Ute Bültmann

Ute Bültmann
University of Groningen | RUG · Health Sciences, Community and Occupational Medicine

Professor of Work & Health

About

390
Publications
75,863
Reads
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13,204
Citations
Additional affiliations
May 2007 - present
University of Groningen
Position
  • Professor (Full)
May 2007 - present
Universitair Medisch Centrum Groningen
Position
  • Professor (Full)
October 2003 - May 2007
National Research Centre for the Working Environment
Position
  • Senior Researcher

Publications

Publications (390)
Article
Background and objectives To date, employment figures of kidney transplant recipients in Europe are inconsistent. Additionally, little is known about work functioning of employed kidney transplant recipients and work functioning trajectories before and after transplantation. Design, setting, participants, & measurements Data from the ongoing Trans...
Article
With increasing retirement ages, older workers are working longer while being newly diagnosed with chronic health conditions (CHCs). Our knowledge on how newly diagnosed CHCs influence older workers’ vitality and worries is limited. We examine how four newly diagnosed CHCs affect older workers’ vitality and worries about physical and mental functio...
Preprint
Full-text available
Purpose There is a need for interdisciplinary primary care-led aftercare programs for the common (transdiagnostic) problems cancer survivors experience to increase their quality of life. The aim of this controlled before-and-after pilot study was to examine the feasibility and effectiveness of a transdiagnostic, family doctor-led interdisciplinary...
Article
Background: Our aim was to investigate sex differences in the associations between socioeconomic position (SEP) and metabolic syndrome (MetS) development, and to what extent these associations are mediated by health literacy and self-management skills. Methods: A subsample (n = 88,384, 59.5% female) of the adult Lifelines Cohort Study was used....
Article
Background Major depressive disorder (MDD) onset varies by socioeconomic position (SEP), this could be explained by lifestyle factors, but little is known about this pathway. Our study aims to disentangle the interplay between SEP measures (i.e., education, income and occupational prestige) and MDD onset and to examine to what extent these associat...
Article
Background: This study investigates (1) whether different employment transition types (ie, unemployment, work disability, early retirement and regular retirement) are associated with metabolic syndrome (MetS) incidence among older workers (50-64 years) and (2) whether occupational group moderates the association between employment transition type...
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Purpose To examine the impact of pre-existing anxiety and depression disorders on return to work (RTW) using a phase-based approach. Methods Accepted lost-time workers’ compensation claims for upper limb or spine strain or sprain from 2009 to 2013 were extracted for workers in the Canadian province of British Columbia (n = 78,186). Pre-existing an...
Article
Mental health problems in the workforce present a major public and occupational health challenge and come with significant costs for the individuals, families, employers and society at large. It has been estimated that, globally, the 12-month prevalence of common mental health problems – such as depressive disorders, anxiety disorders, and stress-r...
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Purpose We lack knowledge on whether the advice of “being physically active” should be the same for prevention and rehabilitation of low back pain (LBP). Sickness absence is a key outcome for LBP prevention and rehabilitation. We investigated the associations between physical activity and long-term sickness absence (LTSA) among employees with and w...
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Purpose: The purpose of this study was to explore the employee and the managerial experience of reasons for sick leave due to CMDs in relation to work and private life, through the lens of a transactional perspective of everyday life occupation and gender norms. Methods: Semi-structured interviews were conducted with 17 employees on sick leave due...
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Purpose Cognitive symptoms affect cancer survivors’ functioning at work. To date, cognitive symptoms trajectories in working cancer survivors and the factors associated with these trajectories have not been examined. Methods Data from a heterogeneous group of working cancer survivors (n = 379) of the longitudinal “Work-Life-after-Cancer” study, li...
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Purpose Interventions to support work participation in cancer survivors (CSs) have shown limited effectiveness. Applying a behavioral change framework (e.g., stages of change) could make work participation interventions for CSs more timely and tailored. We aimed to explore the application of the stages of change framework to work participation supp...
