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Psychosocial functionality in depressive workers: A study on associated factors.

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Major Depressive Disorder (MDD) significantly impacts work functioning. Factors like older age, stress, and clinical severity are linked to sick leave, highlighting the need for targeted interventions.

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Area of Science:

  • Occupational Health
  • Psychiatry
  • Mental Health Research

Background:

  • Major Depressive Disorder (MDD) presents a high prevalence and significant burden.
  • Reduced work functioning and absenteeism are key consequences of MDD.

Purpose of the Study:

  • To describe psychosocial functionality in workers with MDD.
  • To identify factors associated with sick leave among these workers.

Main Methods:

  • A cross-sectional study of 172 formal workers diagnosed with MDD.
  • Participants were categorized as active (n=76) or on sick leave (n=96).
  • Functionality Assessment Short Test (FAST) and analysis of personal, clinical, and occupational characteristics were employed.

Main Results:

  • Workers on sick leave were older, less physically active, and had poorer global and domain-specific functionality (FAST scores).
  • High work autonomy, perceived work stress, job dissatisfaction, and low resilience were associated with sick leave (p < .05).
  • MDD severity, clinical comorbidity, and recurrent subtype were also linked to sick leave (p < .05).

Conclusions:

  • Sick leave serves as a crucial indicator of overall functionality in MDD.
  • Strategies to mitigate MDD's impact should include timely diagnosis, treatment, functionality monitoring, and work-centered support.
  • Interventions should focus on enhancing workers' coping mechanisms, stress management, and job satisfaction.