The impact of co-morbid mental and physical disorders on presenteeism
OBJECTIVES: This study sought to: (i) explore the impact of mood disorders (such as depression, bipolar disorder, mania, or dysthymia) and five age-related chronic physical conditions (arthritis, back pain, diabetes, heart disease, and hypertension) on presenteeism (as indicated by self-reported act...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nordic Association of Occupational Safety and Health (NOROSH)
2015-11-01
|
| Series: | Scandinavian Journal of Work, Environment & Health |
| Subjects: | |
| Online Access: |
https://www.sjweh.fi/show_abstract.php?abstract_id=3524
|
| _version_ | 1819086917022515200 |
|---|---|
| author | Amber Bielecky Cynthia Chen Selahadin Ibrahim Dorcas E Beaton Cameron A Mustard Peter M Smith |
| author_facet | Amber Bielecky Cynthia Chen Selahadin Ibrahim Dorcas E Beaton Cameron A Mustard Peter M Smith |
| author_sort | Amber Bielecky |
| collection | DOAJ |
| description | OBJECTIVES: This study sought to: (i) explore the impact of mood disorders (such as depression, bipolar disorder, mania, or dysthymia) and five age-related chronic physical conditions (arthritis, back pain, diabetes, heart disease, and hypertension) on presenteeism (as indicated by self-reported activity limitations at work), and (ii) examine how mood disorders interact with each physical condition to affect this work outcome. METHODS: Using Canadian Community Health Survey (CCHS) data, we modeled the relationships between self-reported restrictions at work and each health condition. We then calculated synergy indices (SI) for the interaction between mood disorders and each of the five physical conditions. RESULTS: All six health conditions were associated with presenteeism. The strongest association was observed for back pain [prevalence ratio (PR) 2.70, 95% confidence interval (95% CI) 2.57–2.83] and the weakest for hypertension (PR 1.18, 95% CI 1.11–1.25). The unadjusted SI indicated no interactions between mood disorders and any of the physical conditions, while the adjusted SI indicated statistically significant interactions between mood disorders and each of the five physical conditions. The statistically significant adjusted interactions were in a negative direction, such that having a mood disorder concurrent with a chronic physical condition was associated with a lower burden of presenteeism than expected. Post-hoc analyses revealed that this unexpected finding was attributable to adjustment for other co-morbid health conditions, particularly arthritis and back pain. CONCLUSIONS: Our results suggest that targeting chronic physical conditions or mood disorders may be productive in reducing presenteeism. The combined effect on presenteeism when the two types of conditions occur simultaneously is similar to the additive effect of these conditions when each occurs in isolation. |
| first_indexed | 2024-12-21T21:27:52Z |
| format | Article |
| id | doaj.art-6f144e2b7c9f44db902ce9ef37ab3add |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-12-21T21:27:52Z |
| publishDate | 2015-11-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-6f144e2b7c9f44db902ce9ef37ab3add2022-12-21T18:49:43ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2015-11-0141655456410.5271/sjweh.35243524The impact of co-morbid mental and physical disorders on presenteeismAmber Bielecky0Cynthia ChenSelahadin IbrahimDorcas E BeatonCameron A MustardPeter M SmithInstitute for Work and Health, 481 University Ave., Suite 800, Toronto, ON, Canada M5G 2E9.OBJECTIVES: This study sought to: (i) explore the impact of mood disorders (such as depression, bipolar disorder, mania, or dysthymia) and five age-related chronic physical conditions (arthritis, back pain, diabetes, heart disease, and hypertension) on presenteeism (as indicated by self-reported activity limitations at work), and (ii) examine how mood disorders interact with each physical condition to affect this work outcome. METHODS: Using Canadian Community Health Survey (CCHS) data, we modeled the relationships between self-reported restrictions at work and each health condition. We then calculated synergy indices (SI) for the interaction between mood disorders and each of the five physical conditions. RESULTS: All six health conditions were associated with presenteeism. The strongest association was observed for back pain [prevalence ratio (PR) 2.70, 95% confidence interval (95% CI) 2.57–2.83] and the weakest for hypertension (PR 1.18, 95% CI 1.11–1.25). The unadjusted SI indicated no interactions between mood disorders and any of the physical conditions, while the adjusted SI indicated statistically significant interactions between mood disorders and each of the five physical conditions. The statistically significant adjusted interactions were in a negative direction, such that having a mood disorder concurrent with a chronic physical condition was associated with a lower burden of presenteeism than expected. Post-hoc analyses revealed that this unexpected finding was attributable to adjustment for other co-morbid health conditions, particularly arthritis and back pain. CONCLUSIONS: Our results suggest that targeting chronic physical conditions or mood disorders may be productive in reducing presenteeism. The combined effect on presenteeism when the two types of conditions occur simultaneously is similar to the additive effect of these conditions when each occurs in isolation. https://www.sjweh.fi/show_abstract.php?abstract_id=3524 work disabilitymental disorderpresenteeismmood disorderchronic conditionco-morbid disorderphysical disorderinteraction |
| spellingShingle | Amber Bielecky Cynthia Chen Selahadin Ibrahim Dorcas E Beaton Cameron A Mustard Peter M Smith The impact of co-morbid mental and physical disorders on presenteeism Scandinavian Journal of Work, Environment & Health work disability mental disorder presenteeism mood disorder chronic condition co-morbid disorder physical disorder interaction |
| title | The impact of co-morbid mental and physical disorders on presenteeism |
| title_full | The impact of co-morbid mental and physical disorders on presenteeism |
| title_fullStr | The impact of co-morbid mental and physical disorders on presenteeism |
| title_full_unstemmed | The impact of co-morbid mental and physical disorders on presenteeism |
| title_short | The impact of co-morbid mental and physical disorders on presenteeism |
| title_sort | impact of co morbid mental and physical disorders on presenteeism |
| topic | work disability mental disorder presenteeism mood disorder chronic condition co-morbid disorder physical disorder interaction |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3524
|
| work_keys_str_mv | AT amberbielecky theimpactofcomorbidmentalandphysicaldisordersonpresenteeism AT cynthiachen theimpactofcomorbidmentalandphysicaldisordersonpresenteeism AT selahadinibrahim theimpactofcomorbidmentalandphysicaldisordersonpresenteeism AT dorcasebeaton theimpactofcomorbidmentalandphysicaldisordersonpresenteeism AT cameronamustard theimpactofcomorbidmentalandphysicaldisordersonpresenteeism AT petermsmith theimpactofcomorbidmentalandphysicaldisordersonpresenteeism AT amberbielecky impactofcomorbidmentalandphysicaldisordersonpresenteeism AT cynthiachen impactofcomorbidmentalandphysicaldisordersonpresenteeism AT selahadinibrahim impactofcomorbidmentalandphysicaldisordersonpresenteeism AT dorcasebeaton impactofcomorbidmentalandphysicaldisordersonpresenteeism AT cameronamustard impactofcomorbidmentalandphysicaldisordersonpresenteeism AT petermsmith impactofcomorbidmentalandphysicaldisordersonpresenteeism |