceived their work environment, they will be more likely to early RTW, independently of socio-demographic, medical and psychological factors.

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References

  • Acker JE (1968) Factors affecting the employment of patients treated in coronary care units for myocardial infarction. J Tenn Med Assoc 61:1200–1201

    Google Scholar 

  • Balady GJ et al (2007) Core components of cardiac rehabilitation/secondary prevention programs: 2007 update. Circulation 115:2675–2682

    Article  Google Scholar 

  • Belkic K, Landsbergis PA, Schnall PL, Baker D (2004) Is job strain a major source of cardiovascular disease risk? Scand J Work Environ Health 30(2):8–128

    Article  Google Scholar 

  • Bertolotti G, Michielin P, Sanavio E, Vidotto G, Zotti AM (1990) A computerized approach to cognitive behavioral assessment: an introduction to CBA-2.0 Primary Scales. Journal Behavior Therapy, and Experimental Psychiatry 21:21–27

    Article  CAS  Google Scholar 

  • Bertolotti G, Michielin P, Vidotto G, Zotti AM, Sanavio E (2000) Depression Questionnaire (QD). In: Nezu AM, Ronan GF, Meadows EA, McKlure KS (eds) Practitioner’s guide to empirical based measures of depression. Kluwer Academic/Plenum Publishers, Norwell

    Google Scholar 

  • Bhattacharyya MR, Perkins-Porras L, Whitehead DL, Steptoe A (2007) Psychological and clinical predictors of return to work after acute coronary syndrome. Eur Heart J 28:160–165

    Article  Google Scholar 

  • Boehm JK, Peterson C, Kivimaki M, Kubzansky L (2011) Heart health when life is satisfying: evidence from the Whitehall II cohort study. Eur Heart J 32:2672–2677

    Article  Google Scholar 

  • Bossons CR, Levy J, Sutterlin CE (1996) Reconstructive spinal surgery: assessment of outcome. South Med J 89:1045–1052

    Article  CAS  Google Scholar 

  • Boudrez H, De Backer G (2000) Recent findings on return to work after an acute myocardial infarction or coronary artery bypass grafting. Acta Cardiol 55(6):341–349

    Article  CAS  Google Scholar 

  • Bradshaw PJ, Jamrozik K, Gilfillan IS, Thompson PL (2005) Return to work after coronary artery bypass surgery in a population of long-term survivors. Heart Lung Circ 14:191–196

    Article  Google Scholar 

  • Cass MH, Siu OL, Faragher BE, Cooper CL (2003) A meta-analysis of the relationship between job satisfaction and employee health in Hong Kong. Stress Health 19:79–95

    Article  Google Scholar 

  • Conroy RM, Cahill S, Mulcahy R, Johnson H, Graham IM, Hickey N (1986) The relation of social class to risk factors, rehabilitation, compliance and mortality in survivors of acute coronary heart disease. Scand J Soc Med 14:51–56

    CAS  Google Scholar 

  • Cooper CL, Sloan SJ, William JS (1988) Occupational stress indicator: management guide. NFER-Nelson, Windsor

    Google Scholar 

  • D’Amato A, Zijlstra F (2010) Toward a climate of work resumption: the nonmedical determinants of return to work. J Occup Environ Med 52(1):67–80

    Article  Google Scholar 

  • De Gaudemaris R (2000) Clinical issues: return to work and public safety. Occup Med 15(1):223–230

    Google Scholar 

  • Dekkers-Sánchez PM, Wind H, Sluiter JK, Frings-Dresen MHW (2011) What promotes sustained return to work of employees on long-term sick leave? Perspectives of vocational rehabilitation professionals. Scand J Work Environ Health 37(6):481–493

    Article  Google Scholar 

  • Drory Y, Kravetz S, Koren-Morag N, Goldbourt U (2005) Resumption and maintenance of employment after a first acute myocardial infarction: sociodemographic, vocational and medical predictors. Cardiology 103:37–43

    Article  Google Scholar 

  • Faragher EB, Cass M, Cooper CL (2005) The relationship between job satisfaction and health: a meta-analysis. Occup Environ Med 62:105–112

    Article  CAS  Google Scholar 

  • Fife BL (1994) The conceptualization of meaning of illness. Soc Sci Med 38:309–316

    Article  CAS  Google Scholar 

  • Fromm P, Melamed S, Nativ T, Gofer D, Froom J (2001) Low job satisfaction predicts delayed return to work after laparoscopic cholecystectomy. J Occup Environ Med 43:657–662

