Identifying the Mechanisms for Workplace Burden of Psychiatric Illness

被引:15
作者
Banerjee, Souvik [1 ]
Chatterji, Pinka [1 ,2 ]
Lahiri, Kajal [1 ,3 ]
机构
[1] SUNY Albany, Dept Econ, Albany, NY 12222 USA
[2] Natl Bur Econ Res, Cambridge, MA 02138 USA
[3] CESifo, Munich, Germany
基金
美国国家卫生研究院;
关键词
mental disorders; depression; labor market; absenteeism; unemployment; LABOR-MARKET OUTCOMES; MENTAL-HEALTH; NATIONAL LATINO; DEPRESSION; CARE; DISORDERS; IMPACT; PRODUCTIVITY; MANAGEMENT;
D O I
10.1097/MLR.0000000000000040
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background:Although previous research indicates that mental disorders detract from labor market outcomes, little is known about which psychiatric symptoms are most important.Objective:The objective of this study was to identify the mechanisms, or most important symptoms, through which psychiatric disorders affect labor market outcomes. We focus on major depressive episode, panic attack, social phobia, and generalized anxiety disorder. Our approach builds on prior work in that we consider the effects of symptoms both among individuals meeting and among individuals not meeting the diagnostic criteria for mental disorders.Research Design:Data were obtained from the National Comorbidity Survey Replication and the National Latino and Asian American Study. We used a structural equation model with latent indices for mental disorders, where the indices are generated from the model using multiple indicators (symptoms) and multiple causes of the disorders.Measures:The outcomes were current employment/labor force participation, weeks worked in last year, and number of work absences in the last month among employed individuals.Results:We found that for major depressive episode, symptoms of insomnia/hypersomnia, indecisiveness, severe emotional distress, and fatigue are crucial for labor market outcomes. In the case of generalized anxiety disorder, the length of the episode, symptoms relating to difficulty controlling worry, and symptoms of worry/anxiety/nervousness causing significant emotional distress were most detrimental for work outcomes. Social phobia and panic attack were not associated with labor market outcomes.Conclusion:Our findings suggest that interventions targeting these particular symptoms may be most helpful in improving work functioning.
引用
收藏
页码:112 / 120
页数:9
相关论文
共 34 条
  • [1] Considering context, place and culture: the National Latino and Asian American Study
    Alegria, M
    Takeuchi, D
    Canino, G
    Duan, NH
    Shrout, P
    Meng, XL
    Vega, W
    Zane, N
    Vila, D
    Woo, M
    Vera, M
    Guarnaccia, P
    Aguilar-Gaxiola, S
    Sue, S
    Escobar, J
    Lin, KM
    Gong, F
    [J]. INTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, 2004, 13 (04) : 208 - 220
  • [2] Armour S., 2008, USA Today
  • [3] Banerjee S., 2013, 4260 CESIFO
  • [4] Belluck P. F.D.A., N.Y. TIMES
  • [5] Chronic fatigue, chronic fatigue syndrome, and fibromyalgia - Disability and health-care use
    Bombardier, CH
    Buchwald, D
    [J]. MEDICAL CARE, 1996, 34 (09) : 924 - 930
  • [6] 'MENTAL HEALTH AND EMPLOYMENT OF THE ELDERLY IN TAIWAN: A SIMULTANEOUS EQUATION APPROACH
    Chang, Hung-hao
    Yen, Steven T.
    [J]. PACIFIC ECONOMIC REVIEW, 2011, 16 (04) : 504 - 519
  • [7] Psychiatric disorders and labor market outcomes:: Evidence from the National Latino and Asian American Study
    Chatterji, Pinka
    Alegria, Margarita
    Lu, Mingshan
    Takeuchi, David
    [J]. HEALTH ECONOMICS, 2007, 16 (10) : 1069 - 1090
  • [8] Psychiatric disorders and labor market outcomes: Evidence from the National Comorbidity Survey-Replication
    Chatterji, Pinka
    Alegria, Margarita
    Takeuchi, David
    [J]. JOURNAL OF HEALTH ECONOMICS, 2011, 30 (05) : 858 - 868
  • [9] The impact of psychiatric disorders on labor market outcomes
    Ettner, SL
    Frank, RG
    Kessler, RC
    [J]. INDUSTRIAL & LABOR RELATIONS REVIEW, 1997, 51 (01): : 64 - 81
  • [10] The business case for quality mental health services: Why employers should care about the mental health and well-being of their employees
    Goetzel, RZ
    Ozminkowski, RJ
    Sederer, LI
    Mark, TL
    [J]. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2002, 44 (04) : 320 - 330