工伤或患病员工的既有和新发抑郁及焦虑。
Pre-Existing and New-Onset Depression and Anxiety Among Workers With Injury or Illness Work Leaves.
机构信息
MDGuidelines, ReedGroup Ltd., Westminster, Colorado (Dr Gaspar, Ms Wizner); The Standard Insurance Company, Portland, Oregon (Dr Jolivet); Council for Disability Awareness, Portland, Maine (Mr Schott); Department of Psychiatry and Behavioral Sciences, University of California, Davis, California (Dr Dewa).
出版信息
J Occup Environ Med. 2020 Oct;62(10):e567-e572. doi: 10.1097/JOM.0000000000001985.
OBJECTIVES
To examine the influence of depression and/or anxiety on work leaves and the impact of work leaves on experiencing a new-onset depression and/or anxiety disorder.
METHODS
IBM's MarketScan® research databases were linked to investigate depressive and anxiety disorders in workers with a work leave due to an injury or non-mental health illness (n = 467,930) and without a work leave (n = 2,764,447).
RESULTS
The odds of a work leave within a year were 2.10 times higher (95%CI: 2.08-2.13) in individuals with depression and/or anxiety compared to those without. The odds of developing a new-onset depression and/or anxiety within a year was 4.21 times higher (95% CI: 4.14-4.27) in individuals with a work leave compared to those without.
CONCLUSION
Depression and anxiety are both risk factors for and subsequent outcomes of injuries or illnesses that require a work leave.
目的
探讨抑郁和/或焦虑对请假的影响，以及请假对新发抑郁和/或焦虑障碍的影响。
方法
IBM 的 MarketScan®研究数据库进行了关联分析，以调查因受伤或非精神健康疾病而请假的工人（n=467930）和没有请假的工人（n=2764447）中抑郁和焦虑障碍的情况。
结果
与无抑郁和/或焦虑者相比，患有抑郁和/或焦虑者一年内请假的可能性高 2.10 倍（95%CI：2.08-2.13）。与无请假者相比，一年内发生新发抑郁和/或焦虑障碍的可能性高 4.21 倍（95%CI：4.14-4.27）。
结论
抑郁和焦虑既是需要请假的伤害或疾病的风险因素，也是其后发生的结果。
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