TY  - JOUR
A1  - Muschalla, Beate
A1  - Jöbges, Michael
T1  - Prevalence and Characteristics of Work Anxiety in Medical Rehabilitation Patients
BT  - a cross-sectional observation study
JF  - Archives of Physical Medicine and Rehabilitation
N2  - Objective: To investigate frequency, type, and characteristics of work anxieties in patients with somatic illness. Design: Cross-sectional observation study. Setting: Neurology, orthopedic, and cardiology rehabilitation clinics. Participants: Patients (N=4610; age, 18-65y) with work anxieties. Interventions: Not applicable. Main Outcome Measures: Patients who scored high on at least 2 of 9 items in the work-anxiety screening questionnaire and who reported impairment were investigated with a differential diagnostic interview on work anxieties and with the Mini-International Neuropsychiatric Interview on non work-related common mental disorders. Patients also filled out a self-rating questionnaire on their subjective symptom load and sociodemographic data. Results: Approximately 20% to 27% of the investigated inpatients in somatic rehabilitation (altogether n=393) received a work-anxiety diagnosis. Patients with orthopedic illness report highest work anxiety and have previous longest sick leave (20.6wk in the past 12mo). Patients with orthopedic illness suffer from work-related adjustment disorder with anxiety, social anxieties, and workplace phobias, whereas patients with cardiac illness are more often affected by hypochondriac anxieties. Anxieties of insufficiency and worrying occur equally in all indications. Conclusions: About a quarter of patients in somatic rehabilitation are in need of additional diagnostic attention owing to work anxieties. Differential diagnostic of work anxiety is needed for initiating adequate therapeutic action. Somatic rehabilitation physicians should be aware of work anxieties in their patients, especially in patients with orthopedic illness with previous long-term sick leave. (c) 2017 by the American Congress of Rehabilitation Medicine
KW  - Anxiety
KW  - Mental health
KW  - Rehabilitation
KW  - Sick leave
KW  - Workplace
Y1  - 2017
U6  - https://doi.org/10.1016/j.apmr.2017.06.017
SN  - 0003-9993
SN  - 1532-821X
VL  - 99
IS  - 1
SP  - 57
EP  - 64
PB  - Elsevier
CY  - Philadelphia
ER  -