Associations between the depressive symptoms, subjective cognitive function, and presenteeism of Japanese adult workers: a cross-sectional survey study
Associations between the depressive symptoms, subjective cognitive function, and presenteeism of Japanese adult workers: a cross-sectional survey study
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DOI：
10.1186/s13030-020-00183-x
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发表时间：
2020-05-04
影响因子：
2.1
通讯作者：
Kusumi, Ichiro
中科院分区：
文献类型：
--
作者：
Toyoshima, Kuniyoshi;Inoue, Takeshi;Kusumi, Ichiro
背景：在心理健康研究中，表现主义备受关注。然而，认知抱怨和抑郁症状是如何影响出勤率的，目前还不清楚。因此，这项研究考察了主观认知障碍、抑郁症状和工作限制之间的相关性。方法对日本477名成年工人进行问卷调查。采用双相情感障碍认知功能评定量表(COBRA)、患者健康问卷9(PHQ-9)、工作限制问卷8(WLQ-8)评价主观认知功能。采用Spearman等级相关和多元回归分析来检验抑郁症状、认知抱怨和工作限制之间的关系。假设认知主诉将在抑郁症状对工作效率损失的影响中起中介作用，这一假设通过路径分析进行了检验。结果认知主诉与工作受限、抑郁症状显著相关。以WLQ-8生产力损失得分为因变量的多元回归分析表明，COBRA和PHQ-9得分是工作生产力损失的显著预测因子。我们使用PHQ-9、COBRA和WLQ-8生产力损失分数进行了路径分析，并绘制了路径图，结果显示抑郁症状和认知功能障碍对工作效率损失的直接影响具有统计学意义。此外，抑郁症状通过主观认知损害间接影响工作效率损失。抑郁症状与认知主诉之间没有显著的交互作用。结论我们的结果表明，工作限制不仅可以通过抑郁症状来预测，也可以通过认知抱怨来预测。此外，主观认知障碍可能在抑郁症状对成年员工出勤的影响中起中介作用。
Background Presenteeism has attracted much attention in the research into mental health. However, how cognitive complaints and depressive symptoms affect presenteeism remains unknown. Therefore, this study examined the correlation between subjective cognitive impairment, depressive symptoms, and work limitations. Methods We collected data from 477 adult workers in Japan. We evaluated subjective cognitive function using the Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA), depressive symptoms with the Patient Health Questionnaire 9 (PHQ-9), and work limitations with the Work Limitations Questionnaire 8 (WLQ-8). The relations between depressive symptoms, cognitive complaints, and work limitations were examined using Spearman's rank correlations and multiple regression analysis. It was hypothesized that cognitive complaints would mediate the effects of depressive symptoms on work productivity loss, which was tested using path analysis. Results The results indicated that cognitive complaints were significantly correlated with work limitations and depressive symptoms. Multiple regression analysis, using the WLQ-8 productivity loss score as the dependent variable, revealed that COBRA and PHQ-9 scores were significant predictors of work productivity loss. We performed path analysis using PHQ-9, COBRA, and WLQ-8 productivity loss scores and created a path diagram, which revealed that the direct effects of both depressive symptoms and cognitive dysfunction on work productivity loss were statistically significant. Moreover, depressive symptoms indirectly affected work productivity loss through subjective cognitive impairment. There was no significant interaction effect between depressive symptoms and cognitive complaints. Conclusions Our results suggest that work limitations may be predicted by not only depressive symptoms but also cognitive complaints. Moreover, subjective cognitive impairment may mediate the effect of depressive symptoms on presenteeism among adult workers.