Department of Public Health and Community Medicine, The Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Department of Political Science, University of Gothenburg, Gothenburg, Sweden.
Work. 2022;73(2):495-504. doi: 10.3233/WOR-205181.
Depression is a common cause of sickness absence (SA) and also highly associated with stigma. Few studies have addressed the role of stigma in relation to SA.
To investigate if attitudes to depression were associated with the public's opinion of depression as a valid reason of SA.
The study population (n = 2413) originated from a web-based panel of citizens. The survey included a short vignette describing a person with symptoms of depression and the person's work tasks, followed by a question on recommendation of SA. Negative attitudes were measured by the Depression Stigma Scale. Logistic regressions were used to estimate the odds ratios (OR) for the likelihood of not recommending SA, controlling for individual and work-related co-variates.
The crude association between negative attitudes and not recommending SA was OR 2.15 (95% CI, 1.76-2.62). In the fully adjusted model the OR was 1.76 (95% CI, 1.40 -2.21) for not recommending SA.
Participants with negative attitudes to depression were more likely to not consider depression as a valid reason of sickness absence. The study supports theories on layered stigma; attitudes from one arena are related to other arenas. Future studies are needed to confirm our findings.
抑郁症是导致病假（SA）的常见原因，并且与耻辱感高度相关。很少有研究探讨耻辱感与 SA 之间的关系。
调查公众对抑郁症作为 SA 合理理由的看法是否与对抑郁症的态度有关。
研究人群（n=2413）来自于一个基于网络的公民小组。调查包括一个简短的情景描述，描述一个有抑郁症状的人和这个人的工作任务，然后是一个关于推荐 SA 的问题。使用抑郁耻辱量表来衡量消极态度。使用逻辑回归来估计不推荐 SA 的可能性的比值比（OR），同时控制个体和与工作相关的协变量。
消极态度与不推荐 SA 之间的直接关联的 OR 为 2.15（95% CI，1.76-2.62）。在完全调整的模型中，不推荐 SA 的 OR 为 1.76（95% CI，1.40-2.21）。
对抑郁症持消极态度的参与者更不可能认为抑郁症是 SA 的合理理由。这项研究支持分层耻辱感理论；一个领域的态度与其他领域有关。需要进一步的研究来证实我们的发现。
