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Global patterns of workplace productivity for people with depression: absenteeism and presenteeism costs across eight diverse countries
Open accessAbstract
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.
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“Global estimates of excess mortality indicate more than 2.2 million excess deaths in persons with depression, with particularly high rates of death among older individuals with cardiovascular disease. 200”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [200]
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Metadata
- Authors
- Evans-Lacko, S., & Knapp, M.
- Affiliations
- King's College London (GB)
- London School of Economics and Political Science (GB)
- Corresponding author
- Evans-Lacko, S.
- Knapp, M.
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2016-09-26
- Volume
- 51
- Issue
- 11
- Pages
- 1525-1537
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- PMC
- PMC5101346
- OpenAlex
- W2512748481
- Cited by
- 390
- References
- 47
- Citations by year
- 2026: 33 · 2025: 39 · 2024: 52 · 2023: 48 · 2022: 42 · 2021: 62 · 2020: 39 · 2019: 36 · 2018: 28 · 2017: 8 · 2016: 1
- FWCI
- 45.26
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- London School of Economics and Political Science Research Online (London School of Economics and Political Science) (submittedVersion, cc-by)
- London School of Economics and Political Science Theses Online (London School of Economics and Political Science) (submittedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Funders
- H. Lundbeck A/S
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- depression, labor productivity, absenteeism, presenteeism, cross-national comparison, disability, productivity loss, low- and middle-income countries
- MeSH terms
- Absenteeism, Presenteeism, Adult, Brazil, Canada, China, Costs and Cost Analysis, Depression, Depressive Disorder, Efficiency, Female, Persons with Disabilities, Humans, Japan, Male, Mexico, Middle Aged, South Africa, Workplace, Republic of Korea
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