Association of Chronic Work Stress, Psychiatric Disorders, and Chronic Physical Conditions With Disability Among Workers

Dewa, Carolyn S.; Lin, Elizabeth; Kooehoorn, Mieke; Goldner, Elliot M.

doi:10.1176/ps.2007.58.5.652

Cited by 66 publications

(46 citation statements)

References 20 publications

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“…[30,31] Headache, double vision and blurred vision may be attributable to general fatigue and or pre-existing systemic condition among the butchers. [32] As reported in our results, we did not detect a statistically significant association between long term exposure to the work environment and the various eye diseases detected (p ≈ .2).…”

Section: Discussioncontrasting

confidence: 46%

Ocular conditions among singed–hide butchers at The Kumasi abattoir

Kumah

Bisiw

Abdul–Kabir

et al. 2015

JER

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This study attempted to determine the prevalent eye conditions among singed-hide butchers at the Kumasi abattoir (slaughterhouse) in Ghana. A cross-sectional study comprising 80 conveniently chosen singed-hide butchers at the abattoir was conducted. History taken from participants included participants' demographics and ocular and occupational history. Ocular examination included ophthalmoscopy and visual acuity. Diagnoses were made on the presence of a condition(s) in either or both eyes. The Statistical Package for Social Sciences (SPSS) version 17.0 was used to analyze data collected. Descriptive statistics and Fisher's exact test were employed.The overall prevalence of ocular morbidities was 63.8% among the respondents.Ocular itchiness (77.5%) was the most widely reported symptom followed by teary eyes (70.0%). All respondents suffered from one or more oculo-visual symptoms. The commonest ocular diseases were pinguecula (38.8%), followed by pterygium (20.0%), conjunctivitis (2.5%) and cataract (2.5%). It was observed that singed-hide butchers at the Kumasi abattoir were at high risk of developing eye diseases attributable to the working environment.

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Section: Discussioncontrasting

confidence: 46%

Ocular conditions among singed–hide butchers at The Kumasi abattoir

Kumah

Bisiw

Abdul–Kabir

et al. 2015

JER

View full text Add to dashboard Cite

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“…First, the depression causes occupational injury through the symptoms of depression itself, such as cognitive failure, drowsiness, and loss of interest (Poole et al 1997). In previous research, untreated mood disorder can impair cognitive function and increase accident proneness (Dewa et al 2007). Fatigue (Swaen et al 2003) and sleeping health (Nakata et al 2005) also aVect the occurrence of occupational injuries.…”

Section: Discussionmentioning

confidence: 98%

“…The potential mechanisms of how depression plays a role in occupational injury remain unclear. Plausible mechanisms involve direct eVects (e.g., the symptoms of depression itself, such as cognitive failure, drowsiness, and loss of interest; the adverse eVects of depression treatment) and indirect eVects mediated by adverse health behaviors (Bhattacherjee et al 2003;Dewa et al 2007;Gilmore et al 1996;Poole et al 1997;Simpson et al 2005;Wadsworth et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms and self-reported occupational injury in small and medium-sized companies

Kim¹,

Park²,

Min³

et al. 2008

Int Arch Occup Environ Health

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Objectives This survey was designed to determine whether depressive symptoms had an eVect on the risk of self-reported occupational injury in South Korea. Methods We conducted a prospective follow-up survey of workers at 44 small-to medium-sized companies classiWed into manufacturing or service businesses; 1,350 questionnaires were used in the Wnal analysis. The Wrst survey requested information regarding personal characteristics, work characteristics, and depressive symptoms (CES-D); the second survey queried participants in the Wrst survey about self-reported occupational injuries (including minor scratches or cuts) experienced in the previous 4 months. Risk ratios (RRs) were calculated through Poisson regression analysis. The number of occupational injuries during the previous 4 months served as the dependent variable, and depressive symptoms served as the independent variable. Results After adjustment for demographic factors, the RRs were 1.75 (95% CI: 1.41-2.18) and 2.68 (95% CI: 1.98-3.64) in male and female, respectively. Additional adjustment for work-related variables did not alter the RR considerably in females (2.65; 95% CI: 1.95-3.59). Among the male workers, however, the RR was not signiWcant (1.21; 95% CI: 0.95-1.55). On the other hand, when the analysis was limited to blue-collar workers, after adjustment for demographic and work-related factors, the RRs remained signiWcant in both genders (male: 1.34; 95% CI: 1.03-1.74; female: 2.04; 95% CI: 1.41-2.95). Conclusions We found that the risk of self-reported occupational injury experience was higher in workers who reported depressive symptoms. Additional study using objective data is required to conWrm our results.

