Health and Disability Costs of Depressive Illness in a Major U.S. Corporation

Druss, Benjamin G.; Rosenheck, Robert A.; Sledge, William H.

doi:10.1176/appi.ajp.157.8.1274

Cited by 339 publications

(202 citation statements)

References 15 publications

Supporting

Mentioning

184

Contrasting

Unclassified

Order By: Relevance

“…Previous research indicated that depression has a significant economic impact on medical care costs [19] and worker productivity [20], although such studies do not typically control for personality pathology. Given the significant increase in treatment utilization by patients in the BPD group over utilization by patients in the MAD group, the economic impact of a BPD diagnosis is likely considerable.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group

Ansell

Sanislow

McGlashan

et al. 2007

Comprehensive Psychiatry

123

View full text Add to dashboard Cite

This study compared psychosocial functioning and treatment utilization in 130 participants who were diagnosed with a borderline personality disorder (BPD), a non-BPD personality disorder (OPD), a mood and/or anxiety disorder (MAD), or had no current psychiatric diagnosis and served as a healthy comparison group. Diagnostic and Statistical Manual of Mental Disorders (4th Edition) diagnoses, psychosocial functioning, and treatment utilization were determined by using well-established semistructured research interviews conducted by trained doctoral-level clinicians. Analysis of variance revealed the most severe deficits in functioning characterized the BPD group across areas of global functioning with more moderate impairments in functioning occurring in OPD and MAD groups. The BPD group was characterized by significantly greater psychiatric and nonpsychiatric treatment utilization than the other groups. These findings indicate that BPD as well as other personality disorders are a source of considerable psychologic distress and functional impairment equivalent to, and at times exceeding, the distress found in mood and anxiety disorders. The public health impact of BPD diagnosis is highlighted by the high rates of psychiatric and nonpsychiatric treatment utilization. D

show abstract

Section: Discussionmentioning

confidence: 99%

Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group

Ansell

Sanislow

McGlashan

et al. 2007

Comprehensive Psychiatry

123

View full text Add to dashboard Cite

show abstract

“…The recall period in the present study was short (28 days) to control for this. Future studies, however, could usefully look at the relationship between objectively measured lost productivity [17][18][19] and that which is self-reported, particularly in terms of work cutback.…”

Section: Limitationsmentioning

confidence: 99%

Lost productivity among full‐time workers with mental disorders

Lim

Sanderson

Andrews

2000

J Ment Health Policy Econ

227

164

View full text Add to dashboard Cite

Background: Few studies have systematically compared the relationship between lost work productivity (work impairment) and mental disorders using population surveys. Aims: (1) To identify the importance of individual mental disorders and disorder co-occurrences (comorbidity) as predictors of two measures of work impairment over the past month-work loss (number of days unable to perform usual activities) and work cutback (number of days where usual activities were restricted); (2) to examine whether different types of disorder have a greater impact on work impairment in some occupations than others; (3) to determine whether work impairment in those with a disorder is related to treatment seeking. Method: Data were based on full-time workers identified by the Australian National Survey of Mental Health and Well-Being, a household survey of mental disorders modeled on the US National Comorbidity Survey. Diagnoses were of one-month DSM-IV affective, anxiety and substance-related disorders. Screening instruments generated likely cases of ICD-10 personality disorders. The association of disorder types and their co-occurrences with work impairment was examined using multivariate linear regression. Odds ratios determined the significance of mental disorder prevalence across occupations, and planned contrasts were used to test for differences in work impairment across occupations within disorder types. The relationship between work impairment and treatment seeking was determined for each broad diagnostic group with t-tests. Results: Depression, generalized anxiety disorder and personality disorders were predictive of work impairment after controlling for impairment due to physical disorders. Among pure and comorbid disorders, affective and comorbid anxiety-affective disorders respectively were associated with the greatest amount of work impairment. For all disorders, stronger associations were obtained for work cutback than for work loss. No relationship was found between type of occupation and the impact of different types of disorder on work impairment. Only 15% of people with any mental disorder had sought help in the past month. For any mental

show abstract

“…Atualmente, a depressão atinge índices significativos em estudos epidemiológicos realizados em diversos países (Vorcaro, Ucho & Lima-Costal, 2002), por meio dos quais autores demonstram que de 3% a 11% da população geral pode desenvolver sintomas de depressão ao longo da vida (Fleck & cols., 2003). São, em grande parte, pessoas em fase economicamente ativa e que em razão da depressão, conforme estudos realizados nos EUA, apresentarão prejuízo no trabalho, inabilidade, absenteísmo e redução da produtividade no emprego (Druss, Rosenheck & Sledge, 2000;Kessler, Greenberg & Mickelson, 2001), e afastamento do trabalho. Trata-se, assim, de um fenômeno social que atinge diretamente o contexto organizacional e do trabalho, e cujas aproximações (trabalho e depressão) ainda são pouco estudadas e conhecidas.…”

unclassified

Trabalho e depressão: um estudo com profissionais afastados do ambiente laboral

Cavalheiro

Tolfo

2011

Psico-USF

View full text Add to dashboard Cite

ResumoTrabalho e depressão; como associar tais fenômenos? Se existe uma incidência elevada de casos de depressão na atualidade, ela se manifestará em diferentes graus nos contextos de trabalho, mesmo que autores reiterem a sua centralidade e importância para a construção da subjetividade. Estudos científicos demonstram a depressão como uma das causas mais expressivas de afastamento do trabalho. O artigo apresenta resultados de um estudo que, por meio da análise de documentos, identificou características de trabalhadores afastados por depressão em uma Universidade do Sul do Brasil. Foram analisados 36 casos identificados como de afastados do trabalho com diagnóstico de depressão e relacionados a motivos diversificados, no período de julho a dezembro de 2009. Os resultados confirmam outros estudos, como a predominância de mulheres, representados por 72% dos casos; e, em muitos casos, há ocorrências sucessivas de afastamentos, inicialmente por períodos curtos, e que foram ampliando o tempo de ausência no trabalho. Palavras-chave: Trabalho, Depressão, Processo de adoecimento, Afastamento do trabalho.Labor and depression: a study with professionals away from the workplace Abstract Work and depression, how to associate these phenomena? If there is a high incidence of cases of depression today, it will manifest in different degrees in the labor context, even if authors reiterate its centrality and importance to the construction of subjectivity. Scientific studies show depression as one of the most significant causes of absence from work. The paper presents results of a study which has identified characteristics of workers who were away from their work in a University of Southern Brazil due to depression. Thirty six cases were analyzed and identified as people away from work with a diagnosis of depression and related to varied reasons, from July to December 2009. The results confirm other studies such as the predominance of women, represented by 72% of cases, and present data from the historical view of illness, the absence from work and other singularities that permeate the history of the people surveyed. Keywords: Work, Depression, Disease process, Absence from work.O 1 trabalho está presente na vida do homem ao longo da história da humanidade. Historicamente, homem e trabalho se interligam de diferentes maneiras, conforme a sociedade e o período ao qual nos referimos, de modo que os significados sociais atribuídos ao trabalho sempre têm influenciado o contexto vivenciado pelo homem. As preocupações, por exemplo, com direitos trabalhistas, evidenciadas em maio de 1968 na França, geraram o surgimento de leis e normas de condutas, assim como a introdução de novas tecnologias e de novas formas de organização do trabalho ocasionaram maior exigência na qualidade de serviços e produtos, especialmente a partir da década de 1980 do século XX.O trabalho tornou-se mais central na vida do homem após a Revolução Industrial, no capitalismo, e sua importância mostra-se crucial para a condição de saúde ou de doença do trabalhador. A...

show abstract

Health and Disability Costs of Depressive Illness in a Major U.S. Corporation

Cited by 339 publications

References 15 publications

Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group

Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group

Lost productivity among full‐time workers with mental disorders

Trabalho e depressão: um estudo com profissionais afastados do ambiente laboral

Contact Info

Product

Resources

About