Work ability is a prospective predictor of sick leave, disability pension and unemployment, and has been defined as the balance between human resources and the demands of work, taking into consideration that illness is not equivalent to work disability. In the present study we set out to explore predictors of work ability in a sample of individuals with common mental disorders. In particular, we were interested in exploring metacognitive beliefs as a potential predictor of work ability, as Wells’ (2009) metacognitive model of psychological disorder suggests that metacognitions may be an underlying factor in psychological vulnerability generally, and they have been associated with work status in previous studies. One hundred and seventy-seven individuals participated in an online survey and completed a battery of self-report questionnaires. Several factors correlated with reduced work ability: physical disorders, emotional distress symptoms and metacognitive beliefs. We found that confidence in memory predicted work ability even when controlling for gender/age, number of physical disorders, and levels of anxiety and depression symptoms. This finding suggest that metacognitions of poor memory performance are associated with low work ability among those with common mental disorders, and implies that these should be targeted in treatment with a view to increasing work ability and thus potentially facilitate return to work.

中文翻译：

---

常见精神障碍患者工作能力的预测因素：元认知信念对身体健康状况不佳和情绪困扰有影响吗？

工作能力是病假、伤残抚恤金和失业的前瞻性预测指标，被定义为人力资源与工作需求之间的平衡，考虑到疾病并不等同于工作残疾。在本研究中，我们着手探索常见精神障碍患者样本中工作能力的预测因素。特别是，我们有兴趣探索元认知信念作为工作能力的潜在预测因子，因为 Wells (2009) 的心理障碍元认知模型表明元认知可能是一般心理脆弱性的潜在因素，并且它们与工作状态有关在以往的研究中。一百七十七个人参加了在线调查并完成了一系列自我报告问卷。有几个因素与工作能力下降相关：身体障碍、情绪困扰症状和元认知信念。我们发现，即使在控制性别/年龄、身体疾病数量以及焦虑和抑郁症状水平的情况下，对记忆的信心也能预测工作能力。这一发现表明，记忆力差的元认知与常见精神障碍患者的工作能力低下有关，并暗示这些应该作为治疗的目标，以提高工作能力，从而有可能促进重返工作岗位。以及焦虑和抑郁症状的程度。这一发现表明，记忆力差的元认知与常见精神障碍患者的工作能力低下有关，并暗示这些应该作为治疗的目标，以提高工作能力，从而有可能促进重返工作岗位。以及焦虑和抑郁症状的程度。这一发现表明，记忆力差的元认知与常见精神障碍患者的工作能力低下有关，并暗示这些应该作为治疗的目标，以提高工作能力，从而有可能促进重返工作岗位。