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- Title
Cost of Lost Productive Work Time Among US Workers With Depression.
- Authors
Stewart, Walter F.; Ricci, Judith A.; Chee, Elsbeth; Hahn, Steven R.; Morganstein, David
- Abstract
Context: Evidence consistently indicates that depression has adversely affected work productivity. Estimates of the cost impact in lost labor time in the US workforce, however, are scarce and dated. Objective: To estimate the impact of depression on labor costs (ie, work absence and reduced performance while at work) in the US workforce. Design, Setting, and Participants: All employed individuals who participated in the American Productivity Audit (conducted August 1, 2001–July 31, 2002) between May 20 and July 11, 2002, were eligible for the Depressive Disorders Study. Those who responded affirmatively to 2 depression-screening questions (n = 692), as well as a 1:4 stratified random sample of those responding in the negative (n = 435), were recruited for and completed a supplemental interview using the Primary Care Evaluation of Mental Disorders Mood Module for depression, the Somatic Symptom Inventory, and a medical and treatment history for depression. Excess lost productive time (LPT) costs from depression were derived as the difference in LPT among individuals with depression minus the expected LPT in the absence of depression projected to the US workforce. Main Outcome Measure: Estimated LPT and associated labor costs (work absence and reduced performance while at work) due to depression. Results: Workers with depression reported significantly more total health-related LPT than those without depression (mean, 5.6 h/wk vs an expected 1.5 h/wk, respectively). Eighty-one percent of the LPT costs are explained by reduced performance while at work. Major depression accounts for 48% of the LPT among those with depression, again with a majority of the cost explained by reduced performance while at work. Self-reported use of antidepressants in the previous 12 months among those with depression was low (<30%) and the mean reported treatment effectiveness was only moderate. Extrapolation of these survey results and self-reported annual incomes to the...
- Subjects
MENTAL depression; WORKING hours; INDUSTRIAL costs; LABOR market
- Publication
JAMA: Journal of the American Medical Association, 2003, Vol 289, Issue 23, p3135
- ISSN
0098-7484
- Publication type
Article
- DOI
10.1001/jama.289.23.3135