el-Guebaly Nady, Currie Shawn, Williams Jeanne, Wang JianLi, Beck Cynthia A, Maxwell Colleen, Patten Scott B
Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada T2N 2T9.
Psychiatr Serv. 2007 May;58(5):659-67. doi: 10.1176/ps.2007.58.5.659.
This study examined associations between mood disorders, anxiety disorders, substance dependence or harmful alcohol use, and occupational status and disability in a general population sample.
Data from the Canadian Community Health Survey Cycle 1.2-Mental Health and Well-Being (CCHS-1.2), a representative cross-sectional survey, were analyzed. The total sample was narrowed to individuals between the ages of 18 and 64 years, the age range most likely to be working.
Of the 27,332 persons surveyed, 946 had a mood disorder only, 831 had an anxiety disorder only, 730 had substance dependence only, and 966 had more than one disorder. Twenty-three percent reported that during the previous week they were not at a job or were permanently unable to work (27% with mood disorder only, 30% with anxiety disorder only, and 20% with substance dependence only, and 34% with more than one disorder). In unadjusted analyses, mood and anxiety disorders were associated with absence from work during the week preceding the interview, whereas substance dependence was not. After adjustment for other variables using logistic regression, an association of substance dependence and work absence emerged. Each category of disorder was strongly associated with a greater likelihood of disability days or days spent in bed for mental health reasons.
On a population level, mood and anxiety disorders and substance dependence were associated both with not working during the week preceding the interview as well as an increase in reported disability or bed days. The strength of association appears to be stronger for mood and anxiety disorders.
本研究在一个普通人群样本中考察了情绪障碍、焦虑障碍、物质依赖或有害饮酒与职业状况及残疾之间的关联。
对来自加拿大社区健康调查第1.2轮——心理健康与幸福（CCHS - 1.2）这一具有代表性的横断面调查的数据进行了分析。总样本被限定为年龄在18至64岁之间的个体，这是最有可能处于工作年龄段的范围。
在接受调查的27332人中，946人仅患有情绪障碍，831人仅患有焦虑障碍，730人仅患有物质依赖，966人患有不止一种障碍。23%的人报告称在前一周他们没有工作或永久无法工作（仅患有情绪障碍的人中有27%，仅患有焦虑障碍的人中有30%，仅患有物质依赖的人中有20%，患有不止一种障碍的人中有34%）。在未经调整的分析中，情绪和焦虑障碍与访谈前一周的缺勤有关，而物质依赖则无关。在使用逻辑回归对其他变量进行调整后，物质依赖与缺勤之间的关联显现出来。每一类障碍都与因心理健康原因导致的残疾天数或卧床天数增加的可能性密切相关。
在总体人群层面，情绪和焦虑障碍以及物质依赖与访谈前一周不工作以及报告的残疾或卧床天数增加均有关联。情绪和焦虑障碍的关联强度似乎更强。
