Hostname: page-component-76fb5796d-vvkck Total loading time: 0 Render date: 2024-04-28T16:09:04.243Z Has data issue: false hasContentIssue false

Psychological capital and work functioning of workers with recurrent or metastatic cancer beyond return to work

Published online by Cambridge University Press:  29 February 2024

Ingrid G. Boelhouwer*
Affiliation:
Department of Applied Psychology, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
Tinka van Vuuren
Affiliation:
Faculty of Management, Open Universiteit, Heerlen, The Netherlands Loyalis Knowledge & Consult, Heerlen, The Netherlands
*
Corresponding author: Ingrid G. Boelhouwer; Email: i.g.boelhouwer@hva.nl

Abstract

Objectives

The existing studies among workers with a past cancer diagnosis have rarely focused on workers confronted with cancer recurrence or metastases specifically, so knowledge is lacking. The aim of this study, therefore, was to investigate the work functioning (work ability, burnout complaints, and work engagement) of workers with recurrent or metastasized cancer. Furthermore, the association of psychological capital (hope, optimism, resilience, and self-efficacy) with work functioning was studied.

Methods

Data from a survey study among workers 2–10 years past cancer diagnosis were used (N = 750); 73% reported a diagnosis of breast cancer and 27% a diagnosis of cancer other than breast cancer. Analysis of variance was used to compare participants with and without cancer recurrence or metastases regarding work functioning (work ability, burnout complaints, and work engagement) and psychological capital (hope, optimism, resilience, and self-efficacy). Multivariate regression analyses were used to analyze the association of type of cancer and psychological capital with work functioning among workers with cancer recurrence or metastatic cancer (n = 54), controlling for age.

Results

Work ability is significantly lower among workers with cancer recurrence or metastases (controlling for age); however, burnout complaints and work engagement are at comparable levels. Among workers with cancer recurrence or metastases, a higher level of hope is positively associated with work ability and work engagement, and a higher level of hope or resilience is negatively associated with burnout complaints.

Significance of results

Among workers with cancer recurrence or metastases, work ability needs attention. Furthermore, especially the element hope of psychological capital is important to focus on because of the association with more favorable work functioning in general. The clinical psycho-oncological practice may benefit from these insights in guiding this vulnerable group of workers who are living with active cancer and many uncertainties.

