The clinical and occupational correlates of work productivity loss among employed patients with depression

被引:139
作者
Lerner, D
Adler, DA
Chang, H
Berndt, ER
Irish, JT
Lapitsky, L
Hood, MY
Reed, J
Rogers, WH
机构
[1] Tufts Univ, New England Med Ctr, Hlth Inst, Dept Psychiat, Boston, MA 02111 USA
[2] Tufts Univ, New England Med Ctr, Inst Clin Res & Hlth Policy Studies, Boston, MA 02111 USA
[3] Tufts Univ, Sch Med, Boston, MA 02111 USA
[4] Tufts Univ, Sackler Sch Grad Biomed Sci, Boston, MA 02111 USA
[5] MIT, Sloan Sch Management, Cambridge, MA 02139 USA
[6] Fallon Clin Inc, Worcester, MA USA
关键词
D O I
10.1097/01.jom.0000126684.82825.0a
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Employers who are developing strategies to reduce health-related productivity loss may benefit from aiming their interventions at the employees who need them most. We determined whether depression's negative productivity impact varied with the type of work employees performed. Subjects (246 with depression and 143 controls) answered the Work Limitations Questionnaire and additional work questions. Occupational requirements were measured objectively. In multiple regression analyses, productivity was most influenced by depression seventy (P < 0.01 in 5/5 models). However, certain occupations also significantly increased employee vulnerability to productivity loss. Losses increased when employees. had occupations requiring proficiency in decision-making and communication and/or frequent customer contact (P < 0.05 in 315 models). The Work Limitations Questionnaire can help employers to reduce productivity loss by identifying health and productivity improvement priorities.
引用
收藏
页码:S46 / S55
页数:10
相关论文
共 34 条
[1]   Using self-report and adverse event measures to track health's impact on productivity in known groups [J].
Allen, HM ;
Bunn, WB .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2003, 45 (09) :973-983
[2]  
*AM PSYCH ASS, 2004, MENT HEALTHW
[3]  
[Anonymous], 2000, MENTAL HLTH WORKPLAC
[4]  
Baldwin M.L., 1998, NEW APPROACHES DISAB, P39
[5]   Workplace performance effects from chronic depression and its treatment [J].
Berndt, ER ;
Finkelstein, SN ;
Greenberg, PE ;
Howland, RH ;
Keith, A ;
Rush, AJ ;
Russell, J ;
Keller, MB .
JOURNAL OF HEALTH ECONOMICS, 1998, 17 (05) :511-535
[6]   SCREENING FOR ALCOHOL-ABUSE USING THE CAGE QUESTIONNAIRE [J].
BUSH, B ;
SHAW, S ;
CLEARY, P ;
DELBANCO, TL ;
ARONSON, MD .
AMERICAN JOURNAL OF MEDICINE, 1987, 82 (02) :231-235
[7]  
Dillman D.A., 1978, MAIL TELEPHONE SURVE
[8]   Evaluation of the vocational factors impacting on psychiatric disability [J].
Enelow, AJ ;
Leo, RJ .
PSYCHIATRIC ANNALS, 2002, 32 (05) :293-+
[9]   The health and productivity cost burden of the "top 10" physical and mental health conditions affecting six large US employers in 1999 [J].
Goetzel, RZ ;
Hawkins, K ;
Ozminkowski, RJ ;
Wang, SH .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2003, 45 (01) :5-14
[10]   The world health organization health and work performance questionnaire (HPQ) [J].
Kessler, RC ;
Barber, C ;
Beck, A ;
Berglund, P ;
Cleary, PD ;
McKenas, D ;
Pronk, N ;
Simon, G ;
Stang, P ;
Ustun, TB ;
Wang, P .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2003, 45 (02) :156-174