Cited by 868Bipolar Disorder and TreatmentWorkplace Health and Well-beingMental Health Treatment and Access

The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.

Prevalence and Effects of Mood Disorders on Work Performance in a Nationally Representative Sample of U.S. Workers

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Abstract

Objective: Research on the workplace costs of mood disorders has focused largely on major depressive episodes. Bipolar disorder has been overlooked both because of the failure to distinguish between major depressive disorder and bipolar disorder and by the failure to evaluate the workplace costs of mania/hypomania. Method: The National Comorbidity Survey Replication assessed major depressive disorder and bipolar disorder with the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) and work impairment with the WHO Health and Work Performance Questionnaire. A regression analysis of major depressive disorder and bipolar disorder predicting Health and Work Performance Questionnaire scores among 3,378 workers was used to estimate the workplace costs of mood disorders. Results: A total of 1.1% of the workers met CIDI criteria for 12-month bipolar disorder (I or II), and 6.4% meet criteria for 12-month major depressive disorder. Bipolar disorder was associated with 65.5 and major depressive disorder with 27.2 lost workdays per ill worker per year. Subgroup analysis showed that the higher work loss associated with bipolar disorder than with major depressive disorder was due to more severe and persistent depressive episodes in those with bipolar disorder than in those with major depressive disorder rather than to stronger effects of mania/hypomania than depression. Conclusions: Employer interest in workplace costs of mood disorders should be broadened beyond major depressive disorder to include bipolar disorder. Effectiveness trials are needed to study the return on employer investment of coordinated programs for workplace screening and treatment of bipolar disorder and major depressive disorder.

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Crossref · 10.1176/ajp.2006.163.9.1561

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Research works printed but not linked: 6

  1. Greenberg PE, 1993, J Clin Psychiatry, 54, 405
  2. Greenberg PE, Kessler RC, Nells TL, Finkelstein SN, Berndt ER: Depression in the workplace: an economic perspective, in Perspectives inPsychiatry: Selective Serotonin Re-uptake Inhibitors,2nd ed, vol 5. Edited by Feighner JP, Boyer WF. New York,John Wiley & Sons, 1996, pp327-363
  3. Rice DP, 1993, Adv Health Econ Health Serv Res, 14, 37
  4. First MB, 2002, Research Version, Non-Patient Edition (SCID-I/NP).
  5. Laurent A, 1972, Cannell CF
  6. Research Triangle Institute, 2002, SUDAAN: Professional Software for Survey Data Analysis

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Metadata

Authors
Kessler, R. C., Akiskal, H. S., Ames, M., Birnbaum, H., Greenberg, P., .A, R. M., Jin, R., Merikangas, K. R., Simon, G. E., & Wang, P. S.
Affiliations
Harvard University (US)
Venue
American Journal of Psychiatry
Published
2006-09
Volume
163
Issue
9
Pages
1561-1568
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
OpenAlex
W2120839478
Cited by
868
References
47
Citations by year
2026: 13 · 2025: 16 · 2024: 25 · 2023: 29 · 2022: 20 · 2021: 34 · 2020: 38 · 2019: 56 · 2018: 50 · 2017: 53 · 2016: 60 · 2015: 59 · 2014: 52 · 2013: 64 · 2012: 60
FWCI
27.68
Type
journal article
Language
en
Open access
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • John D. and Catherine T. MacArthur Foundation (R01 DA016558)
  • John W. Alden Trust
  • Eli Lilly and Company
  • Pfizer
  • GlaxoSmithKline
  • World Health Organization
  • Harvard University
  • Michigan State University
  • Johns Hopkins University
  • University of Pittsburgh
  • National Institutes of Health (5r13mh066849-04, 5r01mh069864-04)
  • Substance Abuse and Mental Health Services Administration
  • College of Engineering, Michigan State University
  • Pfizer Foundation (R01‐MH069864, R01-DA016558)
  • Pan American Health Organization
  • National Institute of Mental Health (R13-MH-066849, U01-MH-60220, MH60220, U13MH066849, U01MH060220, R01‐MH069864)
  • National Institute on Drug Abuse (K05DA015799, R01DA016558)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • 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
Keywords
mood disorders, bipolar disorder, major depressive disorder, employee performance, work impairment, lost workdays, mania, hypomania, prevalence
MeSH terms
Absenteeism, Adolescent, Adult, Bipolar Disorder, Costs and Cost Analysis, Major Depressive Disorder, Depressive Disorder, Major, Efficiency, Female, Humans, Male, Middle Aged, Occupations, Psychiatric Status Rating Scales, Surveys and Questionnaires, Task Performance and Analysis, United States, Work, Comorbidity, Prevalence, Workplace, Mood Disorders

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