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- Title
The associations between childhood trauma and work functioning in adult workers with and without depressive and anxiety disorders.
- Authors
De Venter, Maud; Elzinga, Bernet M.; Van Den Eede, Filip; Wouters, Kristien; Van Hal, Guido F.; Veltman, Dick J.; Sabbe, Bernard G. C.; Penninx, Brenda W. J. H.
- Abstract
Background: To examine the association between childhood trauma and work functioning, and to elucidate to what extent this association can be accounted for by depression and/or anxiety. Methods: Data of 1,649 working participants were derived from the Netherlands Study of Depression and Anxiety (NESDA, n = 2,981). Childhood trauma (emotional neglect, psychological, physical, and sexual abuse before age 16) was assessed with a structured interview and work functioning, in terms of absenteeism and presenteeism, with the Health and Labor Questionnaire Short Form (SF-HLQ) and the World Health Organization Disability Assessment Schedule II (WHODAS-II), respectively. Depressive and/or anxiety disorders were assessed with the Composite Interview Diagnostic Instrument (CIDI). Mediation analyses were conducted. Results: At baseline, 44.8% reported to have experienced childhood trauma. Workers with the highest childhood trauma level showed significantly (p < 0.001) more absenteeism as well as more presenteeism. Mediation analyses revealed that indirect effects between the childhood trauma index and both work indices were significantly mediated by current depressive disorder (p = 0.023 and p < 0.001, respectively) and current comorbid depression-anxiety (p = 0.020 and p < 0.001, respectively), with the latter accounting for the largest effects (PM = 0.23 and PM = 0.29, respectively). No significant mediating role in this relationship was found for current anxiety disorder and remitted depressive and/or anxiety disorder. Conclusions: Persons with childhood trauma have significantly reduced work functioning in terms of absenteeism and presenteeism. This seems to be largely accounted for by current depressive disorders and current comorbid depression-anxiety.
- Subjects
WORLD Health Organization; ADVERSE childhood experiences; ANXIETY disorders; MENTAL depression; BALANCE of payments; SEX crimes; PRESENTEEISM (Labor)
- Publication
European Psychiatry, 2020, Vol 63, Issue 1, p1
- ISSN
0924-9338
- Publication type
Article
- DOI
10.1192/j.eurpsy.2020.70