Type
Original Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahlstrom, L, Grimby-Ekman, A, Hagberg, M, et al. (2010) The work ability index and single-item question: Associations with sick leave, symptoms, and health – A prospective study of women on long-term sick leave. Scandinavian Journal of Work, Environment & Health 36(5), 404412. doi:10.5271/sjweh.2917CrossRefGoogle Scholar
Alarcon, G, Eschleman, KJ and Bowling, NA (2009) Relationships between personality variables and burnout: A meta-analysis. Work & Stress 23(3), 244263. doi:10.1080/02678370903282600CrossRefGoogle Scholar
Austen, S, Jefferson, T, Lewin, G, et al. (2016) Work ability, age and intention to leave aged care work. Australasian Journal on Ageing 35(1), 1822. doi:10.1111/ajag.12187CrossRefGoogle ScholarPubMed
Avey, JB, Luthans, F, Smith, RM, et al. (2010) Impact of positive psychological capital on employee well-being over time. Journal of Occupational Health Psychology 15(1), 1728. doi:10.1037/a0016998CrossRefGoogle ScholarPubMed
Bakker, AB and Demerouti, E (2008) Towards a model of work engagement. Career Development International 13(3), 209223. doi:10.1108/13620430810870476CrossRefGoogle Scholar
Bakker, AB, Demerouti, E and Sanz-Vergel, A (2023) Job demands-resources theory: Ten years later. Annual Review of Organizational Psychology and Organizational Behavior 10, 2553. doi:10.1146/annurev-orgpsych-120920-053933CrossRefGoogle Scholar
Bakker, AB and Leiter, MP (2010) Work Engagement: A Handbook of Essential Theory and Research. Hove and New York: Psychology Press, Taylor & Francis Group, 1209.CrossRefGoogle Scholar
Bakker, AB, Schaufeli, WB, Leiter, MP, et al. (2008) Work engagement: An emerging concept in occupational health psychology. Work & Stress 22(3), 187200. doi:10.1080/02678370802393649CrossRefGoogle Scholar
Beerda, DCE, Zegers, AD, van Andel, ES, et al. (2022) Experiences and perspectives of patients with advanced cancer regarding work resumption and work retention: A qualitative interview study. Supportive Care in Cancer 30(12), 97139721. doi:10.1007/s00520-022-07436-1CrossRefGoogle ScholarPubMed
Berg Gudbergsson, S, Fosså, SD and Dahl, A (2008) Is cancer survivorship associated with reduced work engagement? A NOCWO Study. Journal of Cancer Survivorship 2(3), 159168. doi:10.1007/s11764-008-0059-9CrossRefGoogle ScholarPubMed
Bielik, J, Bystricky, B, Hoffmannova, K, et al. (2020) Quality of life and ability to work in ovarian cancer patients in Slovakia. Neoplasma 67(2), 389393. doi:10.4149/neo_2020_190401n285CrossRefGoogle ScholarPubMed
Boelhouwer, IG, Vermeer, W and Van Vuuren, T (2021) The associations between late effects of cancer treatment, work ability and job resources: A systematic review. International Archives of Occupational and Environmental Health 94(2), 147189. doi:10.1007/s00420-020-01567-wCrossRefGoogle ScholarPubMed
Boelhouwer, IG, Vermeer, W and Van Vuuren, T (2022) Late effects of cancer treatment, job resources, and burnout complaints among employees with a breast cancer diagnosis 2–10 years ago: A longitudinal study. Frontiers in Psychology 12, 111. doi:10.3389/fpsyg.2021.793138CrossRefGoogle ScholarPubMed
Couwenberg, AM, Intven, MPW, Gregorowitsch, ML, et al. (2020) Patient-reported work ability during the first two years after rectal cancer diagnosis. Diseases of the Colon & Rectum 63(5), . doi:10.1097/dcr.0000000000001601CrossRefGoogle ScholarPubMed
Cui, CY, Wang, Y, Zhang, Y, et al. (2021) The development and validation of the psychological capital questionnaire for patients with Cancer the psychological capital questionnaire. BMC Cancer 21(1), 18. doi:10.1186/S12885-021-08960-9/TABLES/4CrossRefGoogle ScholarPubMed
Demerouti, E, Bakker, AB, Nachreiner, F, et al. (2001) The job demands-resources model of burnout. Journal of Applied Psychology 86(3), 499512. doi:10.1037/0021-9010.86.3.499CrossRefGoogle ScholarPubMed
