Bastos Maria Luiza Almeida, Bezerra Geraldo, Domingos Elza Teresa Costa, de Araújo Ruth Maria Oliveira, Dos Santos Alexandre Lima
Integrated Subsystem of Workers' Health Care (Subsistema Integrado de Atenção à Saúde do Servidor - SIASS), Federal Institute of Education, Science and Technology of Ceará (Instituto Federal de Educação, Ciência e Tecnologia do Ceará - IFCE) - Fortaleza (CE), Brazil.
Specialization course in Occupational Medicine, University of Fortaleza (Universidade de Fortaleza - UNIFOR) - Fortaleza (CE), Brazil.
Rev Bras Med Trab. 2018 Mar 1;16(1):53-59. doi: 10.5327/Z1679443520180167. eCollection 2018.
Mental disorders are one of the main causes of absenteeism in Brazil. The aim of the present study was to describe the occurrence of mental and behavioral disorders (MBD) among federal civil servants, present the data to managers and suggest measures to reduce absenteeism in this population.
In the present cross-sectional study performed from January through December 2016 we analyzed medical records of employees at a public institution in the state of Ceará, Northeastern Brazil, who were granted sick leaves for MBD. The data were obtained from the Integrated Subsystem of Workers' Health Care (Subsistema Integrado de Atenção à Saúde do Servidor - SIASS) platform and the Federal Government's Transparency Portal.
Mental disorders were the main cause of sick leaves along the analyzed period. Ninety-two employees were away from work for this reason, corresponding to 3% of the institution's employees and accounting for 5,081 working days lost. Mood and stress-related disorders were the most frequent causes of sick leaves. Mental disorders due to psychoactive substance use and physiological disturbances accounted for longest average number of sick leave days per employee.
The results reinforce the notion that mental health and work are indissociable in regard to productivity and efficiency within federal public service. The institution's management backed the creation of a multidisciplinary service of psychological support for employees on sick leave.
精神障碍是巴西旷工的主要原因之一。本研究的目的是描述联邦公务员中精神和行为障碍（MBD）的发生情况，向管理人员提供数据，并提出减少该人群旷工现象的措施。
在2016年1月至12月进行的本次横断面研究中，我们分析了巴西东北部塞阿拉州一家公共机构中因MBD而请病假的员工的医疗记录。数据来自工人医疗保健综合子系统（Subsistema Integrado de Atenção à Saúde do Servidor - SIASS）平台和联邦政府的透明度门户网站。
在所分析的时间段内，精神障碍是病假的主要原因。92名员工因此缺勤，占该机构员工的3%，共损失5081个工作日。情绪和与压力相关的障碍是病假最常见的原因。因使用精神活性物质和生理紊乱导致的精神障碍导致每名员工平均病假天数最长。
研究结果强化了这样一种观念，即在联邦公共服务中，就生产力和效率而言，心理健康与工作是不可分割的。该机构管理层支持为休病假的员工设立多学科心理支持服务。
