Losiewicz Olivia M, Barnes-Horowitz Nora M, LeBeau Richard T, Himle Joseph A, Jester Jennifer M, Craske Michelle G
Department of Psychology University of California Los Angeles California USA.
School of Social Work University of Michigan 1080 South University Ave Ann Arbor Michigan USA.
Psychiatr Res Clin Pract. 2025 Jan 3;7(1):9-17. doi: 10.1176/appi.prcp.20240041. eCollection 2025 Spring.
Previous research has found that social anxiety and depression are associated with occupational impairment, including unemployment and decreased productivity. However, longitudinal studies are limited to depression and only examine effects of anxiety cross-sectionally. Furthermore, prior studies only measured occupational impairment dichotomously as either employed or unemployed. The present secondary data analysis sought to build upon these gaps and investigate bidirectional relationships between hours worked, measured continuously, and symptoms of social anxiety and depression over the course of 48 weeks following a brief intervention for job-seekers with social anxiety disorder, many of whom reported elevated levels of depression. Employment was operationalized as the average number of hours spent working in a given week.
Two cross-lagged panel models were tested to investigate these relationships in 250 diverse job-seeking individuals (59.2% female, 40.8% Black or African-American, and 16.4% Hispanic/Latine).
In partial support of initial hypotheses, social anxiety and depression symptoms both negatively predicted subsequent hours worked. Hours worked did not predict subsequent social anxiety or depression symptoms.
This was the first study to investigate relationships among depression, social anxiety, and employment that operationalized employment as a continuous variable. The findings contribute novel information about the longitudinal impact of both social anxiety and depression on hours worked and suggest that symptoms of social anxiety or depression may serve as a barrier to seeking or maintaining employment. Interventions for unemployment should consider incorporating simultaneous treatment of social anxiety and depression.
先前的研究发现,社交焦虑和抑郁与职业障碍有关,包括失业和生产力下降。然而,纵向研究仅限于抑郁,且仅横断面地考察焦虑的影响。此外,先前的研究仅将职业障碍二分法测量为就业或失业。本二次数据分析旨在弥补这些差距,并调查在对患有社交焦虑症的求职者进行简短干预后的48周内,连续测量的工作时长与社交焦虑和抑郁症状之间的双向关系,其中许多人报告有抑郁水平升高的情况。就业被定义为给定一周内平均工作的小时数。
测试了两个交叉滞后面板模型,以调查250名不同求职者(59.2%为女性,40.8%为黑人或非裔美国人,16.4%为西班牙裔/拉丁裔)中的这些关系。
部分支持初始假设,社交焦虑和抑郁症状均对随后的工作时长有负向预测作用。工作时长并未预测随后的社交焦虑或抑郁症状。
这是第一项将就业作为连续变量来研究抑郁、社交焦虑和就业之间关系的研究。这些发现为社交焦虑和抑郁对工作时长的纵向影响提供了新信息,并表明社交焦虑或抑郁症状可能成为求职或维持就业的障碍。针对失业的干预措施应考虑同时治疗社交焦虑和抑郁。