Depressive symptoms and the risk of long-term sickness absence
- First Online:
- 401 Downloads
The aim of this paper is to examine the impact of depressive symptoms on long-term sickness absence in a representative sample of the Danish workforce.
This prospective study is based on 4,747 male and female employees, participating in the Danish Work Environment Cohort Study. Depressive symptoms were measured at baseline. Data on sickness absence were obtained from a national register on social transfer payments. Onset of long-term sickness absence was followed up for 78 weeks.
The cumulative 78 weeks incidence for the onset of long-term sickness absence was 6.5% in men and 8.9% in women. Both men and women with severe depressive symptoms (≤52 points) were at increased risk of long-term sickness absence during follow-up (men: HR = 2.69; 95% CI: 1.18, 6.12; women: HR = 2.27; 95% CI: 1.25, 4.11), after adjustment for demographic, health related, and lifestyle factors. When we divided the depressive symptom scores into quartiles, we found no significant effects with regard to long-term sickness absence.
Severe depressive symptoms, as measured with the MHI-5, increased the risk of future long-term sickness absence in the general Danish working population. However, effects were not linear, but occurred mostly only in those employees with high levels of depressive symptoms.
Keywordsmental health sickness absence longitudinal study general working population
- 2.Hensing G, Wahlstrom R (2004) Sickness absence and psychiatric disorders. Scand J Public Health Suppl:152–180Google Scholar
- 9.Regeringen (The Danish Government) (2003) Det gør vi ved sygefraværet (Action plan on sickness absence). The Danish Ministry of Employment, CopenhagenGoogle Scholar
- 21.National Institutes of Health and National Heart, Lung and Blood Institute (1998) Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults – the evidence report NIH Publication No. 98-4083. U.S. Department of Health and Human Services, Bethesda, MDGoogle Scholar
- 31.Marmot M, Feeney A, Shipley M, et al. (1995) Sickness absence as a measure of health status and functioning: from the UK Whitehall II study. J Epidemiol Commun Health 49:124–130Google Scholar