The work impact of dysthymia in a primary care population

General Hospital Psychiatry
David A AdlerDebra Lerner

Abstract

Physicians regard individuals with dysthymia as having relatively normal levels of functioning. This study examines in detail the work impact of dysthymia in a population of employed primary care patients. As part of an observational study conducted between 2001 and 2003 in clinics associated with three health plans in Massachusetts, we compared 69 patients diagnosed with DSM-IV dysthymia without concurrent major depressive disorder to 175 depression-free controls. Patients were employed at least 15 h per week, had no immediate plans to leave the labor market, and no major comorbid medical conditions. We assessed work absences and productivity loss due to on-the-job performance limitations ("presenteeism"). Patients with dysthymia, compared with controls, had less stable work histories and a greater frequency of significant problems at work. While absence rates were not significantly different (1.2 vs. 0.74 days, P<.09), individuals with dysthymia experienced significantly greater on-the-job productivity loss (6.3% vs. 2.8%, P<.0001). Dysthymia is an unrecognized cause of work impairment that has long-term negative consequences for individuals and their employers. The persistence of dysthymia with its serious impact on work fun...Continue Reading

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Citations

Jul 27, 2007·Journal of Occupational Rehabilitation·Alyssa B Schultz, Dee W Edington
Jun 10, 2011·Journal of Occupational Rehabilitation·Pierre LemieuxQuan Nha Hong
Feb 14, 2008·Current Psychiatry Reports·Ash Bender, Peter Farvolden
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Jul 10, 2012·General Hospital Psychiatry·Kara ZivinLisa V Rubenstein
Apr 22, 2015·General Hospital Psychiatry·David A AdlerWilliam H Rogers
Apr 12, 2008·Journal of Occupational and Environmental Medicine·Debra Lerner, Rachel Mosher Henke
Jul 27, 2010·Journal of Occupational and Environmental Medicine·Karen NieuwenhuijsenFrank J H van Dijk
Nov 11, 2010·Journal of Occupational and Environmental Medicine·Ambyr BrooksDee W Edington

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