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“…The results of studies focused on the impact of chronic physical conditions concurrent with a mood disorder on disability have been mixed, with some studies reporting no interaction (32,33), others noting a synergistic interaction (21,34,35), and still others alluding to an interaction without explicating the details or providing any formal statistical test (36)(37)(38)(39)(40)(41)(42)(43)(44)(45). Adding to the confusion in this literature, one study reported a negative interaction, wherein the impact of the concurrently observed mental and physical conditions produced less disability than expected, given the effects of each condition alone (46).…”

mentioning

confidence: 99%

“…While some authors have argued that these general measures of disability provide a good proxy for days of absenteeism (35,37), they are not well-suited for tapping into presenteeism. While the exact definition of presenteeism is evolving, some authors have referred to this construct as "at-work productivity loss" or "at-work disability", and described it as the "phenomena of loss of work productivity in terms of quantity or quality of work done due to illness or injury in people who are present at their job" (p23,49).…”

mentioning

confidence: 99%

The impact of co-morbid mental and physical disorders on presenteeism

Bielecky

Chen

Ibrahim

et al. 2015

Scand J Work Environ Health

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Objectives This study sought to: (i) explore the impact of mood disorders (such as depression, bipolar disorder, mania, or dysthymia) and five age-related chronic physical conditions (arthritis, back pain, diabetes, heart disease, and hypertension) on presenteeism (as indicated by self-reported activity limitations at work), and (ii) examine how mood disorders interact with each physical condition to affect this work outcome.Methods Using Canadian Community Health Survey (CCHS) data, we modeled the relationships between selfreported restrictions at work and each health condition. We then calculated synergy indices (SI) for the interaction between mood disorders and each of the five physical conditions.Results All six health conditions were associated with presenteeism. The strongest association was observed for back pain [prevalence ratio (PR) 2.70, 95% confidence interval (95% CI) 2.57-2.83] and the weakest for hypertension (PR 1.18, 95% CI 1.11-1.25). The unadjusted SI indicated no interactions between mood disorders and any of the physical conditions, while the adjusted SI indicated statistically significant interactions between mood disorders and each of the five physical conditions. The statistically significant adjusted interactions were in a negative direction, such that having a mood disorder concurrent with a chronic physical condition was associated with a lower burden of presenteeism than expected. Post-hoc analyses revealed that this unexpected finding was attributable to adjustment for other co-morbid health conditions, particularly arthritis and back pain. ConclusionsOur results suggest that targeting chronic physical conditions or mood disorders may be productive in reducing presenteeism. The combined effect on presenteeism when the two types of conditions occur simultaneously is similar to the additive effect of these conditions when each occurs in isolation.

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Association of Chronic Work Stress, Psychiatric Disorders, and Chronic Physical Conditions With Disability Among Workers

Abstract: The presence of chronic work stress seems to amplify effects of psychiatric disorders and chronic physical conditions on disability. In addition, psychiatric disorders co-occurring with physical illness seem to be associated with significantly higher odds of disability.

Cited by 66 publications

References 20 publications

Ocular conditions among singed–hide butchers at The Kumasi abattoir

Ocular conditions among singed–hide butchers at The Kumasi abattoir

Depressive symptoms and self-reported occupational injury in small and medium-sized companies

The impact of co-morbid mental and physical disorders on presenteeism

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