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Using sickness absence records to predict future depression in a working population: prospective findings from the GAZEL cohort.
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2009 (English)In: American journal of public health, ISSN 1541-0048, Vol. 99, no 8, 1417-22 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: We tested the hypothesis that sickness absence from work predicts workers' risk of later depression. METHODS: Study participants (n = 7391) belonged to the French GAZEL cohort of employees of the national gas and electricity company. Sickness absence data (1996-1999) were obtained from company records. Participants' depression in 1996 and 1999 was assessed with the Center for Epidemiologic Studies-Depression (CES-D) scale. The analyses were controlled for baseline age, gender, marital status, occupational grade, tobacco smoking status, alcohol consumption, subthreshold depressive symptoms, and work stress. RESULTS: Among workers who were free of depression in 1996, 13% had depression in 1999. Compared with workers with no sickness absence during the study period, those with sickness absence were more likely to be depressed at follow-up (for 1 period of sickness absence, fully adjusted odds ratio [OR] = 1.53, 95% confidence interval [CI] = 1.28, 1.82; for 2 or more periods, fully adjusted OR = 1.95, 95% CI = 1.61, 2.36). Future depression was predicted both by psychiatric and nonpsychiatric sickness absence (fully adjusted OR = 3.79 [95% CI = 2.81, 5.10] and 1.41 [95% CI = 1.21, 1.65], respectively). CONCLUSIONS: Sickness absence records may help identify workers vulnerable to future depression.

Place, publisher, year, edition, pages
2009. Vol. 99, no 8, 1417-22 p.
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Medical and Health Sciences
URN: urn:nbn:se:su:diva-29368DOI: 10.2105/AJPH.2008.142273ISI: 000268874100019PubMedID: 19542039Local ID: P2744OAI: diva2:232756
Available from: 2009-08-25 Created: 2009-08-25 Last updated: 2009-08-25Bibliographically approved

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