Work functioning in persons with depressive and anxiety disorders: The role of specific psychopathological characteristics

Plaisier, Inger; Beekman, Aartjan T.F.; Graaf, Ron de; Smit, Jan; Dyck, Richard van; Penninx, Brenda W. J. H.

doi:10.1016/j.jad.2010.01.072

Cited by 127 publications

(104 citation statements)

References 46 publications

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“…We calculated productivity losses for mothers based on probabilities that women would be in full-or part-time employment after giving birth, multiplied by reduced working days for someone with concurrent or remitted depression or anxiety (ONS, 2005(ONS, , 2013aDWP, 2010;Plaisier et al, 2010). We applied lost work days for concurrent depression or anxiety to the annual probabilities of mothers to have depression or anxiety linked to the initial perinatal condition; we applied lost work days for remitted depression or anxiety to the probabilities of mothers not having any further episodes linked to the perinatal condition.…”

Section: Measuring the Impact On Mothersmentioning

confidence: 99%

Lifetime costs of perinatal anxiety and depression

Bauer

Knapp

Parsonage

2016

Journal of Affective Disorders

283

202

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BackgroundAnxiety and depression are common among women during pregnancy and the year after birth. The consequences, both for the women themselves and for their children, can be considerable and last for many years. This study focuses on the economic consequences, aiming to estimate the total costs and health-related quality of life losses over the lifetime of mothers and their children. MethodA pathway or decision modelling approach was employed, based on data from previous studies. Systematic and pragmatic literature reviews were conducted to identify evidence of impacts of perinatal anxiety and depression on mothers and their children. ResultsThe present value of total lifetime costs of perinatal depression (anxiety) was £75,728 (£34,811) per woman with condition. If prevalence estimates were applied the respective cost of perinatal anxiety and depression combined was about £8,500 per woman giving birth; for the United Kingdom, the aggregated costs were £6.6 billion. The majority of the costs related to adverse impacts on children and almost a fifth were borne by the public sector. LimitationsThe method was exploratory in nature, based on a diverse range of literature and encountered important data gaps. ConclusionsFindings suggest the need to allocate more resources to support women with perinatal mental illness. More research is required to understand the type of interventions that can reduce long-term negative effects for both mothers and offspring. Highlights Using modelling techniques, we estimated the lifetime costs of perinatal depression and anxiety reflecting the impact on mothers and children 1 ALSPAC = Avon Longitudinal Study of Parents and Children, ED = Education, HRQoL = Health-related quality of life, HSC = Health and social care, OOP = Out-of-pocket expenditure, NHS = National Health Service, p = probability, PL = Productivity loss, pp. = percentage points, PTB = Pre-term birth, RD = Risk difference, UC = Unpaid care, UK = United Kingdom, wks. = weeks, yrs. = years 2  We found that costs were substantial and that the majority related to the impact on children  There is a need to understand the role of interventions in alleviating symptoms and reducing long-term negative effects for both mothers and offspring.  New costing methods are required for conditions with transgenerational origins and impact.

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Section: Measuring the Impact On Mothersmentioning

confidence: 99%

Lifetime costs of perinatal anxiety and depression

Bauer

Knapp

Parsonage

2016

Journal of Affective Disorders

283

202

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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%

“…[8][9][10]14 Furthermore, mood and anxiety disorders have been found to be associated with a loss in work productivity. [15][16][17] However, to our knowledge, only a few Canadian studies have examined the association between depression and activity limitations 14 and none have examined the association between mood and/or anxiety disorders, work-related restrictions and level of disability. Therefore, there is a need to obtain information regarding these relationships at a population level in Canada to inform policy and practice initiatives, facilitate the development of interventions that could diminish disability related to mood and anxiety disorders and assist in monitoring potential improvements over time.…”

Section: Introductionmentioning

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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“…Ces résultats sont cohérents avec les résul-tats relatifs à l'âge concernant l'utilisation des services de santé pour les troubles de l'humeur et d'anxiété 37 et pourraient avoir un lien avec les défis spécifiques auxquels cette sous-population est confrontée, notamment des taux plus élevés de problèmes physiques et de troubles de santé mentale 7 concomitants. Il a été démontré que les personnes atteintes de problèmes physiques et mentaux sont plus susceptibles de souffrir d'invalidité, après contrôle pour les caractéristiques socio démographiques, l'emploi et la région [44][45][46] . De plus, on a estimé à environ 500 000 le nombre de Canadiens absents du travail tous les jours en raison d'une dépression 47 .…”

Section: éTat De Santé Limitations Fonctionnelles Restrictions Profunclassified

“…De plus, les troubles de l'humeur et d'anxiété se sont avérés être associés à une perte de productivité au travail [15][16][17] . Cependant, à notre connaissance, seules quelques études canadiennes ont abordé le lien entre dépression et limitations fonctionnelles 14 Le degré d'invalidité était fondé sur le HUI, qui décrit la santé fonctionnelle selon huit domaines : la vision, l'ouïe, la parole, la déambulation, la dextérité, l'émotion, la cognition et la douleur 21 .…”

Section: Introductionunclassified