Screening for depression in the occupational health setting

R. D. Newcomb, M. W. Steffen, L. E. Breeher, G. M. Sturchio, Mohammad H Murad, Zhen Wang, R. G. Molella

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background The cost of workplace absenteeism and presenteeism due to depression in the USA is substantial. Aims To assess the frequency of depression and its impact at the point of care in an occupational health (OH) practice. Methods Patients presenting to an OH practice completed a standardized depression screening tool and were compared to an unscreened group in the same clinic. Respondents with a nine-item Patient Health Questionnaire (PHQ-9) score >15 and untreated for depression were referred for further evaluation per usual practice. A comparison group of unscreened patients were selected from the same clinic from 1 year prior and records were reviewed for evidence of prior depression, treatment and outcomes. After 1 year, frequency of depression, PHQ-9 scoring for screened patients, days absent from work, days on restricted duties and permanent restrictions were recorded for both groups. Results Two hundred and five patients were screened for depression. Screening was associated with increased frequency of a diagnosis of current depression (30 versus 4%; P <0.05). Screening was associated with similar rates of absenteeism but lower number of days on restricted duties (97 versus 159 days; P <0.001). After adjusting for age, sex, history of and treatment for depression, screening was associated with lower odds of being on work restrictions [odds ratio (OR) 0.55; 95% confidence interval (CI) 0.38-0.78] or permanent restrictions (OR 0.35; 95% CI 0.23-0.52). Conclusions Depression was common in this OH practice. Screening for depression, with appropriate recognition and referral, may reduce time for employed patients on restricted duties and permanent restrictions.

Original languageEnglish (US)
Pages (from-to)390-393
Number of pages4
JournalOccupational Medicine
Volume66
Issue number5
DOIs
StatePublished - Jul 1 2016

Fingerprint

Occupational Health
Depression
Absenteeism
Point-of-Care Systems
Odds Ratio
Confidence Intervals
Workplace
Referral and Consultation
Costs and Cost Analysis

Keywords

  • Depression
  • Disability management
  • Occupational health
  • Screening

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Newcomb, R. D., Steffen, M. W., Breeher, L. E., Sturchio, G. M., Murad, M. H., Wang, Z., & Molella, R. G. (2016). Screening for depression in the occupational health setting. Occupational Medicine, 66(5), 390-393. https://doi.org/10.1093/occmed/kqw043

Screening for depression in the occupational health setting. / Newcomb, R. D.; Steffen, M. W.; Breeher, L. E.; Sturchio, G. M.; Murad, Mohammad H; Wang, Zhen; Molella, R. G.

In: Occupational Medicine, Vol. 66, No. 5, 01.07.2016, p. 390-393.

Research output: Contribution to journalArticle

Newcomb, RD, Steffen, MW, Breeher, LE, Sturchio, GM, Murad, MH, Wang, Z & Molella, RG 2016, 'Screening for depression in the occupational health setting', Occupational Medicine, vol. 66, no. 5, pp. 390-393. https://doi.org/10.1093/occmed/kqw043
Newcomb, R. D. ; Steffen, M. W. ; Breeher, L. E. ; Sturchio, G. M. ; Murad, Mohammad H ; Wang, Zhen ; Molella, R. G. / Screening for depression in the occupational health setting. In: Occupational Medicine. 2016 ; Vol. 66, No. 5. pp. 390-393.
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