Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Workplace Phobia, Workplace Problems, and Work Ability among Primary Care Patients with Chronic Mental Disorders

Beate Muschalla and Michael Linden
The Journal of the American Board of Family Medicine July 2014, 27 (4) 486-494; DOI: https://doi.org/10.3122/jabfm.2014.04.130308
Beate Muschalla
From the Department of Work and Organizational Psychology, University of Potsdam, Germany (BM); Psychosomatic Rehabilitation Research Group, Charité University of Medicine, Berlin, Germany (BM, ML); and the Department of Behavioral Medicine, Rehabilitation Center Seehof, Teltow, Germany (ML).
DPhil
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael Linden
From the Department of Work and Organizational Psychology, University of Potsdam, Germany (BM); Psychosomatic Rehabilitation Research Group, Charité University of Medicine, Berlin, Germany (BM, ML); and the Department of Behavioral Medicine, Rehabilitation Center Seehof, Teltow, Germany (ML).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1. Inclusion Criteria for Patients with Chronic Mental Disorders Who Underwent Medical Assessment2
    • Age 18 to 60 years

    • Answering the following 2 questions with “yes”:

      • Do you think that you are suffering at present from health problems that are not only somatic but also psychological in nature?

      • If there are psychological problems, have they existed for more than 6 months? (criterion of chronicity)

    • A score of 0 or 1 on at least 1 item or a score of 2 on at least 3 items of the WHO-Five Well-being Index (a 22-item self-rating questionnaire)

    • An average score of 4 or a score of 5 on at least 1 item on the self-rating questionnaire of illness-related participation disorders across different domains of daily life (IMET)23,24

    • View popup
    Table 2. Comparison of Characteristics of Patients with and without Workplace Phobia (n = 288)
    CharacteristicsPatients with Workplace Phobia (n = 29)Patients without Workplace Phobia (n = 259)P Value*Cohen's d
    Age (years)43.66 (8.9)42.91 (10.9).7210.07
    Time in psychiatric treatment5.52 (12.6)9.45 (36.5).5650.11
    Time in psychotherapeutic treatment7.45 (13.8)5.46 (14.3).4760.14
    Amount of psychosomatic rehabilitation in the past 5 years (weeks)0.93 (2.4)0.58 (2.0).3800.17
    Patients with health problems attributed to the work situation (%)58.6 (28.6)26.8 (31.9).000†1.01
    Duration of sick leave in the past 12 months (weeks)17.07 (19.7)8.62 (13.9).032‡0.63
    Present duration of sick leave (weeks)13.66 (23.0)6.58 (20.9).1220.34
    Self-rating of mental and somatic symptom load
    Workplace Phobia Screening score2.79 (0.74)0.88 (0.89).000†2.19
    WHO-5 score1.4 (0.9)1.48 (0.8).6010.10
    Burvill rating
        Acute somatic multimorbidity0.49 (0.4)0.41 (0.4).2770.20
        Chronic somatic multimorbidity0.86 (0.56)0.65 (0.55).0690.38
    • Data are means (standard deviations).

    • ↵* 2-Tailed t test for independent samples.

    • ↵† P < .01.

    • ↵‡ P < .05.

    • View popup
    Table 3. Prevalence of Problems in the Workplace in Patients with a Workplace and with or without Workplace Phobia
    Workplace ProblemsPatients with a Workplace and Workplace Phobia (n = 17)Patients with a Workplace but without Workplace Phobia (n = 180)P Value*
    Problems are present58.638.2.000†
    Long or frequent sick leave absence35.324.0.304
    Mobbing and conflicts29.414.4.105
    Overtaxation with amount of work76.529.9.000†
    Overtaxation with work content47.112.0.000†
    Structural/environmental problems29.421.0.421
    Endangered in the workplace17.613.8.662
    • Data are percentages.

    • ↵* χ2 Test.

    • ↵† P < .01.

    • View popup
    Table 4. Capacity and Participation Disorders in Patients with and without Workplace Phobia
    Capacity DisordersPatients with Workplace Phobia (n = 29)Patients without Workplace Phobia (n = 259)P Value*Cohen's d
    Rated by physician according using Mini-ICF-APP
        Adherence to regulations0.73 (0.78)0.42 (0.73)0.2540.42
        Planning and structuring of tasks0.93 (0.84)0.61 (0.8)0.045†0.4
        Flexibility1.45 (0.91)0.92 (0.97)0.005†0.55
        Competency0.48 (0.8)0.24 (0.6)0.1100.39
        Endurance1.17 (1.0)0.92 (0.9)0.2020.28
        Assertiveness1.03 (0.9)0.79 (0.88)0.1600.27
        Contact with others1.1 (1.0)0.71 (0.8)0.0520.48
        Group integration0.76 (0.87)0.59 (0.83)0.3060.20
        Intimate relationships0.93 (1.0)0.79 (0.9)0.4530.15
        Nonwork activities1.28 (0.92)1.17 (0.87)0.5530.13
        Self-care0.1 (0.4)0.05 (0.3)0.3770.16
        Mobility0.79 (0.97)0.48 (0.87)0.0720.35
        Competence to judge and decide1.38 (0.86)0.88 (0.92)0.005†0.55
    Rated by Physician Using IMEP
        Degree to which there are participation limitations due to illness in the following domains of life
            Activities of daily living (washing, dressing, eating, moving in one's home)1.2 (2.0)1.04 (1.9)0.6510.08
            Activities at home (work in house and garden, family care)2.59 (2.5)2.15 (2.4)0.3560.18
        Activities outside the house (hand to mouth buying, moving in one's hometown)3.28 (2.2)2.46 (2.3)0.0740.36
        Duties (cleaning up, adherence to dates, doing shopping outside one's house)4.83 (2.0)3.44 (2.3)0.002†0.61
        Recreational activities (hobbies, relaxation, enjoying time spent off work)4.34 (2.6)4.21 (2.1)0.7530.06
        Social activities (meeting friends, talking with neighbors, going to parties)4.28 (2.0)3.8 (2.16)0.2580.22
        Close relations (being with one's partner or family)4.31 (2.12)3.39 (2.5)0.0540.37
        Sexual life (appropriate quality and quantity)4.14 (3.3)3.61 (3.0)0.3810.18
        Coping with stress (family conflicts, illness, financial problems, unexpected life events)5.69 (1.8)5.15 (1.9)0.1480.29
        Work (adequately fulfilling one's duties at work and following further training)6.17 (2.3)5.2 (2.3)0.033†0.42
    • Data are means (standard deviations).

    • ↵* 2-Tailed t test for independent samples.

    • ↵† P < .05.

    • IMEP, Index for the Measurement of Restrictions in Participation; Mini-ICF-APP, Observer-rating of Disorders in Capacities and Participation due to Mental Disorders.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 27 (4)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 4
July-August 2014
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Workplace Phobia, Workplace Problems, and Work Ability among Primary Care Patients with Chronic Mental Disorders
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
13 + 4 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Workplace Phobia, Workplace Problems, and Work Ability among Primary Care Patients with Chronic Mental Disorders
Beate Muschalla, Michael Linden
The Journal of the American Board of Family Medicine Jul 2014, 27 (4) 486-494; DOI: 10.3122/jabfm.2014.04.130308

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Workplace Phobia, Workplace Problems, and Work Ability among Primary Care Patients with Chronic Mental Disorders
Beate Muschalla, Michael Linden
The Journal of the American Board of Family Medicine Jul 2014, 27 (4) 486-494; DOI: 10.3122/jabfm.2014.04.130308
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Objectives
    • Methods
    • Results
    • Discussion
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Outcomes of psychiatric interviews and self-rated symptom scales in people on sick leave for common mental disorders: an observational study
  • Context and Trade-offs in Family Medicine
  • Google Scholar

More in this TOC Section

  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
Show more Original Research

Similar Articles

Keywords

  • Anxiety
  • Mental Health
  • Sick Leave
  • Workplace

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire