Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T15:22:31.388Z Has data issue: false hasContentIssue false
  • English
  • Français

Mood and anxiety disorders, the association with presenteeism in employed members of a general population sample

Published online by Cambridge University Press:  18 May 2011

Eleonora Esposito ,
Jian Li Wang ,
Jeanne V.A. Williams  and
Scott B. Patten
Eleonora Esposito*
Affiliation:
Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Verona
Jian Li Wang
Affiliation:
Department of Psychiatry, University of Calgary, Calgary
Jeanne V.A. Williams
Affiliation:
Department of Community Health Sciences, University of Calgary, Calgary
Scott B. Patten
Affiliation:
Department of Community Health Sciences, University of Calgary, Calgary
*
Address for correspondence: Dr. E. Esposito, Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona. Policlinico G.B. Rossi, Piazzale L.A. Scuro 10, 37134 Verona, Italy. Fax: +39-045-585.871 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Summary

Aims – The term “presenteeism” is used to describe workers who are present in the workforce, but who are not functioning at full capacity. The objective of the study was to describe the impact of mood and anxiety disorders on presenteeism in a population sample. Methods – Random digit dialing was used to select a sample of n= 3345 subjects between the ages of 18 and 64. A computer assisted telephone interview that included the Mini Neuropsychiatric Diagnostic Interview (MINI), the Stanford Presenteeism Scale 6 (SPS-6) and a pharmacoepidemiology module was administered. Results – Among subjects with comorbid mood and anxiety disorders 75.0% reported interference with their work compared with only 13.3% of subjects without mood or anxiety disorders. Mood and anxiety disorders were associated with lower presenteeism ratings. Regression analysis uncovered a significant gender by anxiety disorder interaction, indicating that the effect of anxiety disorders was greater in men than women. Conclusions – This is the first study to report the impact of mental disorders on presenteeism in a general population sample. The results confirm that the problem of presenteeism is not restricted to specific occupational groups, but is instead a widespread problem in the general population.

Declaration of Interest: This study was funded by the Alberta Depression Initiative through the Institute of Health Economics (www.ihe.ab.ca). Dr. Esposito was supported by an International Resident Fellowship from the University of Calgary. Dr. Patten is a Health Scholar with the Alberta Heritage Foundation for Medical Research and a Fellow with the Institute of Health Economics. Dr. Wang is a New Investigator with the Canadian Institutes for Health Research.