Article
Objectives: The aim of this discussion paper is to (i) identify the differentiated roles of health in the work-retirement transition, and, with respect to these, (ii) highlight topics related to conceptual and methodological problems and challenges in research, and (iii) present avenues for future research. Methods: This discussion paper summari...
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Purpose In Germany, return to work (RTW) after inpatient treatment for common mental disorders (CMDs) is a complex process at the intersection of the mental healthcare system and the workplace. This study examined (1) the time to first and full RTW and (2) associated factors among employees receiving inpatient treatment for CMDs. Methods In this pr...
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Background: Metabolic syndrome (MetS) development strongly varies based on individuals' socioeconomic position (SEP), but to date, no studies have assessed the mediating role of perceived stress from long-term difficulties (chronic stress) in this association. The aim of this study is to examine the mediating role of chronic stress in the associat...
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Commonly used methods for modelling early life adversity (e.g., sum-scores, latent class or trajectory approaches, single-adversity approaches, and factor-analytical approaches) have not been able to capture the complex nature of early life adversity. We propose network analysis as an alternative way of modelling early life adversity (ELA). Our aim...
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Purpose Depressive symptoms are negatively associated with labour market outcomes but whether the timing and duration of depressive symptoms or educational attainment (EA) affect NEET (Neither in Employment, Education, nor Training) is unknown. Therefore, this study aims to examine the effects of timing and duration of depressive symptoms in adoles...
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This study investigates whether the incidence of metabolic syndrome (MetS), and its components, differs by occupational group among older workers (45-65 years) and whether health behaviors (smoking, leisure-time physical activity, diet quality) can explain these differences. We analyzed data from older workers (N=23 051) from two comprehensive meas...
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Background. Chronic health conditions (CHCs) pose stark detrimental effects on the health and abilities of older workers. The extent of these effects depend on the CHC, the time since its diagnosis and the type of health measure: a rarely explored combination of heterogeneities. Objective. This study examined how four existing and newly diagnosed C...
Article
Unhealthy food environments may contribute to an elevated Body Mass Index (BMI), which is a chronic disease risk factor. We examined the association between residential fast-food outlet exposure, in terms of proximity and density, and BMI in the Dutch adult general population. Additionally, we investigated to what extent this association was modifi...
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Purpose The aims of this study were to examine (1) the longitudinal associations of supervisor and colleague social support with work functioning in cancer patients who have returned to work and (2) the moderating role of social support at home. Methods Data from the longitudinal Work Life after Cancer study were used (n = 384). Work functioning (...
Article
Objective In many countries the retirement age is rising. Consequently, age-related hearing loss is an increasing occupational health problem. This study examined the association between hearing loss and sustainable employability of teachers. Design For this cross-sectional study a survey and an online hearing screening test were used. Sustainable...
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This study aimed to investigate differences in work disability duration among immigrants (categorized as economic, family member or refugee/other classification upon arrival to Canada) compared to Canadian-born workers with a work-related injury in British Columbia. Immigrants and Canadian-born workers were identified from linked immigration record...
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Background Although the incidence of metabolic syndrome (MetS) strongly varies based on individuals’ socioeconomic position (SEP), as yet no studies have examined the SEP-MetS remission relationship. Our aim is to longitudinally assess the associations between SEP measures education, income and occupational prestige, and MetS remission, and whether...
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Objectives Mental health problems (MHPs) during childhood and adolescence are negatively associated with having a paid job in young adulthood. Yet, little is known about how young adults function at work, that is, do they experience difficulties in meeting their job demands given their health state. This longitudinal study aims to examine the impac...
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Background Mental health problems are highly prevalent among university students. Stress due to student life challenges may be a risk factor for poorer health. This study investigates to what extent student life challenges and changes therein are associated with mental health and self-rated health. Methods In a longitudinal study with 568 Italian...
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Background Many cancer survivors experience physical and/or psychosocial problems affecting return to work (RTW) and work retention. Current interventions on RTW lack evidence regarding effectiveness, while interventions for work retention are missing. Partners of cancer survivors may also experience work- and health-related outcomes; yet, these co...
