Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 11/2016

Open Access 01-11-2016 | Original Paper

Global patterns of workplace productivity for people with depression: absenteeism and presenteeism costs across eight diverse countries

Authors: S. Evans-Lacko, M. Knapp

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 11/2016

Login to get access

Abstract

Purpose

Depression is a leading cause of disability worldwide. Research suggests that by far, the greatest contributor to the overall economic impact of depression is loss in productivity; however, there is very little research on the costs of depression outside of Western high-income countries. Thus, this study examines the impact of depression on workplace productivity across eight diverse countries.

Methods

We estimated the extent and costs of depression-related absenteeism and presenteeism in the workplace across eight countries: Brazil, Canada, China, Japan, South Korea, Mexico, South Africa, and the USA. We also examined the individual, workplace, and societal factors associated with lower productivity.

Results

To the best of our knowledge, this is the first study to examine the impact of depression on workplace productivity across a diverse set of countries, in terms of both culture and GDP. Mean annual per person costs for absenteeism were lowest in South Korea at $181 and highest in Japan ($2674). Mean presenteeism costs per person were highest in the USA ($5524) and Brazil ($5788). Costs associated with presenteeism tended to be 5–10 times higher than those associated with absenteeism.

Conclusions

These findings suggest that the impact of depression in the workplace is considerable across all countries, both in absolute monetary terms and in relation to proportion of country GDP. Overall, depression is an issue deserving much greater attention, regardless of a country’s economic development, national income or culture.
Appendix
Available only for authorised users
Literature
1.
go back to reference Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C et al (2012) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2197–2223. doi:10.1016/S0140-6736(12)61689-4 CrossRefPubMed Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C et al (2012) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2197–2223. doi:10.​1016/​S0140-6736(12)61689-4 CrossRefPubMed
3.
go back to reference Burton WNM, Pransky GMMo, Conti DJP, Chen C-YP, Edington DWP (2004) The Association of Medical Conditions and Presenteeism. J Occup Environ Med 46 Burton WNM, Pransky GMMo, Conti DJP, Chen C-YP, Edington DWP (2004) The Association of Medical Conditions and Presenteeism. J Occup Environ Med 46
5.
go back to reference Henderson M, Madan I (2014) Mental health and work. In: Davies SMN (ed) Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence. Department of Health, London, pp 157–169 Henderson M, Madan I (2014) Mental health and work. In: Davies SMN (ed) Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence. Department of Health, London, pp 157–169
7.
go back to reference Johns G (2010) Presenteeism in the workplace: A review and research agenda. J Organ Behav. John Wiley & Sons, Ltd. 31:519–542. doi:10.1002/job.630 Johns G (2010) Presenteeism in the workplace: A review and research agenda. J Organ Behav. John Wiley & Sons, Ltd. 31:519–542. doi:10.​1002/​job.​630
9.
10.
go back to reference International Labour Organization (2014) Where is the unemployment rate the highest. In: Global employment trends 10/12/2014 International Labour Organization (2014) Where is the unemployment rate the highest. In: Global employment trends 10/12/2014
11.
go back to reference World Bank. GDP per capita [Internet]. 2014 World Bank. GDP per capita [Internet]. 2014
14.
go back to reference Kessler RC, Ames M, Hymel P a., Loeppke R, McKenas DK, Richling DE et al (2004) Using the World Health Organization Health and Work Performance Questionnaire (HPQ) to Evaluate the Indirect Workplace Costs of Illness. J Occup Environ Med 46:S23–S37. doi:10.1097/01.jom.0000126683.75201.c5 Kessler RC, Ames M, Hymel P a., Loeppke R, McKenas DK, Richling DE et al (2004) Using the World Health Organization Health and Work Performance Questionnaire (HPQ) to Evaluate the Indirect Workplace Costs of Illness. J Occup Environ Med 46:S23–S37. doi:10.​1097/​01.​jom.​0000126683.​75201.​c5
20.
go back to reference Ribeiro WS, de Mari JJ, Quintana MI, Dewey ME, Evans-Lacko S, Vilete LMP et al (2013) The impact of epidemic violence on the prevalence of psychiatric disorders in Sao Paulo and Rio de Janeiro, Brazil. PLoS One. Public Library of Science 8:e63545. doi:10.1371/journal.pone.0063545 CrossRef Ribeiro WS, de Mari JJ, Quintana MI, Dewey ME, Evans-Lacko S, Vilete LMP et al (2013) The impact of epidemic violence on the prevalence of psychiatric disorders in Sao Paulo and Rio de Janeiro, Brazil. PLoS One. Public Library of Science 8:e63545. doi:10.​1371/​journal.​pone.​0063545 CrossRef
21.
go back to reference Bass JK, Bornemann TH, Burkey M, Chehil S, Chen L, Copeland JRM et al (2012) A United Nations General Assembly Special Session for mental, neurological, and substance use disorders: the time has come. PLoS Med. Public Library ofScience 9:e1001159. doi:10.1371/journal.pmed.1001159 Bass JK, Bornemann TH, Burkey M, Chehil S, Chen L, Copeland JRM et al (2012) A United Nations General Assembly Special Session for mental, neurological, and substance use disorders: the time has come. PLoS Med. Public Library ofScience 9:e1001159. doi:10.​1371/​journal.​pmed.​1001159
25.
go back to reference Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP et al (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA Am Med Assoc 291:2581–2590. doi:10.1001/jama.291.21.2581 Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP et al (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA Am Med Assoc 291:2581–2590. doi:10.​1001/​jama.​291.​21.​2581
