患有肌肉骨骼疾病并伴有抑郁和焦虑症的澳大利亚人的劳动力活动情况。
Labor force activity among Australians with musculoskeletal disorders comorbid with depression and anxiety disorders.
作者信息
Waghorn Geoff, Chant David, Lloyd Chris
机构信息
The Queensland Centre for Mental Health Research and the School of Population Health, The University of Queensland, Brisbane, QLD, Australia.
出版信息
J Occup Rehabil. 2006 Jun;16(2):241-52. doi: 10.1007/s10926-006-9018-3.
AIM
Musculoskeletal disorders (MSD) are a leading cause of work-related disability. This investigation explored the impact of MSD comorbid with depression and anxiety disorders, on labor force activity.
METHODS
The Australian Bureau of Statistics provided confidentialized data files collected from a household sample of 37,580 people. MSD, affective, and anxiety disorders were identified and employment restrictions were assessed at four levels of severity.
RESULTS
Anxiety and depression of six months duration was present in 12.1% of people with MSD. Comorbidity magnified the negative impacts of single conditions on labor force activity. Most at risk were people with back problems and comorbid depression, people with arthritis or other MSD and comorbid anxiety, males with MSD and comorbid depression, and females with MSD and comorbid anxiety.
CONCLUSIONS
The results suggest that the occupational rehabilitation needs of people with MSD comorbid with depression or anxiety may currently be underestimated.
目的
肌肉骨骼疾病（MSD）是导致与工作相关残疾的主要原因。本研究探讨了合并抑郁症和焦虑症的MSD对劳动力活动的影响。
方法
澳大利亚统计局提供了从37580人的家庭样本中收集的保密数据文件。确定了MSD、情感障碍和焦虑症，并评估了四个严重程度级别的就业限制。
结果
12.1%的MSD患者存在持续六个月的焦虑和抑郁。合并症放大了单一疾病对劳动力活动的负面影响。风险最高的是患有背部问题和合并抑郁症的人、患有关节炎或其他MSD和合并焦虑症的人、患有MSD和合并抑郁症的男性以及患有MSD和合并焦虑症的女性。
结论
结果表明，目前可能低估了合并抑郁症或焦虑症的MSD患者的职业康复需求。
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