Depression in the workplace: An economic cost analysis of depression-related productivity loss attributable to job strain and bullying
Depression in the workplace: An economic cost analysis of depression-related productivity loss attributable to job strain and bullying
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DOI：
10.1080/02678373.2013.846948
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发表时间：
2013-10-01
期刊：
影响因子：
6.1
通讯作者：
LaMontagne, Anthony D.
中科院分区：
文献类型：
--
作者：
McTernan, Wesley P.;Dollard, Maureen F.;LaMontagne, Anthony D.
抑郁症是一种日益严重的全球健康流行病，对工作场所产生了深远的影响。通过量化潜在可避免的成本来建立一个商业案例，对于说服组织解决工作中的抑郁症至关重要。我们的研究目标是：(1)证明工作压力和欺凌通过对抑郁的影响与生产力损失相关的过程路径；(2)估算与抑郁相关的病假和出勤给雇主带来的成本；(3)研究抑郁严重程度与成本的关系；(4)评估工作压力和欺凌对抑郁相关生产力损失的贡献。一项基于人口的电话调查在澳大利亚的两个州进行（N = 2074），并进行了一年的随访（队列设计）。结果证实，工作压力和欺凌通过抑郁症状影响工作效率。据估计，全国每年雇主因抑郁症造成的生产力损失的总成本为80亿澳元，其中大部分是由轻度抑郁症造成的。我们计算出由欺凌和工作压力导致的抑郁症的人口归因风险（PAR）估计为8.7%，相当于每年6.93亿澳元的可预防的生产力损失成本。研究结果表明，即使是亚临床水平的抑郁症也代表了以前未认识到的重大生产力和经济负担。
Depression represents an increasing global health epidemic with profound effects in the workplace. Building a business case via the quantification of potentially avertable costs is essential to convince organizations to address depression at work. Our study objectives were to: (1) demonstrate a process path whereby job strain and bullying are related to productivity loss via their effects on depression; (2) estimate the costs to employers of sickness absence and presenteeism that are associated with depression; (3) investigate the relationship between depression severity and costs; and (4) estimate the contribution of job strain and bullying to depression-related productivity loss. A population-based telephone survey was conducted across two Australian states (N = 2074), with a one-year follow-up (cohort design). Results confirmed job strain and bullying affected productivity via depressive symptoms. Total national annual employer costs for lost productivity due to depression were estimated at $AUD8 billion per annum, most of which was due to mild depression. We calculated a population-attributable risk (PAR) estimate of 8.7% for depression attributable to bullying and job strain, equating to $AUD693 million in preventable lost productivity costs per annum. Findings suggest that even sub-clinical levels of depression represent a significant productivity and economic burden not previously recognized.