Cocker Fiona, Sanderson Kristy, LaMontagne Anthony D
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria (Dr Cocker); Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania (Dr Sanderson); and Centre for Population Health Research, Deakin University, Melbourne, Victoria, Australia (Dr LaMontagne).
J Occup Environ Med. 2017 Jan;59(1):12-17. doi: 10.1097/JOM.0000000000000908.
The aim of this study was to quantify the economic benefits of eliminating job strain as a risk factor for depression, using published population-attributable risk estimates of depression attributable to job strain (13.2% for men, 17.2% for women).
Cohort simulation using state-transition Markov modeling estimated costs and health outcomes for employed persons who met criteria for lifetime DSM-IV major depression. A societal perspective over 1-year and lifetime time horizons was used.
Among employed Australians, $890 million (5.8%) of the annual societal cost of depression was attributable to job strain. Employers bore the brunt of these costs, as they arose from lost productive time and increased risk of job turnover among employees experiencing depression.
Proven, practicable means exist to reduce job strain. The findings demonstrate likely financial benefits to employers for expanding psychosocial risk management, providing a financial incentive to complement and reinforce legal and ethical directives.
本研究旨在利用已发表的因工作压力导致抑郁症的人群归因风险估计值（男性为13.2%，女性为17.2%），量化消除工作压力这一抑郁症风险因素所带来的经济效益。
采用状态转移马尔可夫模型进行队列模拟，估计符合终生DSM-IV重度抑郁症标准的就业人员的成本和健康结果。采用了1年和终生时间范围内的社会视角。
在澳大利亚就业人群中，抑郁症年度社会成本的8.9亿澳元（5.8%）可归因于工作压力。雇主承担了这些成本的主要部分，因为这些成本源于生产时间的损失以及抑郁症员工离职风险的增加。
存在已证实的、可行的方法来减轻工作压力。研究结果表明，雇主扩大心理社会风险管理可能会带来经济效益，为补充和强化法律及道德指令提供了经济激励。
