Dept. Sociology/Faculty of Social Sciences/VU University, Amsterdam, The Netherlands.
J Affect Disord. 2010 Sep;125(1-3):198-206. doi: 10.1016/j.jad.2010.01.072. Epub 2010 Feb 24.
Depressive and anxiety disorders affect work functioning and cause high labour costs.
To examine and compare psychopathological characteristics of depressive and anxiety disorders in their effect on work functioning.
In 1876 working participants of the Netherlands Study of Depression and Anxiety (NESDA) associations of presence, severity, comorbidity, duration and type of DSM-IV anxiety and depressive disorders with both absenteeism (<2 weeks and >2 weeks) and work performance (reduced and impaired) were assessed.
People with current depressive disorders had 7.10 times greater odds for the risk of >2 weeks work-absence and 5.67 greater odds for the risk of impaired work performance, while persons with current anxiety disorders had 1.84 and 2.13 greater odds for the risk of >2 weeks absence and impaired work performance, respectively. Even when persons were recovered from depressive and anxiety disorders, they still had a higher risk of poor work functioning. Persons with comorbidity, chronic depressive disorder, a generalized anxiety disorder, and more severity of both anxiety and depressive disorder had higher odds for the risk of absenteeism and decreased work performance.
Anxiety disorders have significant negative impact on work functioning, although smaller than the effect of depressive disorders. Comorbidity, severity, type and duration of the disorder, differentiate the risk of poor work functioning.
抑郁和焦虑障碍会影响工作功能，并导致高昂的劳动力成本。
研究和比较抑郁和焦虑障碍的精神病理学特征对工作功能的影响。
在荷兰抑郁和焦虑研究（NESDA）中，对 1876 名工作参与者的协会进行了研究，评估了 DSM-IV 焦虑和抑郁障碍的存在、严重程度、共病、持续时间和类型与缺勤（<2 周和>2 周）和工作绩效（降低和受损）的关联。
当前患有抑郁障碍的人，其>2 周缺勤的风险增加了 7.10 倍，工作表现受损的风险增加了 5.67 倍，而当前患有焦虑障碍的人，其>2 周缺勤的风险分别增加了 1.84 倍和 2.13 倍，工作表现受损的风险也增加了 1.84 倍和 2.13 倍。即使患者已经从抑郁和焦虑障碍中康复，他们仍然有更高的工作功能不良风险。共病、慢性抑郁障碍、广泛性焦虑障碍，以及焦虑和抑郁障碍的严重程度更高，都会增加缺勤和工作表现下降的风险。
焦虑障碍对工作功能有显著的负面影响，尽管其影响小于抑郁障碍。共病、严重程度、障碍类型和持续时间，区分了工作功能不良的风险。
