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Factors Associated with Work Participation and Work Functioning in Depressed Workers: A Systematic Review

Identifieur interne : 000D38 ( Main/Exploration ); précédent : 000D37; suivant : 000D39

Factors Associated with Work Participation and Work Functioning in Depressed Workers: A Systematic Review

Auteurs : S. E. Lagerveld [Pays-Bas] ; U. Bültmann [Pays-Bas] ; R. L. Franche [Canada] ; F. J. H. Van Dijk [Pays-Bas] ; M. C. Vlasveld [Pays-Bas] ; C. M. Van Der Feltz-Cornelis [Pays-Bas] ; D. J. Bruinvels [Pays-Bas] ; J. J. J. M. Huijs [Pays-Bas] ; R. W. B. Blonk [Pays-Bas] ; J. J. L. Van Der Klink [Pays-Bas] ; K. Nieuwenhuijsen [Pays-Bas]

Source :

RBID : PMC:2923705

Abstract

Background Depression is associated with negative work outcomes such as reduced work participation (WP) (e.g., sick leave duration, work status) and work functioning (WF) (e.g., loss of productivity, work limitations). For the development of evidence-based interventions to improve these work outcomes, factors predicting WP and WF have to be identified. Methods This paper presents a systematic literature review of studies identifying factors associated with WP and WF of currently depressed workers. Results A total of 30 studies were found that addressed factors associated with WP (N = 19) or WF (N = 11). For both outcomes, studies reported most often on the relationship with disorder-related factors, whereas personal factors and work-related factors were less frequently addressed. For WP, the following relationships were supported: strong evidence was found for the association between a long duration of the depressive episode and work disability. Moderate evidence was found for the associations between more severe types of depressive disorder, presence of co-morbid mental or physical disorders, older age, a history of previous sick leave, and work disability. For WF, severe depressive symptoms were associated with work limitations, and clinical improvement was related to work productivity (moderate evidence). Due to the cross-sectional nature of about half of the studies, only few true prospective associations could be identified. Conclusion Our study identifies gaps in knowledge regarding factors predictive of WP and WF in depressed workers and can be used for the design of future research and evidence-based interventions. We recommend undertaking more longitudinal studies to identify modifiable factors predictive of WP and WF, especially work-related and personal factors.

Electronic supplementary material

The online version of this article (doi:10.1007/s10926-009-9224-x) contains supplementary material, which is available to authorized users.


Url:
DOI: 10.1007/s10926-009-9224-x
PubMed: 20091105
PubMed Central: 2923705


Affiliations:


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<nlm:aff id="Aff6">Department of Public and Occupational Health, The EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands</nlm:aff>
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<name sortKey="Van Der Feltz Cornelis, C M" sort="Van Der Feltz Cornelis, C M" uniqKey="Van Der Feltz Cornelis C" first="C. M." last="Van Der Feltz-Cornelis">C. M. Van Der Feltz-Cornelis</name>
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<name sortKey="Blonk, R W B" sort="Blonk, R W B" uniqKey="Blonk R" first="R. W. B." last="Blonk">R. W. B. Blonk</name>
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<nlm:aff id="Aff9">Department of Social and Organizational Psychology, Utrecht University, Utrecht, The Netherlands</nlm:aff>
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<name sortKey="Van Der Klink, J J L" sort="Van Der Klink, J J L" uniqKey="Van Der Klink J" first="J. J. L." last="Van Der Klink">J. J. L. Van Der Klink</name>
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<wicri:regionArea>Department of Health Sciences, Section of Social Medicine, Work & Health, University Medical Center Groningen, Groningen</wicri:regionArea>
<placeName>
<settlement type="city">Groningue</settlement>
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<name sortKey="Nieuwenhuijsen, K" sort="Nieuwenhuijsen, K" uniqKey="Nieuwenhuijsen K" first="K." last="Nieuwenhuijsen">K. Nieuwenhuijsen</name>
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<nlm:aff id="Aff4">Coronel Institute of Occupational Health, Academic Medical Center, Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Coronel Institute of Occupational Health, Academic Medical Center, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
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<series>
<title level="j">Journal of Occupational Rehabilitation</title>
<idno type="ISSN">1053-0487</idno>
<idno type="eISSN">1573-3688</idno>
<imprint>
<date when="2010">2010</date>
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<div type="abstract" xml:lang="en">
<p>
<italic>Background</italic>
Depression is associated with negative work outcomes such as reduced work participation (WP) (e.g., sick leave duration, work status) and work functioning (WF) (e.g., loss of productivity, work limitations). For the development of evidence-based interventions to improve these work outcomes, factors predicting WP and WF have to be identified.
<italic>Methods</italic>
This paper presents a systematic literature review of studies identifying factors associated with WP and WF of currently depressed workers.
<italic>Results</italic>
A total of 30 studies were found that addressed factors associated with WP (
<italic>N</italic>
 = 19) or WF (
<italic>N</italic>
 = 11). For both outcomes, studies reported most often on the relationship with disorder-related factors, whereas personal factors and work-related factors were less frequently addressed. For WP, the following relationships were supported: strong evidence was found for the association between a long duration of the depressive episode and work disability. Moderate evidence was found for the associations between more severe types of depressive disorder, presence of co-morbid mental or physical disorders, older age, a history of previous sick leave, and work disability. For WF, severe depressive symptoms were associated with work limitations, and clinical improvement was related to work productivity (moderate evidence). Due to the cross-sectional nature of about half of the studies, only few true prospective associations could be identified.
<italic>Conclusion</italic>
Our study identifies gaps in knowledge regarding factors predictive of WP and WF in depressed workers and can be used for the design of future research and evidence-based interventions. We recommend undertaking more longitudinal studies to identify modifiable factors predictive of WP and WF, especially work-related and personal factors.</p>
<sec>
<title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1007/s10926-009-9224-x) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
<back>
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<li>Groningue (province)</li>
<li>Hollande-Septentrionale</li>
<li>Utrecht (province)</li>
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<li>Amsterdam</li>
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<name sortKey="Vlasveld, M C" sort="Vlasveld, M C" uniqKey="Vlasveld M" first="M. C." last="Vlasveld">M. C. Vlasveld</name>
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