Psychosocial Work Factors and Sick Leave, Occupational Accident, and Disability Pension A Cohort Study of Civil Servants

Objective: To study associations between psychosocial work factors (PWF) and sick leave, occupational accident, and disability pension. Methods: A random population of 967 civil servants participated in a survey on PWF and health. The median follow-up time was 7 years. Results: Frequent feedback from supervisor, good opportunities for mental growth, good team climate, and high appreciation were associated with a decrease in the risk of sickness absences and shift/period work, monotonous movements, and crowdedness of workplace were associated with an increase in the risk of sickness absences. Good communication at work was associated with a decrease in client violence and high work pressure was associated with an increased risk of occupational accidents. High work control and good team climate were associated with a decreased and shift/period work and client violence was associated with an increased risk of disability pensions. Conclusions: Psychosocial work factors can predict health outcomes with economic impact.