Variables moduladoras de la discapacidad asociada al trastorno depresivo / Modulating variables of work disability in depressive disorders

Objetivos. Describir la duración de la incapacidad temporal asociada a los trastornos depresivos unipolares y determinar su asociación con variables demográficas laborales y clínicas. Métodos. Estudio observacional prospectivo. Selección secuencial sistemática de una muestra de 1.292 sujetos con diagnóstico de trastorno depresivo (CIE-9-MC) en situación de incapacidad temporal en una mutua de accidentes de trabajo y enfermedades profesionales. Se realizó un análisis descriptivo de la duración de la incapacidad temporal y análisis bivariados (contraste de la mediana) y multivariados (regresión logística) para encontrar asociaciones con variables demográficas, laborales y clínicas. Resultados. La mediana de duración de la incapacidad temporal por trastorno depresivo fue de 120 días. Ser mujer (p<0,01), una mayor edad (p<0,01), menor nivel educativo (p<0,01), las modalidades de pago directo durante la baja (trabajadores autónomos y que quedaran en desempleo durante la misma) (p<0,01) y la derivación conjunta a un psiquiatra y un psicólogo (p<0,01) se asociaron con un riesgo mayor de cronicidad en el análisis multivariante. Conclusiones. Los resultados confirman el papel de la depresión como importante generador de incapacidad laboral y señalan la necesidad de introducir mejoras en la evaluación y promoción de la capacidad funcional del enfermo, en el tratamiento del trastorno, así como en el itinerario asistencial del paciente depresivo(AU)

Objectives. To describe the duration of sickness absence in unipolar depression and to determine the relationship of demographic, job-related and clinical variables with length of temporary work disability in depressive disorders. Methods. Prospective observational study. A total of 1,292 subjects with depressive disorder diagnosis (ICD-9-CM) were selected claiming sick leave in an Occupational Diseases and Accident sat Work Insurance Scheme (sampling on successive occasions). Descriptive analyses of sickness absence duration, and bivariate (median test) and multivariate analysis (logistic regression) were performed to find relationships between demographic, job-related and clinical variables. Results. Mean duration of sickness absence episodes due to a depressive disorder was 120 days. After multivariate analyses, female sex (p<0.01), higher age (p<0.01), lower educational level (p<0.01), method of payment according to whether self-employed or unemployed workers (p<0.01) and being referred to both psychiatrist and psychologist (p<0.01) remained significantly associated with sick leave length. Conclusions. These findings confirm a strong association of depression with long periods of work disability and high absenteeism, and also suggest the need for improvements in functional ability assessment and promotion, treatment and referral of depressed patients(AU)

[Modulating variables of work disability in depressive disorders]. / Variables moduladoras de la discapacidad asociada al trastorno depresivo.

OBJECTIVES: To describe the duration of sickness absence in unipolar depression and to determine the relationship of demographic, job-related and clinical variables with length of temporary work disability in depressive disorders. METHODS: Prospective observational study. A total of 1,292 subjects with depressive disorder diagnosis (ICD-9-CM) were selected claiming sick leave in an Occupational Diseases and Accident sat Work Insurance Scheme (sampling on successive occasions). Descriptive analyses of sickness absence duration, and bivariate (median test) and multivariate analysis (logistic regression) were performed to find relationships between demographic, job-related and clinical variables. RESULTS: Mean duration of sickness absence episodes due to a depressive disorder was 120 days. After multivariate analyses, female sex (p < 0.01), higher age (p < 0.01), lower educational level (p < 0.01), method of payment according to whether self-employed or unemployed workers (p < 0.01) and being referred to both psychiatrist and psychologist (p < 0.01) remained significantly associated with sick leave length. CONCLUSIONS: These findings confirm a strong association of depression with long periods of work disability and high absenteeism, and also suggest the need for improvements in functional ability assessment and promotion, treatment and referral of depressed patients.