Long-term work disability and absenteeism in anxiety and depressive disorders

Hendriks, Sanne M.; Spijker, Jan; Licht, Carmilla M.M.; Hardeveld, Florian; Graaf, Ron de; Batelaan, Neeltje M.; Penninx, Brenda W. J. H.; Beekman, Aartjan T.F.

doi:10.1016/j.jad.2015.03.004

Cited by 83 publications

(74 citation statements)

References 53 publications

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“…Estudos internacionais apontam os transtornos do humor, em especial a depressão e a ansiedade, como os maiores causadores de absenteísmos no trabalho, além de corresponderem aos maiores custos aos serviços de saúde quando comparados a outras doenças mentais [22][23][24][25][26] . É importante destacar que os quadros depressivos têm um impacto importante no absenteísmo por gerarem períodos prolongados de incapacidade 24 , assim como observamos no presente estudo.…”

Section: Discussionunclassified

Afastamentos do trabalho por transtornos mentais: um estudo de caso com servidores públicos em uma instituição de ensino no Ceará, Brasil

Bastos

Bezerra

Domingos³

et al. 2018

Rev. Bras. Med. Trab.

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ARTIGO ORIGINAL RESUMO | Contexto:Os objetivos desse estudo foram descrever os afastamentos do trabalho por transtornos mentais entre servidores públicos para apresentá-los à gestão, pretendendo adotar medidas que colaborassem com a diminuição do absenteísmo. Métodos: Foram avaliados os registros de afastamento por transtornos mentais no período de janeiro a dezembro de 2016, em uma instituição pública de ensino do Estado do Ceará. Os dados foram obtidos por meio da plataforma SIASS (Subsistema Integrado de Atenção à Saúde do Servidor) e de informações do Portal da Transparência do Governo Federal. Foram estratificadas as licenças para tratamento de saúde por transtornos mentais e comportamentais, classificadas no CID 10 "F", independente de gênero ou cargo funcional. Resultados: Os transtornos mentais foram a principal causa de afastamento no trabalho durante o ano de estudo, um total de 92 servidores afastados por este motivo, representando 3% dos servidores do órgão, com 5.081 dias perdidos de trabalho no período do estudo. Os transtornos do humor e os relacionados ao estresse foram os mais frequentes. Os transtornos mentais por uso de substâncias psicoativas e os diagnósticos de disfunções fisiológicas representaram a maior média de dias de afastamento por servidor. Conclusão: Os resultados reforçam que a concepção de saúde mental e o trabalho são indissociáveis no aspecto de produtividade e eficiência no serviço público federal. Sob esta ótica, a gestão da instituição apoiou a criação de serviço multidisciplinar para apoio psicológico aos servidores afastados. Palavras-chave | transtornos mentais; saúde do trabalhador; setor público. ABSTRACT | Background:Mental disorders are one of the main causes of absenteeism in Brazil. The aim of the present study was to describe the occurrence of mental and behavioral disorders (MBD) among federal civil servants, present the data to managers and suggest measures to reduce absenteeism in this population. Methods: In the present cross-sectional study performed from January through December 2016 we analyzed medical records of employees at a public institution in the state of Ceará, Northeastern Brazil, who were granted sick leaves for MBD. The data were obtained from the Integrated Subsystem of Workers' Health Care (Subsistema Integrado de Atenção à Saúde do Servidor -SIASS) platform and the Federal Government's Transparency Portal. Results: Mental disorders were the main cause of sick leaves along the analyzed period. Ninety-two employees were away from work for this reason, corresponding to 3% of the institution's employees and accounting for 5,081 working days lost. Mood and stress-related disorders were the most frequent causes of sick leaves. Mental disorders due to psychoactive substance use and physiological disturbances accounted for longest average number of sick leave days per employee. Conclusion: The results reinforce the notion that mental health and work are indissociable in regard to productivity and efficiency within federal public service. The institutio...

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Section: Discussionunclassified

Afastamentos do trabalho por transtornos mentais: um estudo de caso com servidores públicos em uma instituição de ensino no Ceará, Brasil

Bastos

Bezerra

Domingos³

et al. 2018

Rev. Bras. Med. Trab.

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“…41 In Canada, workers with MDD, compared to those without depression, were twice as likely to leave work during a 10-year follow-up. 42 Increased severity of illness, 43 concurrent medical conditions, 44 and comorbid anxiety disorders 45 result in a higher degree of work disability and greater absenteeism in people with MDD. In addition to overall severity, individual symptoms of MDD can differentially affect workplace performance.…”

Section: What Is the Occupational Impact Of Mdd?mentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder

et al. 2016

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Background: The Canadian Network for Mood and Anxiety Treatments (CANMAT) conducted a revision of the 2009 guidelines by updating the evidence and recommendations. The scope of the 2016 guidelines remains the management of major depressive disorder (MDD) in adults, with a target audience of psychiatrists and other mental health professionals. Methods: Using the question-answer format, we conducted a systematic literature search focusing on systematic reviews and meta-analyses. Evidence was graded using CANMAT-defined criteria for level of evidence. Recommendations for lines of treatment were based on the quality of evidence and clinical expert consensus. This section is the first of six guidelines articles.Results: In Canada, the annual and lifetime prevalence of MDD was 4.7% and 11.3%, respectively. MDD represents the second leading cause of global disability, with high occupational and economic impact mainly attributable to indirect costs. DSM-5 criteria for depressive disorders remain relatively unchanged, but other clinical dimensions (sleep, cognition, physical symptoms) may have implications for depression management. e-Mental health is increasingly used to support clinical and selfmanagement of MDD. In the 2-phase (acute and maintenance) treatment model, specific goals address symptom remission, functional recovery, improved quality of life, and prevention of recurrence. Conclusions:The burden attributed to MDD remains high, whether from individual distress, functional and relationship impairment, reduced quality of life, or societal economic cost. Applying core principles of care, including comprehensive assessment, therapeutic alliance, support of self-management, evidence-informed treatment, and measurement-based care, will optimize clinical, quality of life, and functional outcomes in MDD.

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“…While the survey data did not permit an examination of workplace absenteeism and presenteeism, the literature suggests that people with depressive and anxiety disorders have an elevated risk of work absence and impaired work performance. [44][45][46] Furthermore, it has been estimated that about 500 000 Canadians are absent from their workplace every day because of depression. 47 It was not possible to consider the potential impact of underemployment (i.e.…”

Section: Discussionmentioning

confidence: 99%

Health status, activity limitations, work-related restrictions and level of disability among Canadians with mood and/or anxiety disorders

Loukine

O’Donnell

Goldner

et al. 2016

Health Promot Chronic Dis Prev Can

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Long-term work disability and absenteeism in anxiety and depressive disorders

Cited by 83 publications

References 53 publications

Afastamentos do trabalho por transtornos mentais: um estudo de caso com servidores públicos em uma instituição de ensino no Ceará, Brasil

Afastamentos do trabalho por transtornos mentais: um estudo de caso com servidores públicos em uma instituição de ensino no Ceará, Brasil

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder

Health status, activity limitations, work-related restrictions and level of disability among Canadians with mood and/or anxiety disorders

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