Secondary Analysis Topic

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Depression and Work

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Secondary Analysis Topic

  1. 1. Secondary Analysis Topic<br />Depression and Poor Mental Health’s Impact on Work<br />
  2. 2. Depression, Disability Days, and Days Lost From Work in a Prospective Epidemiologic Survey<br />W. Eugene Broadhead, MD, PhD; Dan G. Blazer, MD, PhD; Linda K. George, PhD; Chiu Kit Tse, MSPH <br />JAMA. 1990;264(19):2524-2528. <br />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.<br />
  3. 3. X Variables in Research<br />Nervousness<br />Calm & Peaceful<br />Blue<br />Happy<br />Depressed<br />Overall Mental Health<br />
  4. 4. Y Variables in Research<br />Weeks R Worked any Job in 2007<br />Average Hours R Worked in a Week<br />
  5. 5. R UNHAPPY, SAD, DEPRESSED (MALE)<br />[this youth] is unhappy, sad or depressed.<br />Copyright Items: TM Achenbach. Reproduced by Permission<br /> 1179 0 Not true<br /> 486 1 Sometimes true<br /> 44 2 Often true<br /> -------<br /> 1709<br />Refusal(-1) 1<br />Don't Know(-2) 3<br />TOTAL =========> 1713 VALID SKIP(-4) 7271 NON-INTERVIEW(-5) 0<br />Lead In: R06911.00[Default]<br />Default Next Question: R06913.00<br />
  6. 6. R UNHAPPY, SAD, DEPRESSED (FEMALE)<br />[this youth] is unhappy, sad or depressed.<br />Copyright Items: TM Achenbach. Reproduced by Permission<br /> 1070 0 Not true<br /> 472 1 Sometimes true<br /> 42 2 Often true<br /> -------<br /> 1584<br />Refusal(-1) 2<br />Don't Know(-2) 2<br />TOTAL =========> 1588 VALID SKIP(-4) 7396 NON-INTERVIEW(-5) 0<br />Lead In: R06907.00[Default]<br />Default Next Question: R06913.00<br />--------------------------------------------------------------------------------<br />R06912.00 [PC12-028] Survey Year: 1997<br /> PRIMARY VARIABLE<br />
  7. 7. R48940.00 [YSAQ-282G] Survey Year: 2000<br /> PRIMARY VARIABLE<br /> HOW OFTEN R DEPRESSED IN LAST MONTH<br />How much of the time during the last month have you felt so down in the dumps <br />that nothing could cheer you up?<br /> 123 1 All of the time<br /> 457 2 Most of the time<br /> 2371 3 Some of the time<br /> 5077 4 None of the time<br /> -------<br /> 8028<br />Refusal(-1) 44<br />Don't Know(-2) 7<br />TOTAL =========> 8079 VALID SKIP(-4) 1 NON-INTERVIEW(-5) 904<br />Lead In: R48939.00[Default]<br />Default Next Question: R48941.00<br />
  8. 8. S83327.00 [YSAQ-282G] Survey Year: 2006<br /> PRIMARY VARIABLE<br /> HOW OFTEN R DEPRESSED IN LAST MONTH<br />How much of the time during the last month have you felt so down in the dumps <br />that nothing could cheer you up?<br /> 65 1 All of the time<br /> 274 2 Most of the time<br /> 1771 3 Some of the time<br /> 5265 4 None of the time<br /> -------<br /> 7375<br />Refusal(-1) 47<br />Don't Know(-2) 137<br />TOTAL =========> 7559 VALID SKIP(-4) 0 NON-INTERVIEW(-5) 1425<br />Lead In: S83326.00[Default]<br />Default Next Question: S83328.00<br />
  9. 9. --------------------------------------------------------------------------------<br />R55117.00 [FP_YMNTHLTH] Survey Year: 2000<br /> PRIMARY VARIABLE<br /> <br /> YOUTH MENTAL HEALTH SCALE<br />Youth Report, Mental Health Index. Scores range from 5 to 20; higher scores <br />indicate more positive mental health while lower scores indicate more emotional <br />problems.<br /> 187 1 TO 9: 5-9<br /> 2464 10 TO 14<br /> 5371 15 TO 20<br />
  10. 10. # WEEKS R WORKED ANY JOB YEAR 07<br />Number of weeks the respondent worked at any job during the year.<br /> 850 0: 0 Weeks<br /> 130 1 TO 5: 1-5 Weeks<br /> 161 6 TO 10: 6-10 Weeks<br /> 190 11 TO 15: 11-15 Weeks<br /> 204 16 TO 20: 16-20 Weeks<br /> 228 21 TO 25: 21-25 Weeks<br /> 252 26 TO 30: 26-30 Weeks<br /> 327 31 TO 35: 31-35 Weeks<br /> 696 36 TO 40: 36-40 Weeks<br /> 2591 41 TO 45: 41-45 Weeks<br /> 1103 46 TO 50: 46-50 Weeks<br /> 638 51 TO 999: 51+ Weeks<br /> -------<br /> 7370<br />Refusal(-1) 0<br />Don't Know(-2) 0<br />Invalid Skip(-3) 48<br />TOTAL =========> 7418 VALID SKIP(-4) 0 NON-INTERVIEW(-5) 1566<br />Min: 0 Max: 52 Mean: 34.54<br />Lead In: T00387.00[Default]<br />Default Next Question: T00389.00<br />
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  12. 12. One-way ANOVA: "T0038800" versus "S0921200" <br />Source DF SS MS F P<br />"S0921200" 4 6329 1582 3.70 0.014<br />Error 31 13264 428<br />Total 35 19593<br />S = 20.69 R-Sq = 32.30% R-Sq(adj) = 23.56%<br />
  13. 13. Depression and work productivity: the comparative costs of treatment versus …<br />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<br />Depression, disability days, and days lost from work in a prospective epidemiologic …<br />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<br />
  14. 14. Questions and Suggestions<br />

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