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Depressive symptoms and the risk of long-term sickness absence

A prospective study among 4747 employees in Denmark

Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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.

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References

  1. 1.

    Henderson M, Glozier N, Holland EK (2005) Long term sickness absence. BMJ 330:802–803

  2. 2.

    Hensing G, Wahlstrom R (2004) Sickness absence and psychiatric disorders. Scand J Public Health Suppl:152–180

  3. 3.

    Vaananen A, Toppinen-Tanner S, Kalimo R, et al. (2003) Job characteristics, physical and psychological symptoms, and social support as antecedents of sickness absence among men and women in the private industrial sector. Soc Sci Med 57:807–824

  4. 4.

    Bültmann U, Huibers MJ, van Amelsvoort LP, et al. (2005) Psychological distress, fatigue and long-term sickness absence: prospective results from the Maastricht Cohort Study. J Occup Environ Med 47:941–947

  5. 5.

    Gjesdal S, Bratberg E (2003) Diagnosis and duration of sickness absence as predictors for disability pension: results from a three-year, multi-register based* and prospective study. Scand J Public Health 31:246–254

  6. 6.

    Gjesdal S, Ringdal PR, Haug K, et al. (2004) Predictors of disability pension in long-term sickness absence: results from a population-based and prospective study in Norway 1994–1999. Eur J Public Health 14:398–405

  7. 7.

    Kivimaki M, Forma P, Wikstrom J, et al. (2004) Sickness absence as a risk marker of future disability pension: the 10-town study. J Epidemiol Commun Health 58:710–711

  8. 8.

    Alexanderson K, Hensing G (2004) More and better research needed on sickness absence. Scand J Public Health 32:321–323

  9. 9.

    Regeringen (The Danish Government) (2003) Det gør vi ved sygefraværet (Action plan on sickness absence). The Danish Ministry of Employment, Copenhagen

  10. 10.

    Lund T, Labriola M, Christensen KB, et al. (2005) Psychosocial work environment exposures as risk factors for long-term sickness absence among Danish employees: results from DWECS/DREAM. J Occup Environ Med 47:1141–1147

  11. 11.

    Lund T, Labriola M, Christensen KB, et al. (2006) Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5357 employees in Denmark. BMJ 332:449–452

  12. 12.

    Burr H, Bjorner JB, Kristensen TS, et al. (2003) Trends in the Danish work environment in 1990–2000 and their associations with labor-force changes. Scand J Work Environ Health 29:270–279

  13. 13.

    Bjorner JB, Damsgaard MT, Watt T, et al. (1998) Tests of data quality, scaling assumptions, and reliability of the Danish SF-36. J Clin Epidemiol 51:1001–1011

  14. 14.

    Bjorner JB, Thunedborg K, Kristensen TS, et al. (1998) The Danish SF-36 Health Survey: translation and preliminary validity studies. J Clin Epidemiol 51:991–999

  15. 15.

    Ware JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483

  16. 16.

    Berwick DM, Murphy JM, Goldman PA, et al. (1991) Performance of a five-item mental health screening test. Med Care 29:169–176

  17. 17.

    Grosch JW, Murphy LR (1998) Occupational differences in depression and global health: results from a national sample of US workers. J Occup Environ Med 40:153–164

  18. 18.

    Rumpf HJ, Meyer C, Hapke U, et al. (2001) Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard. Psychiatry Res 105:243–253

  19. 19.

    Strand BH, Dalgard OS, Tambs K, et al. (2003) Measuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36). Nord J Psychiatry 57:113–118

  20. 20.

    Rugulies R, Bültmann U, Aust B, et al. (2006) Psychosocial work environment and incidence of severe depressive symptoms. Prospective findings from a 5-year follow-up of the Danish work environment cohort study. Am J Epidemiol 163:877–887

  21. 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, MD

  22. 22.

    Feeney A, North F, Head J, et al. (1998) Socioeconomic and sex differentials in reason for sickness absence from the Whitehall II Study. Occup Environ Med 55:91–98

  23. 23.

    Hensing G, Brage S, Nygard JF, et al. (2000) Sickness absence with psychiatric disorders – an increased risk for marginalisation among men? Soc Psychiatry Psychiatr Epidemiol 35:335–340

  24. 24.

    Kivimaki M, Vahtera J, Thomson L, et al. (1997) Psychosocial factors predicting employee sickness absence during economic decline. J Appl Psychol 82:858–872

  25. 25.

    Laitinen Krispijn S, Bijl RV (2000) Mental disorders and employee sickness absence: the NEMESIS study. Netherlands mental health survey and incidence study. Soc Psychiatry Psychiatr Epidemiol 35:71–77

  26. 26.

    Stansfeld S, Feeney A, Head J, et al. (1995) Sickness absence for psychiatric illness: the Whitehall II Study. Soc Sci Med 40:189–197

  27. 27.

    Ala-Mursula L, Vahtera J, Pentti J, et al. (2004) Effect of employee worktime control on health: a prospective cohort study. Occup Environ Med 61:254–261

  28. 28.

    Alexanderson K (1998) Sickness absence: a review of performed studies with focused on levels of exposures and theories utilized. Scand J Soc Med 26:241–249

  29. 29.

    Kivimaki M, Vahtera J, Pentt J, et al. (2000) Factors underlying the effect of organisational downsizing on health of employees: longitudinal cohort study. BMJ 320:971–975

  30. 30.

    Kristensen TS (1991) Sickness absence and work strain among Danish slaughterhouse workers: an analysis of absence from work regarded as coping behaviour. Soc Sci Med 32:15–27

  31. 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 49:124–130

  32. 32.

    Niedhammer I, Bugel I, Goldberg M, et al. (1998) Psychosocial factors at work and sickness absence in the Gazel cohort: a prospective study. Occup Environ Med 55:735–741

  33. 33.

    North FM, Syme SL, Feeney A, et al. (1996) Psychosocial work environment and sickness absence among British civil servants: the Whitehall II study. Am J Public Health 86:332–340

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Correspondence to Dr. Ute Bültmann.

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Bültmann, U., Rugulies, R., Lund, T. et al. Depressive symptoms and the risk of long-term sickness absence. Soc Psychiat Epidemiol 41, 875–880 (2006). https://doi.org/10.1007/s00127-006-0110-y

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Keywords

  • mental health
  • sickness absence
  • longitudinal study
  • general working population