Department of Clinical Pharmacology, Medical University of Lodz, Kopcinskiego 22, 91-153, Lodz, Poland.
First Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland.
Int Arch Occup Environ Health. 2022 Oct;95(8):1775-1783. doi: 10.1007/s00420-022-01869-1. Epub 2022 May 3.
Both depression and loneliness have been recognized as major public health issues, yet investigation into their role among young and middle-aged, professionally active persons is still required. The aim of the present study was to evaluate whether depression and loneliness may independently predict inefficiency at work among professionally active adults.
This is a cross-sectional study on a representative, nationwide sample. 1795 questionnaires were gathered from among professionally active adults from Poland from 1 to 31 July 2018 with a direct pen-and-paper interview. The sample was chosen by means of the stratified random method. The survey included a Patient Health Questionnaire (PHQ-9) to measure depression and questions, devised by the authors, relating to loneliness and inefficiency at work. Regression models were constructed with depression and loneliness as predictors of inefficiency at work, unadjusted and adjusted for selected sociodemographic, health- and work-related factors.
In the unadjusted models, both depression and loneliness were independently associated with an increase of work inefficiency and absence from work, with effect sizes being higher for loneliness than for depression. After accounting for the control variables (i.e., sociodemographic, work- and health-related factors), the PHQ-9 score, but not the loneliness score, was associated with an increased probability of frequent thoughts about changing or leaving a job.
Depression and loneliness independently predicted occupational functioning and differentially affect its various aspects. Counteracting depression and loneliness among employees should be regarded as a public health priority.
抑郁和孤独已被确认为主要的公共卫生问题,但仍需要研究它们在年轻和中年、职业活跃人群中的作用。本研究旨在评估抑郁和孤独是否可以独立预测职业活跃成年人的工作效率低下。
这是一项基于代表性全国样本的横断面研究。2018 年 7 月 1 日至 31 日,通过直接纸笔访谈,从波兰的职业活跃成年人中收集了 1795 份问卷。采用分层随机抽样法选择样本。该调查包括用于测量抑郁的患者健康问卷(PHQ-9)和作者设计的与孤独和工作效率低下有关的问题。构建了回归模型,将抑郁和孤独作为工作效率低下的预测因子,未调整和调整了选定的社会人口统计学、健康和工作相关因素。
在未调整模型中,抑郁和孤独都与工作效率低下和缺勤独立相关,孤独的影响大小高于抑郁。在考虑了控制变量(即社会人口统计学、工作和健康相关因素)后,PHQ-9 评分而不是孤独评分与频繁思考换工作或离职的可能性增加相关。
抑郁和孤独独立预测职业功能,并对其各个方面产生不同的影响。应将在员工中对抗抑郁和孤独视为公共卫生的优先事项。