Depressed and absent from work: Predicting prolonged depressive symptomatology among employees

Abstract

Background: The World Health Organization considers depression a major health problem and a leading cause of disability. Aim To identify factors which may help to reduce depressive symptoms in a sample of employees sick listed due to mental health problems. Methods: Longitudinal cohort study of employees sick listed for 12-20 weeks due to mental health problems. Individuals were followed for 1 year. After a screening questionnaire, we conducted standardized interviews by telephone, assessing individuals' mental health, work characteristics and actions by employers. Results: A total of 555 employees commenced the study and 436 participated in the second interview. Response rates were 42% for the screening questionnaire, 93% for the first interview and 79% for the second interview. Individuals with low education and sole breadwinners showed a less favourable course of depressive symptoms. Work resumption (partial and full) and changing the employee's tasks (action by employer) promoted a more favourable course of depressive symptoms. Conclusion: The findings point to the importance of work resumption and a change in work tasks in order to promote recovery. Using these insights, management of employees suffering from depressive complaints may be improved. © The Author 2008. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved.