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. 2010 Jan-Feb;24(3):205-13.
doi: 10.4278/ajhp.090313-QUAN-103.

Work performance of employees with depression: the impact of work stressors

Debra Lerner  1 , David A Adler, William H Rogers, Hong Chang, Leueen Lapitsky, Thomas McLaughlin, John Reed
Affiliations

Work performance of employees with depression: the impact of work stressors

Debra Lerner et al. Am J Health Promot. 2010 Jan-Feb.

Abstract

Purpose: Depressed employees are vulnerable to adverse work outcomes. We hypothesized that work performance is impaired by depression and is worsened by exposure to psychosocial work stressors.

Design: Longitudinal cohort study with surveys administered at baseline, 6, 12, and 18 months.

Setting: Recruitment in primary care offices.

Subjects: A total of 14,268 were screened; 286 depressed, employed adults (18-62 years) and 193 controls were enrolled.

Measures: At-work limitations (presenteeism) and absenteeism were measured with the Work Limitations Questionnaire (WLQ) and WLQ Work Absence Module, respectively. Work stressors were assessed using a modified version of the Job Content Questionnaire.

Analysis: Univariate and multivariate tests assessed the degree to which at-work limitations were related to depression and/or stressful work.

Results: Presenteeism and absenteeism were significantly worse for the depression group at each time point (p < or = .001). In cross-sectional models, presenteeism was associated with more severe depression symptoms, poorer general physical health, psychologically demanding work, the interaction ofpsychologically demanding work with depression, and less job control (r2 range = .33-.54). Absences were explained by depression symptom severity and poorer general physical health but not work stressors (r2 = .19). Because of minimal change in the work stressors, their longitudinal effects on outcomes were mostly nonsignificant.

Conclusion: This study found that depression symptoms are related to work absences and impaired work performance, and results partly confirmed that work stressors add to this impact. Results suggest that workers with depression may benefit from care involving medical and vocational interventions.

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References

    1. Stewart WF, Ricci JA, Chee E, et al. Cost of lost productive work time among US workers with depression. JAMA. 2003;289:3135–3144. - PubMed
    1. Kessler RC, Akiskal HS, Ames M, et al. Prevalence and effects of mood disorders on work performance in a nationally representative sample of U.S. workers. Am J Psychiatry. 2006;163:1561–1568. - PMC - PubMed
    1. Greenberg PE, Leong SA, Birnbaum HG, Robinson RL. The economic burden of depression with painful symptoms. J Clin Psychiatry. 2003;64 (suppl 7):17–23. - PubMed
    1. Lerner DJ, Henke R. What does research tell us about depression, job performance and work productivity? J Occup Environ Med. 2008;50:401–410. - PubMed
    1. Rost K, Smith JL, Dickinson M. The effect of improving primary care depression management on employee absenteeism and productivity. A randomized trial. Med Care. 2004;42:1202–1210. - PMC - PubMed