26.
go back to reference Ferrari AJ, Charlson FJ, Norman RE, Flaxman AD, Patten SB, Vos T et al (2013) The epidemiological modelling of major depressive disorder: application for the Global Burden of Disease Study 2010. Potash JB, editor. PLoS One Publ Libr Sci 8:e69637. doi:10.1371/journal.pone.0069637 Ferrari AJ, Charlson FJ, Norman RE, Flaxman AD, Patten SB, Vos T et al (2013) The epidemiological modelling of major depressive disorder: application for the Global Burden of Disease Study 2010. Potash JB, editor. PLoS One Publ Libr Sci 8:e69637. doi:10.​1371/​journal.​pone.​0069637
27.
go back to reference Kessler RC, Üstün TB (2004) The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 13:93–121. doi:10.1002/mpr.168 CrossRefPubMed Kessler RC, Üstün TB (2004) The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 13:93–121. doi:10.​1002/​mpr.​168 CrossRefPubMed
28.
30.
go back to reference Evans-Lacko S, Brohan E, Mojtabai R, Thornicroft G (2012) Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. PsycholMed. Health Service and Population Research Department, Institute of Psychiatry, King’s College London, UK pp 1–13 Evans-Lacko S, Brohan E, Mojtabai R, Thornicroft G (2012) Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. PsycholMed. Health Service and Population Research Department, Institute of Psychiatry, King’s College London, UK pp 1–13
31.
go back to reference Schomerus G, Evans-Lacko S, Rüsch N, Mojtabai R, Angermeyer MC, Thornicroft G (2014) Collective levels of stigma and national suicide rates in 25 European countries. Epidemiol Psychiatr Sci. Cambridge University Press 1–6. doi:10.1017/S2045796014000109 Schomerus G, Evans-Lacko S, Rüsch N, Mojtabai R, Angermeyer MC, Thornicroft G (2014) Collective levels of stigma and national suicide rates in 25 European countries. Epidemiol Psychiatr Sci. Cambridge University Press 1–6. doi:10.​1017/​S204579601400010​9
32.
33.
go back to reference Evans-Lacko S, Knapp M (2014) Importance of social and cultural factors for attitudes, disclosure and time off work for depression: findings from a seven country European study on depression in the workplace. PLoS One Publ Libr Sci 9:e91053. doi:10.1371/journal.pone.0091053 CrossRef Evans-Lacko S, Knapp M (2014) Importance of social and cultural factors for attitudes, disclosure and time off work for depression: findings from a seven country European study on depression in the workplace. PLoS One Publ Libr Sci 9:e91053. doi:10.​1371/​journal.​pone.​0091053 CrossRef
35.
go back to reference Evans-Lacko S, Knapp M, McCrone P, Thornicroft G, Mojtabai R (2013) The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries. PLoS One 8:e69792CrossRefPubMedPubMedCentral Evans-Lacko S, Knapp M, McCrone P, Thornicroft G, Mojtabai R (2013) The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries. PLoS One 8:e69792CrossRefPubMedPubMedCentral
37.
go back to reference Darr W, Johns G (2008) Work strain, health, and absenteeism: a meta-analysis. J Occup Health Psychol 13:293–318CrossRefPubMed Darr W, Johns G (2008) Work strain, health, and absenteeism: a meta-analysis. J Occup Health Psychol 13:293–318CrossRefPubMed
38.
go back to reference Schultz ABED (2007) Employee health and presenteeism: a systematic review. J Occup Rehabil 17:547–579CrossRefPubMed Schultz ABED (2007) Employee health and presenteeism: a systematic review. J Occup Rehabil 17:547–579CrossRefPubMed
39.
go back to reference Lerner DMP, Adler DAM, Chang HP, Berndt ERP, Irish JTP, Lapitsky LM et al (2004) The Clinical and Occupational Correlates of Work Productivity Loss Among Employed Patients With Depression. J Occup Environ Med p 46 Lerner DMP, Adler DAM, Chang HP, Berndt ERP, Irish JTP, Lapitsky LM et al (2004) The Clinical and Occupational Correlates of Work Productivity Loss Among Employed Patients With Depression. J Occup Environ Med p 46
40.
go back to reference Drummond MF, Sculpher MJ, Claxton KSG (2015) Methods for the economic evaluation of health care programmes. Oxford University Press, Fourth Drummond MF, Sculpher MJ, Claxton KSG (2015) Methods for the economic evaluation of health care programmes. Oxford University Press, Fourth
42.
go back to reference Wahlbeck K, McDaid D (2012) Actions to alleviate the mental health impact of the economic crisis. World Psychiatry. Finnish Association for Mental Health, Maistraatinportti 4 A, FI-00240 Helsinki, Finland 11:139–145 Wahlbeck K, McDaid D (2012) Actions to alleviate the mental health impact of the economic crisis. World Psychiatry. Finnish Association for Mental Health, Maistraatinportti 4 A, FI-00240 Helsinki, Finland 11:139–145
44.
go back to reference Wolf K (2010) Making the link between health and productivity at the workplace—a global perspective. Ind Health 48:251–255CrossRef Wolf K (2010) Making the link between health and productivity at the workplace—a global perspective. Ind Health 48:251–255CrossRef
45.
go back to reference Kadel, R, Knapp, M MD. Economic evaluation of workplace-initiated interventions for common mental disorders: a systematic review of intervention studies. Under Rev Kadel, R, Knapp, M MD. Economic evaluation of workplace-initiated interventions for common mental disorders: a systematic review of intervention studies. Under Rev
Metadata
Title
Global patterns of workplace productivity for people with depression: absenteeism and presenteeism costs across eight diverse countries
Authors
S. Evans-Lacko
M. Knapp
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 11/2016
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-016-1278-4

Other articles of this Issue 11/2016

Social Psychiatry and Psychiatric Epidemiology 11/2016 Go to the issue