Data
Supplementary file of the article "Associations of university student life challenges with mental health and self-rated health: A longitudinal study with 6 months follow-up", by Porru et al., 2021.
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Background INTEVAL_Spain was a complex workplace intervention to prevent and manage musculoskeletal pain among nursing staff. Process evaluations can be especially useful for complex and multifaceted interventions through identifying the success or failure factors of an intervention to improve the intervention implementation. Objectives This study...
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Background Common mental disorders are highly prevalent in the working population, affecting about 1 in 5 persons in the Organisation for Economic Co-operation and Development countries. About 30% of those affected have a first period of sick leave. Despite several attempts to reduce the risk of sick leave among employees with common mental disorde...
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Full-text available
BACKGROUND: Mental health problems are highly prevalent among university students. Stress due to student life challenges may be a risk factor for poorer health. This study investigates to what extent student life challenges and changes therein are associated with mental health and self-rated health. METHODS: In a longitudinal study with 568 Italia...
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Full-text available
Vitality is the feeling of physical and mental aliveness. Vitality benefits individual, organizational and societal well-being. However, we know much less about the dynamics in the levels of vitality and its’ precursors. This study investigates the effects of retirement on vitality and how this effect differs between manual and non-manual workers a...
Article
Focus of Presentation Many studies have investigated associations between early life adversity (ELA) and outcomes across the life course. A defining characteristic of ELA is its complex nature, as many individual adverse experiences (e.g., parental mental health problems, financial difficulties) co-occur and interact over time. Commonly used method...
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Objective: Birth cohorts collect valuable and under-utilized information on employment and health of parents before and during pregnancy, at birth, and sometimes after birth. In this discussion paper, we examine how these data could be exploited to study the complex relationships and interactions between parenthood, work, and health among parents...
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Abstract Objectives Previous studies on the association between psychosocial work factors and blood pressure mainly focused on specific occupations or populations and had limited sample sizes. We, therefore, investigated the associations between psychosocial work factors and blood pressure in a large general working population in the Netherlands....
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Introduction: Studies show a need for trust between stakeholders in integrated services. However, few studies have investigated how trust develops between stakeholders on a micro-level. In a Danish intersectoral intervention for persons on sick leave due to common mental disorders, we explored why trust is needed and how trust is developed between...
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This study investigates whether the incidence of metabolic syndrome (MetS), and its components, differs by occupational group among older workers (45–65 years) and whether health behaviors (smoking, leisure-time physical activity, diet quality, and alcohol consumption) can explain these differences. A sample of older workers (N = 34,834) from the N...
Preprint
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Objectives. Technological, sociopolitical and environmental forces are changing the working world and creating conditions that could be disadvantageous to young adults with disabilities. Our study aims to examine the thoughts and perceptions held by young adults with disabilities regarding the future of work. Methods. One-on-one semi-structured int...
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Introduction The future of work is characterized by changes that could disrupt all aspects of the nature and availability of work. Our study aims to understand how the future of work could result in conditions, which contribute to vulnerability for different groups of workers. Methods A horizon scan was conducted to systematically identify and syn...
Preprint
Full-text available
Background: The nursing staff is an occupational group at high risk of musculoskeletal pain. Scientific evidence has shown that multifaceted interventions are more effective than those based on a single component to prevent musculoskeletal pain. INTEVAL_Spain was a complex workplace intervention to prevent and manage musculoskeletal pain among nurs...
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As detailed data on labor market affiliation become more accessible, new approaches are needed to address the complex patterns of labor market affiliation. We introduce the expected labor market affiliation (ELMA) method by estimating the time-restricted impact of perceived stress on labor market affiliation in a large sample of Danish employees. D...
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Background Offshore workers are assumed to have poor health behaviours, but no studies have yet examined physical activity (PA) during a full offshore shift rotation period, including both work and at home periods. Furthermore, the relationship of PA with sleepiness, a prevalent safety hazard offshore, is not known. This study aimed to examine (1)...
