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Depression and change in occupational functioning in type 2 diabetes.

C D Moulton¹, L Murray², K Winkley³

¹Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Occupational Medicine (Oxford, England)

|May 16, 2019

Summary

Depression in type 2 diabetes (T2D) is linked to worse employment and reduced work productivity over two years. Early identification and management of depressive symptoms are crucial for T2D patients. Keywords: depression, type 2 diabetes, employment, productivity.

Keywords:

Cohort depressive symptoms employment longitudinal presenteeism type 2 diabetes

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Area of Science:

Endocrinology and Metabolism
Psychiatry and Mental Health
Occupational Health

Background:

The impact of depression on employment and productivity in type 2 diabetes (T2D) remains unclear.
Understanding this relationship is vital for comprehensive patient care.

Purpose of the Study:

To investigate the association between depressive symptoms at T2D diagnosis and changes in employment status and productivity over a two-year period.
To analyze the effects on both unemployment and work performance (presenteeism and absenteeism).

Main Methods:

Prospective study of working-age adults (18-63 years) newly diagnosed with T2D.
Depressive symptoms assessed using the Patient Health Questionnaire-9 (PHQ-9) at baseline and continuously over two years.
Employment status, presenteeism, and absenteeism measured using the WHO Health and Work Performance Questionnaire.

Main Results:

Depression caseness was associated with increased unemployment in full-time workers after adjusting for covariates (OR 0.43, P < 0.05).
Total depressive symptoms correlated with decreased presenteeism (worsened work productivity) over two years in employed individuals (β = -2.63, P < 0.05).
No significant association was found between depressive symptoms and worsening absenteeism.

Conclusions:

Depressive symptoms at diagnosis are linked to poorer employment outcomes and reduced work productivity in individuals with newly diagnosed T2D.
These findings highlight the importance of addressing mental health in T2D management to improve overall patient well-being and economic participation.