    Article  Google Scholar 

  • Fukuoka Y, Dracup K, Takeshima M, Ishii N, Makaya M, Groah L, Kyriakidis E (2009) Effect of job strain and depressive symptoms upon returning to work after acute coronary syndrome. Soc Sci Med 68:1875–1881

    Article  Google Scholar 

  • Giorgi I, Sguazzin C, Fiammenghi S, Argentero P (2007) Italian validation of the “Constructed Meaning Scale”: preliminary results. G Ital Med Lav Erg Suppl A Psicol 29(1):A58–A63

    CAS  Google Scholar 

  • Gjesdal S, Ringdal PR, Haug K et al (2004) Predictors of disability pension in long-term sickness absence: results from a population-based and prospective study in Norway 1994–1999. Eur J Public Health 14:398–405

    Article  Google Scholar 

  • Hardy GE, Woods D, Wall TD (2003) The impact of psychological distress on absence from work. J Appl Psychol 88:306–314

    Article  Google Scholar 

  • Higgins AC, Pooler WS (1968) Myocardial infarction and subsequent reemployment in Syracuse, New York. Am J Public Health 58:312–323

    Article  CAS  Google Scholar 

  • Hällberg V, Palomäki A, Kataja M, Tarkka M (2009) Return to work after coronary artery bypass surgery. A 10-year follow-up study. Scand Cardiovasc J 43:277–284

    Article  Google Scholar 

  • Holland P, Buström B, Möller I, Whitehead M (2009) Socioeconomic inequalities in the employment impact of ischaemic heart disease: a longitudinal record linkage study in Sweden. Scand J Public Health 37:450–458

    Article  Google Scholar 

  • Hoogendoorn WE, Bongers PM, de Vet HCW, Ariëns GAM, van Mechelen W, Bouter LM (2002) High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: results of a prospective cohort study. Occup Environ Med 59:323–328

    Article  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  • Karasek R (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Quart 24:285–307

    Article  Google Scholar 

  • Karasek R, Theorell T (1990) Healthy work. Basic Books, New York

    Google Scholar 

  • Kivimaki M, Forma P, Wikstrom J et al (2004) Sickness absence as a risk marker of future disability pension: the 10-town study. J Epidemiol Commun Health 58:710–711

    Article  Google Scholar 

  • Kivimaki M, Virtanen M, Elovainio M, Kouvonen A, Väänänen A, Vahtera J (2006) Work stress in the etiology of coronary heart disease—a meta-analysis. Scand J Work Environ Health 32(6):431–442

    Article  Google Scholar 

  • Krause N, Lund T (2004) Returning to work after occupational injury. In: Barling J, Frone MR (eds) The psychology of workplace safety. American Psychological Association, Washington, pp 264–295

    Google Scholar 

  • Laird-Meeter K, Erdman RAM, van Domburg R, Azar AJ, de Feyter PJ, Bos E, Hugenholtz PG (1989) Probability of a return to work after either coronary balloon dilatation or coronary bypass surgery. Eur Heart J 10:917–922

    CAS  Google Scholar 

  • Leal J, Luengo-Fernandez R, Gray A, Petersen S, Rayner M (2006) Economic burden of cardiovascular diseases in the enlarged European Union. Eur Heart J 27:1610–1619

    Article  Google Scholar 

  • Locke EA (1976) The nature and causes of job satisfaction. In: Dunnette MD (ed) Handbook of industrial and organizational psychology. Rand McNally, Chicago, pp 1297–1349

    Google Scholar 

  • Lyne KD, Barret PT, Williams C, Coaley K (2000) A psychometric evaluation of the occupational stress indicator. J Occup Organ Psychol 73:195–220

    Article  Google Scholar 

  • Mital A, Desai A, Mital A (2004) Return to work after a coronary event. J Cardiopulm Rehabil 24:365–373

    Article  Google Scholar 

  • Mittag O, Kolenda KD, Nordmann KJ, Bernien J, Maurischat C (2001) Return to work after myocardial infarction/coronary artery bypass grafting: patients’ and physician’s initial viewpoints and outcome 12 months later. Soc Sci Med 52:1441–1450

    Article  CAS  Google Scholar 

  • Myrtek M, Kaiser A, Rauch B, Jansen G (1997) Factors associated with work resumption: a 5 year follow-up with cardiac patients. Int J Cardiol 59:291–297

    Article  CAS  Google Scholar 

  • Nagy MS (2002) Using a single-item approach to measure facet job satisfaction. J Occup Organ Psychol 7:77–86

    Article  Google Scholar 

  • Netterstrøm B, Conrad N, Bech P, Fink P, Olsen O, Rugulies R, Stansfeld S (2008) The relation between work-related psychosocial factors and the development of depression. Epidemiol Rev 30:118–132