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Adolescent depressive symptoms are risk factors for lower education and unemployment in early adulthood. This study examines how the course of symptoms from ages 16–25 influences early adult education and employment in Canada and the USA. Using data from the National Longitudinal Survey of Children and Youth (n = 2348) and the National Longitudinal...
Article
Qualitative study using in-depth interviews. To describe experienced barriers and facilitators for work and social participation among individuals with spinal cord injury (SCI). Vocational rehabilitation (VR) center in Yogyakarta Province, Indonesia. Semi-structured interviews were conducted with 12 participants (8 males, 4 females) aged 24–67 year...
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Objective: The aim of this study was to examine the impact of anxiety and depression disorders on sustained return to work (RTW) for men and women with musculoskeletal strain or sprain. Methods: Accepted lost-time claims for spine and upper-extremity strain or sprain were extracted for workers in the Canadian province of British Columbia from 20...
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Objectives To date, only a few studies have investigated the associations between occupational exposures and respiratory outcomes longitudinally in the general population. We investigated the associations between occupational exposures and the development of respiratory symptoms and airway obstruction in the Lifelines Cohort Study. Methods We incl...
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Purpose The Lifelines COVID-19 cohort was set up to assess the psychological and societal impacts of the COVID-19 pandemic and investigate potential risk factors for COVID-19 within the Lifelines prospective population cohort. Participants Participants were recruited from the 140 000 eligible participants of Lifelines and the Lifelines NEXT birth...
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Objectives To determine the association between geriatric syndromes and any specific incident chronic health conditions among older community-dwellers. Design Population-based cohort study over a median follow-up period of 43 months. Setting and Participants Participants from the Lifelines Cohort Study aged 60 years and older without presence of...
Article
Background The incidence of metabolic syndrome (MetS) strongly varies by socioeconomic position (SEP), but little is known about the mediating role of health behaviours in this association. This study examines the associations between the SEP measures, education, income and occupational prestige, and incident MetS and whether the associations are m...
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Full-text available
Background Little is known about the timing and duration of mental health problems (MHPs) on young adults’ labour market participation (LMP). This life-course study aims to examine whether and how the timing and duration of MHPs between childhood and young adulthood are associated with LMP in young adulthood. Methods Logistic regression analyses w...
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Objective: The Work Role Functioning Questionnaire 2.0 (WRFQ), measuring the percentage of time a worker has difficulties in meeting the work demands for a given health state, has shown strong reliability and validity in various populations with different chronic conditions. The present study aims to validate the WRFQ in working cancer patients....
Article
Objective To examine the prevalence and risk factors for medically treated anxiety and depression disorders among men and women with musculoskeletal strain or sprain work injury in British Columbia, Canada. Methods A retrospective population-based cohort of accepted workers’ compensation lost-time claims from 2000 to 2013 was constructed using lin...
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Background In response to the COVID-19 pandemic, governments around the world instituted various public-health measures. Our project aimed to highlight the most significant similarities and differences in key mental-health indicators between four Western and Northern European countries, and identify the population subgroups with the poorest mental-...
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Background. Past studies have revealed the effect of retirement on various health measures. None, however, have studied retirement’s effect on vitality, a holistic measure of physical and mental health. To boot, very few studies have addressed the heterogeneity in the health consequences of retirement. This study investigates the effect of retireme...
Article
Objective: Effective interventions supporting cancer survivors in work participation are lacking, possibly due to the poor fit between interventions and cancer survivors' needs. The 'Readiness for Return To Work' (RRTW) questionnaire could facilitate intervention development tailored to cancer survivors' needs. We performed a cross-cultural transla...
Preprint
Full-text available
Background. The future of work is characterized by social, technological, economic, environmental and political changes that are expected to disrupt all aspects of the working world. Our study aims to understand how the future of work impacts vulnerable workers. Methods. We conducted a horizon scan to systematically identify and synthesize diverse...
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Full-text available
Background. Mental health problems are highly prevalent among university students, but little is known about their underlying determinants. This study explores mental health among university students, the association between “effort-reward imbalance” (ERI), overcommitment and mental health, and to what extent ERI and overcommitment explain gender d...