抑郁症状作为在职人群病假缺勤的预测指标。

Depressive complaints as a predictor of sickness absence among the working population.

作者信息

Lexis Monique A S, Jansen Nicole W H, van Amelsvoort Ludovic G P M, van den Brandt Piet A, Kant Ijmert

机构信息

Department of Epidemiology, Maastricht University, The Netherlands.

出版信息

J Occup Environ Med. 2009 Aug;51(8):887-95. doi: 10.1097/JOM.0b013e3181aa012a.

DOI:10.1097/JOM.0b013e3181aa012a

PMID:19625974

Abstract

OBJECTIVE

To study the relationship between depressive complaints and sickness absence in the working population.

METHODS

Data from a prospective epidemiological cohort (n = 3339) were used. Depressive complaints were measured with the Hospital Anxiety and Depression (HAD-D) Scale. Sickness absence was assessed objectively through individual record linkage with the company registers.

RESULTS

Higher levels of depressive complaints were associated with a shorter time to first sickness absence spell and a longer duration of sickness absence. In women with mild depressive complaints, the average number of sickness absence days over 10 months follow-up was 27.37 (SD = 64.73) days versus 11.01 (SD = 30.03) days (P < 0.001) in employees scoring within the reference range. In men this was 14.48 (SD = 38.73) days versus 7.67 (SD = 25.80) days (P < 0.001).

CONCLUSIONS

Prevention of mild depressive complaints might be beneficial in preventing future sickness absence.

摘要

目的

研究在职人群中抑郁症状与病假缺勤之间的关系。

方法

使用来自一项前瞻性流行病学队列（n = 3339）的数据。抑郁症状采用医院焦虑抑郁量表（HAD-D）进行测量。病假缺勤通过与公司登记册的个人记录关联进行客观评估。

结果

抑郁症状水平较高与首次病假缺勤发作时间较短以及病假缺勤持续时间较长相关。在有轻度抑郁症状的女性中，10个月随访期间的平均病假缺勤天数为27.37（标准差 = 64.73）天，而在参考范围内得分的员工为11.01（标准差 = 30.03）天（P < 0.001）。在男性中，这一数字分别为14.48（标准差 = 38.73）天和7.67（标准差 = 25.80）天（P < 0.001）。