Gould, R, Ilmarinen, J, Järvisalo, J, et al. (2008) Dimensions of work ability: results of the Health 2000 Survey. https://www.julkari.fi/bitstream/handle/10024/78055/dimensions_of_work_ability_7.pdf (accessed 17 February 2024).Google Scholar
Hakanen, JJ and Lindbohm, ML (2008) Work engagement among breast cancer survivors and the referents: The importance of optimism and social resources at work. Journal of Cancer Survivorship 2(4), 283295. doi:10.1007/s11764-008-0071-0CrossRefGoogle ScholarPubMed
Hallman, T, Thomsson, H, Burell, G, et al. (2003) Stress, burnout and coping: Differences between women with coronary heart disease and healthy matched women. Journal of Health Psychology 8(4), 433445. doi:10.1177/13591053030084003CrossRefGoogle ScholarPubMed
Helgeson, VS and Zajdel, M (2017) Adjusting to chronic health conditions. Annual Review of Psychology 68, 545571. doi:10.1146/ANNUREV-PSYCH-010416-044014CrossRefGoogle ScholarPubMed
Ho, PJ, Hartman, M, Gernaat, SAM, et al. (2018) Associations between workability and patient-reported physical, psychological and social outcomes in breast cancer survivors: A cross-sectional study. Supportive Care in Cancer 26(8), 28152824. doi:10.1007/s00520-018-4132-2CrossRefGoogle ScholarPubMed
Honkonen, T, Ahola, K, Pertovaara, M, et al. (2006) The association between burnout and physical illness in the general population-results from the Finnish Health 2000 Study. Journal of Psychosomatic Research 61(1), 5966. doi:10.1016/j.jpsychores.2005.10.002CrossRefGoogle ScholarPubMed
Ilmarinen, J (2007) The work ability index (WAI). Occupational Medicine 57(2), 160160. doi:10.1093/occmed/kqm008CrossRefGoogle Scholar
Ilmarinen, J and Tuomi, K (2004) Past, present and future of work ability. In Proceedings of the 1st International Symposium on Work Ability, Helsinki.Google Scholar
Ilmarinen, J, Tuomi, K and Seitsamo, J (2005) New dimensions of work ability. International Congress Series 1280, 37. doi:10.1016/j.ics.2005.02.060CrossRefGoogle Scholar
Kanker.nl (2023) Overlevingscijfers van borstkanker. Kanker.nl. https://www.kanker.nl/kankersoorten/borstkanker/algemeen/overlevingscijfers-van-borstkanker (accessed 22 March 2023).Google Scholar
Koolhaas, W, Van der Klink, JJL, De Boer, MR, et al. (2014) Chronic health conditions and work ability in the ageing workforce: The impact of work conditions, psychosocial factors and perceived health. International Archives of Occupational and Environmental Health 87(4), 433443. doi:10.1007/s00420-013-0882-9Google ScholarPubMed
Leijten, FRM, Van den Heuvel, SG, Ybema, JF, et al. (2014) The influence of chronic health problems on work ability and productivity at work: A longitudinal study among older employees. Scandinavian Journal of Work, Environment & Health 40(5), 473482. doi:10.5271/sjweh.3444CrossRefGoogle Scholar
Lindbohm, ML, Taskila, T, Kuosma, E, et al. (2012) Work ability of survivors of breast, prostate, and testicular cancer in Nordic countries: A NOCWO study. Journal of Cancer Survivorship 6(1), 7281. doi:10.1007/s11764-011-0200-zCrossRefGoogle ScholarPubMed
Lundin, A, Leijon, O, Vaez, M, et al. (2017) Predictive validity of the Work Ability Index and its individual items in the general population. Scandinavian Journal of Public 45(4), 350356. doi:10.1177/1403494817702759Google ScholarPubMed
Luthans, F, Avolio, BJ, Avey, JB, et al. (2007a) Positive psychological capital: Measurement and relationship with performance and satisfaction. Personnel Psychology 60(3), 541572. doi:10.1111/j.1744-6570.2007.00083.xCrossRefGoogle Scholar
Luthans, F, Youssef, CM and Avolio, BJ (2007b) Psychological Capital: Developing the Human Competitive Edge. Oxford University Press.Google Scholar
Maslach, S and Jackson, S (1981) The measurement of experienced burnout. Journal of Occupational Behavior 2, 99113. doi:10.1002/job.4030020205CrossRefGoogle Scholar
