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[Modulating variables of work disability in depressive disorders].

C Catalina Romero¹, M Cabrera Sierra, J C Sainz Gutiérrez

¹Ibermutuamur (Mutua de accidentes de trabajo y enfermedades profesionales n.° 274), Madrid, España. carloscatalina@ibermutuamur.es

Revista De Calidad Asistencial : Organo De La Sociedad Espanola De Calidad Asistencial

|January 25, 2011

Summary

Depression significantly prolongs sickness absence, averaging 120 days. Female sex, older age, lower education, and specific referral patterns are linked to longer work disability duration.

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Area of Science:

Occupational Health
Psychiatry
Public Health

Background:

Depressive disorders are a leading cause of work disability.
Understanding factors influencing sickness absence duration is crucial for effective management.

Purpose of the Study:

To quantify sickness absence duration in unipolar depression.
To identify demographic, job-related, and clinical predictors of temporary work disability length in depressive disorders.

Main Methods:

Prospective observational study of 1,292 subjects diagnosed with depressive disorders claiming sick leave.
Descriptive analyses of sickness absence duration.
Bivariate (median test) and multivariate (logistic regression) analyses were conducted.

Main Results:

The mean duration of sickness absence episodes was 120 days.
Female sex, older age, lower educational level, self-employed/unemployed status, and referral to both psychiatrist and psychologist were significantly associated with longer sick leave.

Conclusions:

Depression is strongly associated with prolonged work disability and high absenteeism.
There is a need to enhance functional ability assessment, promotion, treatment, and referral for depressed patients.