全国共病调查复制研究中工作场所抑郁症的患病率及其相关因素
The prevalence and correlates of workplace depression in the national comorbidity survey replication.
作者信息
Kessler Ronald C, Merikangas Kathleen R, Wang Philip S
机构信息
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA.
出版信息
J Occup Environ Med. 2008 Apr;50(4):381-90. doi: 10.1097/JOM.0b013e31816ba9b8.
Abstract
OBJECTIVE
To review evidence on the workplace prevalence and correlates of major depressive episodes, with a particular focus on the National Comorbidity Survey Replication, the most recent national survey to focus on these issues.
METHOD
Nationally representative survey of Diagnostic and Statistical Manual, 4th Revision Mental Disorders.
RESULTS
A total of 6.4% of employed National Comorbidity Survey Replication respondents had 12-month major depressive disorder. An additional 1.1% had major depressive episodes due to bipolar disorder or mania-hypomania. Only about half of depressed workers received treatment. Fewer than half of treated workers received care consistent with published treatment guidelines.
CONCLUSIONS
Depression disease management programs can have a positive return-on-investment from the employer perspective, but only when they are based on best practices. Given the generally low depression treatment quality documented here, treatment quality guarantees are needed before expanding workplace depression screening, outreach, and treatment programs.
摘要
目的
回顾关于工作场所中重度抑郁发作的患病率及其相关因素的证据，特别关注全国共病调查复制研究，这是近期针对这些问题的一项全国性调查。
方法
对《精神疾病诊断与统计手册》第四版精神障碍进行具有全国代表性的调查。
结果
在参与全国共病调查复制研究的在职受访者中，共有6.4%的人在过去12个月患有重度抑郁症。另有1.1%的人因双相情感障碍或躁狂-轻躁狂发作而出现重度抑郁发作。只有约一半的抑郁员工接受了治疗。接受治疗的员工中，不到一半的人接受了符合已发表治疗指南的护理。
结论
从雇主的角度来看，抑郁症疾病管理项目可以产生积极的投资回报率，但前提是它们基于最佳实践。鉴于此处记录的抑郁症治疗质量普遍较低，在扩大工作场所抑郁症筛查、宣传和治疗项目之前，需要保证治疗质量。
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