Maslach, C, Schaufeli, WB and Leiter, MP (2001) Job burnout. Annual Review of Psychology 52, 397422. doi:10.1146/annurev.psych.52.1.397CrossRefGoogle ScholarPubMed
Moskowitz, MC, Todd, BL, Chen, R, et al. (2014) Function and friction at work: A multidimensional analysis of work outcomes in cancer survivors. Journal of Cancer Survivorship 8(2), 173182. doi:10.1007/s11764-013-0340-4CrossRefGoogle Scholar
Müller, A, Weigl, M, Heiden, B, et al. (2013) Selection, optimization, and compensation in nursing: Exploration of job-specific strategies, scale development, and age-specific associations to work ability. Journal of Advanced Nursing 69(7), 16301642. doi:10.1111/jan.12026CrossRefGoogle ScholarPubMed
Newman, A, Ucbasaran, D, Zhu, F, et al. (2014) Psychological capital: A review and synthesis. Journal of Organizational Behavior 35(SUPPL.1), S120S138. doi:10.1002/job.1916CrossRefGoogle Scholar
Peterson, SJ, Luthans, F, Avolio, BJ, et al. (2011) Psychological capital and employee performance: A latent growth modeling approach. Personnel Psychology 64(2), 427450. doi:10.1111/j.1744-6570.2011.01215.xCrossRefGoogle Scholar
Rongen, A, Robroek, SJW, Schaufeli, W, et al. (2014) The contribution of work engagement to self-perceived health, work ability, and sickness absence beyond health behaviors and work-related factors. Journal of Occupational & Environmental Medicine 56(8), 892897. doi:10.1097/JOM.0000000000000196CrossRefGoogle ScholarPubMed
Schaufeli, WB, Bakker, AB and Salanova, M (2006) The measurement of work engagement with a short questionnaire: A cross-national study. Educational and Psychological Measurement 66(4), 701716. doi:10.1177/0013164405282471CrossRefGoogle Scholar
Schaufeli, WB, Desart, S and De Witte, H (2020) Burnout Assessment Tool (BAT)—Development, validity, and reliability. International Journal of Environmental Research & Public Health 17(24), 121. doi:10.3390/ijerph17249495CrossRefGoogle ScholarPubMed
Schaufeli, W and Van Dierendonck, D (2000) UBOS Utrechtse Burnout Schaal: Handleiding. Lisse: Swets Test Publishers.Google Scholar
Sesto, ME, Carroll, CB, Zhang, X, et al. (2022) Unmet needs and problems related to employment and working as reported by survivors with metastatic breast cancer. Supportive Care in Cancer 30(5), 42914301. doi:10.1007/s00520-021-06755-zCrossRefGoogle ScholarPubMed
Tevaarwerk, AJ, Lee, JW, Terhaar, A, et al. (2016) Working after a metastatic cancer diagnosis: Factors affecting employment in the metastatic setting from ECOG-ACRIN’s Symptom Outcomes and Practice Patterns study. Cancer 122(3), 438446. doi:10.1002/cncr.29656CrossRefGoogle ScholarPubMed
Tometich, DB, Hyland, KA, Soliman, H, et al. (2020) Living with metastatic cancer: A roadmap for future research. Cancers 12(12), . doi:10.3390/cancers12123684CrossRefGoogle ScholarPubMed
Torp, S, Nielsen, RA, Gudbergsson, SB, et al. (2012) Worksite adjustments and work ability among employed cancer survivors. Supportive Care in Cancer 20(9), 21492156. doi:10.1007/s00520-011-1325-3CrossRefGoogle ScholarPubMed
Van den Berg, S, Burdorf, A and Robroek, SJW (2017) Associations between common diseases and work ability and sick leave among health care workers. International Archives of Occupational and Environmental Health 90(7), 685693. doi:10.1007/s00420-017-1231-1CrossRefGoogle ScholarPubMed
Veld, M, Semeijn, JH and van Vuuren, T (2016) Career control, career dialogue and managerial position: How do these matter for perceived employability? Career Development International 21(7), 697712. doi:10.1108/CDI-04-2016-0047CrossRefGoogle Scholar
Von Ah, D and Crouch, A (2021) Relationship of perceived everyday cognitive function and work engagement in breast cancer survivors. Supportive Care in Cancer 29, 43034309.CrossRefGoogle ScholarPubMed