Relationship between sickness presenteeism (WHO-HPQ) with depression and sickness absence due to mental disease in a cohort of Japanese workers
Relationship between sickness presenteeism (WHO-HPQ) with depression and sickness absence due to mental disease in a cohort of Japanese workers
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DOI：
10.1016/j.jad.2015.03.034
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发表时间：
2015-07-15
影响因子：
6.6
通讯作者：
Kurioka, Sumiko
中科院分区：
文献类型：
--
作者：
Suzuki, Tomoko;Miyaki, Koichi;Kurioka, Sumiko
背景：职场因精神疾病缺勤已成为全球公共卫生问题。我们的目的是评估出勤对精神疾病引起的抑郁和缺勤的影响。方法：对来自日本所有地区的1831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问卷(WHO-HPQ)的日本版和K6量表对出勤和抑郁进行测量。结果：在调整了年龄和性别后，绝对出勤率和相对出勤率(生育能力得分最低)较高的参与者因精神疾病缺勤的可能性显著增加(OR=4.40，95%CI：1.65~11.73；OR=3.31，95%CI：1.50~7.27)。随后，较高的疾病绝对或相对出席率与一年后较高的抑郁发生率显著相关(1(6&>=13)(OR=3.79，95%CI：2.48-5.81，OR=2.89，95%CI：1.98-4.22)。限制：样本中的女性数量相对较少。然而，患有和不患有精神疾病的女性的缺勤率与男性没有显著差异。结论：在这一大规模的日本工人队列中，发现更多的病假出勤分数与更高的抑郁和因精神疾病而缺勤的比例有关。考勤可以用来评估抑郁和旷工的风险。此外，我们的发现表明，改善出勤率的干预措施将有效地预防因精神疾病而导致的抑郁和缺勤。(C)2015爱思唯尔B.V.保留所有权利。
Background: Absence due to mental disease in the workplace has become a global public health problem. We aimed to evaluate the influence of presenteeism on depression and absence due to mental disease.Methods: A prospective study of 1831 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 the K6 scale, respectively. Absence due to mental disease across a 2-year follow up was surveyed through medical certificates obtained for work absence.Results: After adjusting for age and gender, participants with higher rates of sickness absolute and relative presenteeism (the lowest fertile of the scores) were significantly more likely to be absent due to mental disease (OR=4.40, 95% CI: 1.65-11.73, and OR=3.31, 95% CI: 1.50-7.27). Subsequently, higher rates of sickness absolute or relative presenteeism were significantly associated with higher rates of depression (1(6 >= 13) one year later (OR=3.79, 95% CI: 2.48-5.81, and OR=2.89, 95% CI: 1.98-4.22).Limitations: The number of females in the sample was relatively small. However, the rates of absence for females with and without mental illness did not significantly differ from those of men.Conclusions: More sickness presenteeism scores were found to be related to higher rates of depression and absence due to mental disease in this large-scale cohort of Japanese workers. Measurement of presenteeism could be used to evaluate the risk for depression and absenteeism. Furthermore, our findings suggest that intervention to improve presenteeism would be effective in preventing depression and absence due to mental illness. (C) 2015 Elsevier B.V. All rights reserved.