Keywords

depressive disordersanxiety disorderscross-sectional studiesemployment
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 16 , Issue 3 , September 2007 , pp. 231 - 237
Copyright
Copyright © Cambridge University Press 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Badamgarav, E., Weingarten, S.R., Henning, J.M., Knight, K., Hasselblad, V., Gano, A. & Ofman, J. J. (2003). Effectiveness of disease management programs in depression: A systematic review. American Journal of Psychiatry 160, 2080–2090.CrossRefGoogle ScholarPubMed
Burton, W.N., Pransky, G., Conti, D.J., Chen, C.Y. & Edington, D.W. (2004). The association of medical conditions and presenteeism. Journal of Occupational and Environmental Medicine 46(6), S38–S45.Google Scholar
Dewa, C.S. & Lin, E. (2000). Chronic physical illness, psychiatric disorder and disability in the workplace. Social Science & Medicine 51, 41–50.CrossRefGoogle ScholarPubMed
Elinson, L., Houck, P., Marcus, S.C. & Pincus, H.A. (2004). Depression and the ability to work. Psychiatric Services 55, 29–34.CrossRefGoogle ScholarPubMed
Ettner, S.L., Frank, R.G. & Kessler, R.C. (1997). The impact of psychiatric disorders on labor market outcomes. Industrial & Labor Relations Review 51, 64–81.CrossRefGoogle Scholar
Goetzel, R.Z., Ozminkowski, R.J., Sederer, L.I. & Mark, T.L. (2002). The business case for quality mental health services: Why employers should care about the mental health and well-being of their employees. Journal of Occupational and Environmental Medicine 44, 320–330.CrossRefGoogle ScholarPubMed
Goldberg, D. (2006). The “NICE Guideline” on the treatment of depression. Epidemiologia e Psichiatria Sociale 15, 11–15.CrossRefGoogle Scholar
Greenberg, P.E., Stiglin, L.E., Finkelstein, S.N. & Berndt, E.R. (1993). The economic burden of depression in 1990. Journal of Clinical Psychiatry 54, 405–418.Google ScholarPubMed
Greenberg, P.E., Sisitsky, T., Kessler, R.C, Finkelstein, S.N., Berndt, E.R., Davidson, J.R., Ballenger, J.C. & Fyer, A.J. (1999). The economic burden of anxiety disorders in the 1990s. Journal of Clinical Psychiatry 60, 427–435.CrossRefGoogle ScholarPubMed
Katerndahl, D.A. & Realini, J.P. (1997). Quality of life and panic-related work disability in subjects with infrequent panic and panic disorder. Journal of Clinical Psychiatry 58, 153–158.CrossRefGoogle ScholarPubMed
Kennedy, B.L., Lin, Y. & Schwab, J.J. (2002). Work, social, and family disabilities of subjects with anxiety and depression. Southern Medical Journal 95, 1424–1427.CrossRefGoogle ScholarPubMed
Kessler, R.C, Greenberg, P.E., Mickelson, K.D., Meneades, L.M. & Wang, P.S. (2001). The effects of chronic medical conditions on work loss and work cutback. Journal of Occupational and Environmental Medicine 43, 218–225.CrossRefGoogle ScholarPubMed
Kessler, R.C, Berglund, P., Dernier, O., Jin, R., Koretz, D., Merikangas, K.R., Rush, A.J., Walters, E.E. & Wang, P.S. (2003). The epidemiology of major depressive disorder - Results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association 289, 3095–3105.Google Scholar
Klerman, G.L., Weissman, M.M., Ouellette, R., Johnson, J. & Greenwald, S. (1991). Panic attacks in the community. Social morbidity and health care utilization. Journal of the American Medical Association 265, 742–746.Google Scholar
Koopman, C., Pelletier, K.R., Murray, J.F., Sharda, C.E., Berger, M.L.Turpin, R.S., Hackleman, P., Gibson, P., Holmes, D.M. & Bendel, T. (2002). Stanford presenteeism scale: Health status and employee productivity. Journal of Occupational and Environmental Medicine 44, 14–20.Google Scholar
Lecubier, Y., Sheehan, D.V.Weiller, E., Amorim, P., Bonora, I., Sheehan, K.H., Janavs, J. & Dunbar, G.C. (1997). The MINI International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry 12, 224–231.CrossRefGoogle Scholar
Narrow, W.E, Rae, D.S., Robins, L.N. & Regier, D.A. (2002). Revised prevalence estimates of mental disorders in the United States: using a clinical significance criterion to reconcile 2 surveys' estimates. Archives of General Psychiatry 59, 115–123.CrossRefGoogle ScholarPubMed
Paykel, E.S. (2006). Depression: major problem for public health. Epidemiologia e Psichiatria Sociale 15, 4–10.Google Scholar
Rubin, H.C., Rapaport, M.H., Levine, B., Gladsjo, J.K., Rabin, A., Auerbach, M., Judd, L.L. & Kaplan, R. (2000). Quality of well being in panic disorder: the assessment of psychiatric and general disability. Journal of Affective Disorders 57, 217–221.CrossRefGoogle ScholarPubMed
Sheehan, D.V., Lecubier, Y., Sheehan, K.H., Janavs, J., Weiller, E.Keskiner, A., Schinka, J., Knapp, E., Sheehan, M.F. & Dunbar, G.C. (1997). The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its validity. European Psychiatry 12, 232–241.CrossRefGoogle Scholar
Stata (2005) [computer program] Version 9.0. Stata Corporation: College Station, TX.Google Scholar
Wittchen, H.-U., Ustun, T.B. & Kessler, R.C. (1999). Diagnosing mental disorders in the community. A difference that matters? Psychological Medicine 29, 1021–1027.CrossRefGoogle ScholarPubMed