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A Population-Based Survey of the Workplace Costs for Caregivers of Persons With Treatment-Resistant Depression
Debra Lerner1, Tara A Lavelle, David Adler
1Tufts Medical Center Program on Health, Work and Productivity and Tufts University School of Medicine (Dr Lerner, Dr Adler, Dr Rogers); Tufts Graduate School of Biomedical Sciences (Dr Lerner, Dr Lavelle, Dr Adler, Dr Chang); Department of Psychiatry, Tufts Medical Center (Dr Lerner, Dr Adler); Tufts Medical Center, Center for Evaluation of Value and Risk in Health (Dr Lavelle), Boston, Massachusetts; Janssen Scientific Affairs, LLC, Titusville, NJ (Mr Chow); Employers Health Coalition, Inc. Canton, Ohio (Dr Godar).
Objective:
To describe caregiving work outcomes and related indirect (ie, productivity) and direct (ie, caregiving hours and expenses) costs.
Methods:
A national, population-based survey to identify employed caregivers assisting a person with treatment-resistant depression (TRD) and a comparison group of employed caregivers assisting others (No TRD).
Results:
Screening identified 169 TRD caregivers and 1070 No TRD caregivers providing 23.3 and 14.6 mean weekly caregiving hours, respectively. Adjusted annual indirect cost estimates were $11,121 for caregivers of TRD and $7761 for caregivers in the No TRD group (P ≤ 0.0001). At-work productivity loss (presenteeism) was the largest component. Adjusted annual direct cost estimates were $29,805 for caregivers of TRD and $20,642 for caregivers in the No TRD group (P ≤ 0.0001).
Conclusions:
TRD exacts a toll on caregivers and their employers exceeding that for other caregivers.
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