Factors Associated with Work Participation and Work Functioning in Depressed Workers: A Systematic Review
Factors Associated with Work Participation and Work Functioning in Depressed Workers: A Systematic Review
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DOI：
10.1007/s10926-009-9224-x
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发表时间：
2010-09-01
影响因子：
3.3
通讯作者：
Nieuwenhuijsen, K.
中科院分区：
文献类型：
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作者：
Lagerveld, S. E.;Bultmann, U.;Nieuwenhuijsen, K.
背景抑郁症与消极的工作结果相关，例如工作参与度(WP)减少(例如病假持续时间、工作状态)和工作功能(WF)(例如生产力下降、工作限制)。为了开发循证干预措施以改善这些工作成果，必须确定预测WP和WF的因素。方法对目前抑郁工人的WP和WF相关因素的研究进行系统的文献综述。结果共有30项研究发现与WP相关的因素(N=19)或与WF相关的因素(N=11)。对于这两种结果，研究报告最多的是与障碍相关因素的关系，而个人因素和工作相关因素较少涉及。对于WP，支持了以下关系：发现了抑郁症持续时间较长与工作残疾之间存在关联的有力证据。中度证据表明，更严重类型的抑郁障碍、精神或身体共病障碍的存在、年龄较大、既往病假史和工作残疾之间存在关联。对于WF来说，严重的抑郁症状与工作限制有关，而临床改善与工作效率有关(中等证据)。由于大约一半研究的横截面性质，只有很少的真正的前瞻性联系可以被识别。结论本研究明确了抑郁工人WP和WF预测因素的知识空白，可用于未来研究和循证干预的设计。我们建议进行更多的纵向研究，以确定可修改的预测WP和WF的因素，特别是与工作相关的和个人因素。
Background Depression is associated with negative work outcomes such as reduced work participation (WP) (e.g., sick leave duration, work status) and work functioning (WF) (e.g., loss of productivity, work limitations). For the development of evidence-based interventions to improve these work outcomes, factors predicting WP and WF have to be identified. Methods This paper presents a systematic literature review of studies identifying factors associated with WP and WF of currently depressed workers. Results A total of 30 studies were found that addressed factors associated with WP (N = 19) or WF (N = 11). For both outcomes, studies reported most often on the relationship with disorder-related factors, whereas personal factors and work-related factors were less frequently addressed. For WP, the following relationships were supported: strong evidence was found for the association between a long duration of the depressive episode and work disability. Moderate evidence was found for the associations between more severe types of depressive disorder, presence of co-morbid mental or physical disorders, older age, a history of previous sick leave, and work disability. For WF, severe depressive symptoms were associated with work limitations, and clinical improvement was related to work productivity (moderate evidence). Due to the cross-sectional nature of about half of the studies, only few true prospective associations could be identified. Conclusion Our study identifies gaps in knowledge regarding factors predictive of WP and WF in depressed workers and can be used for the design of future research and evidence-based interventions. We recommend undertaking more longitudinal studies to identify modifiable factors predictive of WP and WF, especially work-related and personal factors.