    Article  Google Scholar 

  • Perk J, Alexanderson K (2004) Chapter 8. Sick leave due to coronary artery disease or stroke. Scand J Public Health 32(Suppl 63):181–206

    Article  Google Scholar 

  • Phillips L, Harrison T, Houck P (2005) Return to work and the person with heart failure. Heart Lung 34:79–88

    Article  Google Scholar 

  • Rayner M, Allender S (2009) Cardiovascular disease in Europe. Eur J Cardiovasc Prev Rehabil 16:S43–S47

    Article  Google Scholar 

  • Saari LM, Judge TA (2004) Employee attitudes and job satisfaction. Hum Resour Manag 43(4):395–407

    Article  Google Scholar 

  • Samkange-Zeeb F, Altenhöner T, Berg G, Schott T (2006) Predicting non-return to work in patients attending cardiac rehabilitation. Int J Rehabil Res 29:43–49

    Article  Google Scholar 

  • Sanavio E, Bertolotti G, Michielin P, Vidotto G, Zotti AM (1997) CBA 2.0 Cognitive Behavioural Assessment 2.0, Scale Primarie. Organizzazioni Speciali, Firenze

    Google Scholar 

  • Söderman E, Lisspers J, Sundin O (2003) Depression as a predictor of return to work in patients with coronary artery disease. Soc Sci Med 56:193–202

    Article  Google Scholar 

  • Sellier P (2007) Return to work after coronary interventions. Eur J Cardiov Prev Rehabil, Section VII, pp 324–329

    Google Scholar 

  • Sellier P et al (2003) Factors influencing return to work at one year after coronary bypass graft surgery: results of the PERISCOP study. Eur J Cardiov Prev Rehabil 10:469–475

    Article  Google Scholar 

  • Sirigatti S, Stefanile C (2002) OSI occupational stress indicator, il Manuale. Organizzazioni Speciali, Firenze

    Google Scholar 

  • Skinner JS, Farrer M, Albers CJ et al (1999) Patient-related outcomes five years after coronary artery bypass graft surgery. Q J Med 92:87–96

    Article  CAS  Google Scholar 

  • Smith GR, O’Rourke DF (1988) Return to work after a first myocardial infarction: a test of multiple hypotheses. J Am Med Assoc 259:1673–1677

    Article  Google Scholar 

  • Soejima Y, Steptoe A, Nozoe S, Tei C (1999) Psychosocial and clinical factors predicting resumption of work following acute myocardial infarction in Japanese men. Int J Cardiol 72:39–47

    Article  CAS  Google Scholar 

  • Stay-at-Work and Return-to-Work Process Improvement Committee (2006) Preventing needless work disability by helping people stay employed. J Occup Environ Med 48(9):972–987

    Article  Google Scholar 

  • Sultan-Taïeb H, Lejeune C, Drummond A, Niedhammer I (2011) Fraction of cardiovascular disease, mental disorders, and musculoskeletal disorders attributable to job strain. Int Arch Occup Environ Health 84:911–925

    Article  Google Scholar 

  • Sykes D, Hanley M, Boyle D, Higginson J (2000) Work strain and the post-discharge adjustment of patients following a heart attack. Psychol Health 15:609–623

    Article  Google Scholar 

  • van der Giezen AM, Bouter LM, Nijhuis FJN (2000) Prediction of return-to-work of low back pain patients sicklisted for 3–4 months. Pain 87:285–294

    Article  Google Scholar 

  • Vedana L, Baiardi P, Sommaruga M, Galli M, Neri M, Pedretti RFE, Tramarin R, Bertolotti G (2001) Clinical validation of an anxiety and depression screening test for intensive in-hospital rehabilitation. Monaldi Arch Chest Dis 56(2):101–106

    Google Scholar 

  • Vogel AP, Barker SJ, Young AE, Ruseckaite R, Collie A (2011) What is return to work? An investigation into the quantification of return to work. Int Arch Occup Environ Health 84:675–682

    Article  Google Scholar 

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Acknowledgments

The authors thank Ida E. H. Madsen and Maj Britt D. Nielsen for their helpful comments on the draft of this article.

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The authors declare that they have no conflict of interest.

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Correspondence to Elena Fiabane.

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Fiabane, E., Argentero, P., Calsamiglia, G. et al. Does job satisfaction predict early return to work after coronary angioplasty or cardiac surgery?. Int Arch Occup Environ Health 86, 561–569 (2013). https://doi.org/10.1007/s00420-012-0787-z

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  • DOI: https://doi.org/10.1007/s00420-012-0787-z

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