Lerner Debra, Henke Rachel Mosher
Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, Boston, MA 02111, USA.
J Occup Environ Med. 2008 Apr;50(4):401-10. doi: 10.1097/JOM.0b013e31816bae50.
To assess the work impact of depression.
A review of research articles published since 2002, reporting on the magnitude and/or nature of depression's impact on work.
This research is characterized by the use of three outcome indicators (employment status, absenteeism, and presenteeism metrics) and three research designs (population-based, workplace, and clinical). The literature documents that, compared to non-depressed individuals, those with depression have more unemployment, absences, and at-work performance deficits. Methodological variation makes it difficult to determine the magnitude of these differences. Additionally, the research suggests that the work impact of depression is related to symptom severity and that symptom relief only partly reduces the adverse work outcomes of depression.
Research has contributed to knowledge of the multidimensional work impact of depression. Further developing intervention research is an important next step.
评估抑郁症对工作的影响。
回顾2002年以来发表的研究文章，这些文章报告了抑郁症对工作影响的程度和/或性质。
这项研究的特点是使用了三个结果指标（就业状况、旷工和出勤主义指标）和三种研究设计（基于人群、工作场所和临床）。文献记载，与非抑郁症患者相比，抑郁症患者有更多的失业、缺勤和工作表现缺陷。方法学上的差异使得难以确定这些差异的程度。此外，研究表明抑郁症对工作的影响与症状严重程度有关，而且症状缓解只能部分减轻抑郁症对工作的不良影响。
研究有助于了解抑郁症对工作的多维度影响。进一步开展干预研究是重要的下一步。
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