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Int. J. Environ. Res. Public Health 2017, 14(5), 466; doi:10.3390/ijerph14050466

Determinants of Work Performance in Workers with Depression and Anxiety: A Cross-Sectional Study

1
Department of Medical Informatics, Biometry and Epidemiology–IBE, Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität (LMU), Marchioninistr. 17, 81377 Munich, Germany
2
Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Diego de León 62, 28006 Madrid, Spain
3
Departamento de Estudios, Servicio Nacional de la Discapacidad (Senadis), Ministerio de Desarrollo Social, Catedral 1575, 8340309 Santiago, Chile
4
Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Ludwig-Maximilians-Universität (LMU), Ziemssenstr. 1, 80336 Munich, Germany
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 11 March 2017 / Revised: 17 April 2017 / Accepted: 22 April 2017 / Published: 26 April 2017
(This article belongs to the Section Global Health)
View Full-Text   |   Download PDF [313 KB, uploaded 26 April 2017]

Abstract

Depression and anxiety are highly prevalent disorders with an impact on existential aspects of person’s life, including employment i.e., work performance (WP). In order to develop appropriate strategies, it is essential to identify determinants of WP. The objective of this study was to identify the built, social, attitudinal and health system-related environmental determinants of WP in workers with anxiety or depression in total (N = 1211) and regarding the level of disability. Hierarchical binary logistic regression was performed on data obtained from implementation of the WHO Model Disability Survey (MDS) in Chile in 2015. Hindering aspects of means of transportation and workplace, and the use of personal assistance were determinants of WP for all workers with anxiety or depression. Results differed with level of disability. Hindering aspects of means of transportation and workplace, and discrimination were determinants of WP for persons with mild to moderate disability, while hindering aspects of the workplace and dwelling, and the use of personal assistance were determinants of WP for persons with severe disability. Our results emphasize the need for a broader understanding of determinants of WP and the requirement for an integrative approach in developing both universal and specific strategies that go beyond workplace settings. View Full-Text
Keywords: mental health; anxiety; depression; workplace; work performance; environmental factors; disability mental health; anxiety; depression; workplace; work performance; environmental factors; disability
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Ivandic, I.; Kamenov, K.; Rojas, D.; Cerón, G.; Nowak, D.; Sabariego, C. Determinants of Work Performance in Workers with Depression and Anxiety: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2017, 14, 466.

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