AUTHOR=Gottenborg Simon , Hoff Thomas , Johnsen Svein Åge Kjøs , Rydstedt Leif , Øvergård Kjell Ivar 

TITLE=A longitudinal path analysis of the reciprocal and cyclical relationships between sickness absence, job demands, job resources, and burnout

JOURNAL=Frontiers in Psychology

VOLUME=Volume 16 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2025.1557898

DOI=10.3389/fpsyg.2025.1557898

ISSN=1664-1078

ABSTRACT=AimThis study investigates the longitudinal reciprocal cyclical impact of sickness absence on perceived job demands and job resources, as well as its indirect effects on future burnout and further sickness absence.Design and methodsA four-wave longitudinal survey design was employed, with sickness absence data collected at Time 1 and Time 3 and questionnaires assessing psychosocial work environment factors administered at Time 2 and Time 4.SampleA total of 272 employees from several Norwegian organizations participated in the study.ResultsThe results provided evidence of a reciprocal longitudinal negative path coefficient between sickness and perceived job resources, while the path coefficient related to job demands was small and non-significant. Additionally, a cyclical reciprocal effect was identified, following the pathway: sickness absence -> job resources -> burnout -> sickness absence, thereby supporting the JD-R model’s predictive capability regarding sickness absenteeism. This implies that sickness absence may lead to a perceived loss of job resources, which subsequently exacerbates burnout and results in further sickness absence over time.ContributionThis study contributes to psychological theory by enhancing the understanding of the longitudinal and reciprocal effects of sickness absence on perceived job characteristics. It also expands the longitudinal evidence base demonstrating burnout’s predictive effect on sickness absence.