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Impact of depression on work productivity and its improvement after outpatient treatment with antidepressants

 Jong-Min Woo  ;  Won Kim  ;  Tae-Yeon Hwang  ;  Kevin D. Frick  ;  Byong Hwi Choi  ;  Yong-Jin Seo  ;  Eun-Ho Kang  ;  Se Joo Kim  ;  Byong-Joo Ham  ;  Jun-Seok Lee  ;  Yu Lee Park 
 VALUE IN HEALTH, Vol.14(4) : 475-482, 2011 
Journal Title
Issue Date
Absenteeism* ; Adult ; Ambulatory Care*/economics ; Ambulatory Care*/methods ; Antidepressive Agents/economics ; Antidepressive Agents/therapeutic use* ; Depressive Disorder/drug therapy* ; Depressive Disorder/economics ; Depressive Disorder/psychology ; Efficiency* ; Female ; Humans ; Male ; Middle Aged ; Treatment Outcome ; Young Adult
cost ; depression ; lost productive time ; productivity ; presenteeism
OBJECTIVE: Depressive disorders influence socioeconomic burden at both the individual and organizational levels. This study estimates the lost productive time (LPT) and its resulting cost among workers with major depressive disorder (MDD) compared with a comparison group. It also estimates the change in productivity after 8 weeks of outpatient psychiatric treatment with antidepressants. METHODS: Working patients diagnosed with MDD without other major physical or mental disorders were recruited (n = 102), along with age- and sex-matched healthy controls from the Seoul Metropolitan area (n = 91). The World Health Organization's Health and Work Performance Questionnaire and the Hamilton Rating Scale for Depression were utilized to measure productivity and severity of depression, respectively, at baseline and at 8 weeks of treatment. RESULTS: The LPT from absenteeism and presenteeism (reduced performance while present at work) was significantly higher among the MDD group. Workers with MDD averaged costs due to LPT at 33.4% of their average annual salary, whereas the comparison group averaged costs of 2.5% of annual salary. After 8 weeks of treatment, absenteeism and clinical symptoms of depression were significantly reduced and associated with significant improvement in self-rated job performance (31.8%) or cost savings of $7508 per employee per year. CONCLUSIONS: We confirmed that significant productivity loss arises from MDD and that this loss can be reduced with psychiatric intervention after a time period as short as 8 weeks. Mental health professionals should work with employers to devise a cost-effective system to provide workers with accessible quality care.
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1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
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