Secondary Analysis Topic
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Depression and Work

Depression and Work

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Secondary Analysis Topic Presentation Transcript

  • 1. Secondary Analysis Topic
    Depression and Poor Mental Health’s Impact on Work
  • 2. Depression, Disability Days, and Days Lost From Work in a Prospective Epidemiologic Survey
    W. Eugene Broadhead, MD, PhD; Dan G. Blazer, MD, PhD; Linda K. George, PhD; Chiu Kit Tse, MSPH
    JAMA. 1990;264(19):2524-2528.
    AbstractWe describe the relationship of depression and depressive symptomsto disability days and days lost from work in 2980 participantsin the Epidemiologic Catchment Area Study in North Carolinaafter 1 year of follow-up. Compared with asymptomatic individuals,persons with major depression had a 4.78 times greater riskof disability (95% confidence interval, 1.64 to 13.88), andpersons with minor depression with mood disturbance, but notmajor depression, had a 1.55 times greater risk (95% confidenceinterval, 1.00 to 2.40). Because of its prevalence, individualswith minor depression were associated with 51% more disabilitydays in the community than persons with major depression. Thisgroup was also at increased risk of having a concomitant anxietydisorder or developing major depression within 1 year. We concludethat the threshold for identifying clinically significant depressionmay need to be reevaluated to include persons with fewer symptomsbut measurable morbidity. Only by changing our nosology canthe societal impact of depression be adequately addressed.
  • 3. X Variables in Research
    Nervousness
    Calm & Peaceful
    Blue
    Happy
    Depressed
    Overall Mental Health
  • 4. Y Variables in Research
    Weeks R Worked any Job in 2007
    Average Hours R Worked in a Week
  • 5. R UNHAPPY, SAD, DEPRESSED (MALE)
    [this youth] is unhappy, sad or depressed.
    Copyright Items: TM Achenbach. Reproduced by Permission
    1179 0 Not true
    486 1 Sometimes true
    44 2 Often true
    -------
    1709
    Refusal(-1) 1
    Don't Know(-2) 3
    TOTAL =========> 1713 VALID SKIP(-4) 7271 NON-INTERVIEW(-5) 0
    Lead In: R06911.00[Default]
    Default Next Question: R06913.00
  • 6. R UNHAPPY, SAD, DEPRESSED (FEMALE)
    [this youth] is unhappy, sad or depressed.
    Copyright Items: TM Achenbach. Reproduced by Permission
    1070 0 Not true
    472 1 Sometimes true
    42 2 Often true
    -------
    1584
    Refusal(-1) 2
    Don't Know(-2) 2
    TOTAL =========> 1588 VALID SKIP(-4) 7396 NON-INTERVIEW(-5) 0
    Lead In: R06907.00[Default]
    Default Next Question: R06913.00
    --------------------------------------------------------------------------------
    R06912.00 [PC12-028] Survey Year: 1997
    PRIMARY VARIABLE
  • 7. R48940.00 [YSAQ-282G] Survey Year: 2000
    PRIMARY VARIABLE
    HOW OFTEN R DEPRESSED IN LAST MONTH
    How much of the time during the last month have you felt so down in the dumps
    that nothing could cheer you up?
    123 1 All of the time
    457 2 Most of the time
    2371 3 Some of the time
    5077 4 None of the time
    -------
    8028
    Refusal(-1) 44
    Don't Know(-2) 7
    TOTAL =========> 8079 VALID SKIP(-4) 1 NON-INTERVIEW(-5) 904
    Lead In: R48939.00[Default]
    Default Next Question: R48941.00
  • 8. S83327.00 [YSAQ-282G] Survey Year: 2006
    PRIMARY VARIABLE
    HOW OFTEN R DEPRESSED IN LAST MONTH
    How much of the time during the last month have you felt so down in the dumps
    that nothing could cheer you up?
    65 1 All of the time
    274 2 Most of the time
    1771 3 Some of the time
    5265 4 None of the time
    -------
    7375
    Refusal(-1) 47
    Don't Know(-2) 137
    TOTAL =========> 7559 VALID SKIP(-4) 0 NON-INTERVIEW(-5) 1425
    Lead In: S83326.00[Default]
    Default Next Question: S83328.00
  • 9. --------------------------------------------------------------------------------
    R55117.00 [FP_YMNTHLTH] Survey Year: 2000
    PRIMARY VARIABLE
     
    YOUTH MENTAL HEALTH SCALE
    Youth Report, Mental Health Index. Scores range from 5 to 20; higher scores
    indicate more positive mental health while lower scores indicate more emotional
    problems.
    187 1 TO 9: 5-9
    2464 10 TO 14
    5371 15 TO 20
  • 10. # WEEKS R WORKED ANY JOB YEAR 07
    Number of weeks the respondent worked at any job during the year.
    850 0: 0 Weeks
    130 1 TO 5: 1-5 Weeks
    161 6 TO 10: 6-10 Weeks
    190 11 TO 15: 11-15 Weeks
    204 16 TO 20: 16-20 Weeks
    228 21 TO 25: 21-25 Weeks
    252 26 TO 30: 26-30 Weeks
    327 31 TO 35: 31-35 Weeks
    696 36 TO 40: 36-40 Weeks
    2591 41 TO 45: 41-45 Weeks
    1103 46 TO 50: 46-50 Weeks
    638 51 TO 999: 51+ Weeks
    -------
    7370
    Refusal(-1) 0
    Don't Know(-2) 0
    Invalid Skip(-3) 48
    TOTAL =========> 7418 VALID SKIP(-4) 0 NON-INTERVIEW(-5) 1566
    Min: 0 Max: 52 Mean: 34.54
    Lead In: T00387.00[Default]
    Default Next Question: T00389.00
  • 11.
  • 12. One-way ANOVA: "T0038800" versus "S0921200"
    Source DF SS MS F P
    "S0921200" 4 6329 1582 3.70 0.014
    Error 31 13264 428
    Total 35 19593
    S = 20.69 R-Sq = 32.30% R-Sq(adj) = 23.56%
  • 13. Depression and work productivity: the comparative costs of treatment versus …
    GE Simon, C Barber, HG Birnbaum, RG … - … of Occupational and …, 2001 - journals.lww.comThis article discusses the impact of depression on work productivity and the potential for improved work performance associated with effective treatment. We undertook a review of the literature by means of a computer search using the following key terms: cost of illness, work loss, ...Cited by 98 - Related articles - BL Direct - All 4 versions
    Depression, disability days, and days lost from work in a prospective epidemiologic …
    WE Broadhead, DG Blazer, LK George, CK Tse - Jama, 1990 - Am Med AssocWe describe the relationship of depression and depressive symptoms to disability days and days lost from work in 2980 participants in the Epidemiologic Catchment Area Study in North Carolina after 1 year of follow-up. Compared with asymptomatic individuals, persons with major ...Cited by 947 - Related articles - All 4 versions
  • 14. Questions and Suggestions