Optimal cutoff values of WHO-HPQ presenteeism scores by ROC analysis for preventing mental sickness absence in Japanese prospective cohort.
Optimal cutoff values of WHO-HPQ presenteeism scores by ROC analysis for preventing mental sickness absence in Japanese prospective cohort.
复制标题
WHO-HPQ演讲主义的最佳临界值通过ROC分析得分，以防止日本前瞻性队列中的精神病缺乏。
DOI：
10.1371/journal.pone.0111191
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Shimbo T
中科院分区：
文献类型：
--
作者：
Suzuki T;Miyaki K;Sasaki Y;Song Y;Tsutsumi A;Kawakami N;Shimazu A;Takahashi M;Inoue A;Kurioka S;Shimbo T
工作场所因精神疾病而请假已成为一个全球性的公共卫生问题。此前的研究报告称，病假缺勤与病假有关。我们的目标是在筛选未来因精神疾病而缺席的患者时，确定最佳的出勤截止点分数。对来自日本各地的2195名日本员工进行了前瞻性研究。分别采用世界卫生组织健康与工作绩效调查问卷(WHO-HPQ)和K6量表对出勤率和抑郁进行测量。在为期两年的跟踪调查中，使用因缺勤而获得的医疗证明来调查因精神疾病而缺勤的情况。社会经济状况通过自填式调查问卷进行评估。受试者工作曲线(ROC)分析用于确定相对于曲线下面积(AUC)、灵敏度和特异度的绝对和相对出勤率的最佳分界值。绝对出席和相对出席的AUC值分别为0.708(95%CI，0.618~0.797)和0.646(95%CI，0.546~0.746)。绝对出席率和相对出勤率的最佳临界值分别为40分和0.8分。经多因素调整后，具有我们建议的绝对和相对出勤分界值的队列参与者因精神疾病而缺席的可能性显著增加(OR = 4.85，95%CI：2.20~10.73；OR = 5.37，95%CI：2.42~11.93)。在多变量调整中，基线时包括或排除抑郁症状(K6、≥、13)不会影响结果。我们提出的绝对出席率和相对出勤率的最佳分值分别为40分和0.8分。得分低于出勤率截止分数的参与者未来更有可能因精神疾病而缺席。我们的发现表明，在筛选因精神疾病而导致的病假时，考勤的效用将有助于防止这种缺勤。
Sickness absence due to mental disease in the workplace has become a global public health problem. Previous studies report that sickness presenteeism is associated with sickness absence. We aimed to determine optimal cutoff scores for presenteeism in the screening of the future absences due to mental disease. A prospective study of 2195 Japanese employees from all areas of Japan was conducted. Presenteeism and depression were measured by the validated Japanese version of the World Health Organization Health and Work Performance Questionnaire (WHO-HPQ) and K6 scale, respectively. Absence due to mental disease across a 2-year follow-up was surveyed using medical certificates obtained for work absence. Socioeconomic status was measured via a self-administered questionnaire. Receiver operating curve (ROC) analysis was used to determine optimal cutoff scores for absolute and relative presenteeism in relation to the area under the curve (AUC), sensitivity, and specificity. The AUC values for absolute and relative presenteeism were 0.708 (95% CI, 0.618–0.797) and 0.646 (95% CI, 0.546–0.746), respectively. Optimal cutoff scores of absolute and relative presenteeism were 40 and 0.8, respectively. With multivariate adjustment, cohort participants with our proposal cutoff scores for absolute and relative presenteeism were significantly more likely to be absent due to mental disease (OR = 4.85, 95% CI: 2.20–10.73 and OR = 5.37, 95% CI: 2.42–11.93, respectively). The inclusion or exclusion of depressive symptoms (K6≥13) at baseline in the multivariate adjustment did not influence the results. Our proposed optimal cutoff scores of absolute and relative presenteeism are 40 and 0.8, respectively. Participants who scored worse than the cutoff scores for presenteeism were significantly more likely to be absent in future because of mental disease. Our findings suggest that the utility of presenteeism in the screening of sickness absence due to mental disease would help prevent such an absence.
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影响因子：
4.4
作者：
Miyaki K;Song Y;Htun NC;Tsutsumi A;Hashimoto H;Kawakami N;Takahashi M;Shimazu A;Inoue A;Kurioka S;Shimbo T
通讯作者：
Shimbo T
DOI：
10.1097/jom.0b913e3181a8281b
发表时间：
2009-06-01
影响因子：
3.2
作者：
Bergstrom, Gunnar;Bodin, Lennart;Josephson, Malin
通讯作者：
Josephson, Malin
影响因子：
4.4
作者：
Bockerman, Petri;Laukkanen, Erkki
通讯作者：
Laukkanen, Erkki
DOI：
10.1097/01.jom.0000052967.43131.51
发表时间：
2003-02-01
影响因子：
3.2
作者：
Kessler, RC;Barber, C;Wang, P
通讯作者：
Wang, P
影响因子：
5
作者：
Melchior, Maria;Ferrie, Jane E.;Head, Jenny
通讯作者：
Head, Jenny