Practical pathway for the management of depression in the workplace: a Canadian perspective

Frontiers in Psychiatry

Psychiatry

Marc Corbière¹  Ghalib Ahmed²  Jeff Habert³  Carolyn S. Dewa⁴  Yang S. Liu⁵  Pratap Chokka⁶  Stefan Brennan⁷  Roger S. McIntyre⁸  David J. A. Dozois⁹  Karen Nieuwenhuijsen^1,10  John Harrison^1,11  Martin A. Katzman^1,12  Ash Bender^1,13 

[1] Department of Education, Career Counselling, Université du Québec à Montréal, Centre de Recherche de l’Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada;Department of Family Medicine and Psychiatry, University of Alberta, Edmonton, AB, Canada;Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada;Department of Psychiatry and Behavioural Sciences, University of California, Davis, Davis, CA, United States;Department of Psychiatry, University of Alberta, Edmonton, AB, Canada;Department of Psychiatry, University of Alberta, Grey Nuns Hospital, Edmonton, AB, Canada;Department of Psychiatry, University of Saskatchewan, Royal University Hospital, Saskatoon, SK, Canada;Department of Psychiatry, University of Toronto, Toronto, ON, Canada;Department of Psychology, University of Western Ontario, London, ON, Canada;Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands;Metis Cognition Ltd., Kilmington, United Kingdom; Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience, King’s College, London, United Kingdom; Alzheimercentrum, AUmc, Amsterdam, Netherlands;START Clinic for the Mood and Anxiety Disorders, Toronto, ON, Canada; Department of Psychiatry, Northern Ontario School of Medicine, and Department of Psychology, Lakehead University, Thunder Bay, ON, Canada;Work, Stress and Health Program, The Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto, ON, Canada;

关键词: mental health;    major depressive disorder;    occupational health;    absenteeism;    presenteeism;    disability;    return to work;    workplace;   

DOI  :  10.3389/fpsyt.2023.1207653

 received in 2023-04-17, accepted in 2023-08-09,  发布年份 2023

来源: Frontiers

【 摘 要 】

Major depressive disorder (MDD) and other mental health issues pose a substantial burden on the workforce. Approximately half a million Canadians will not be at work in any week because of a mental health disorder, and more than twice that number will work at a reduced level of productivity (presenteeism). Although it is important to determine whether work plays a role in a mental health condition, at initial presentation, patients should be diagnosed and treated per appropriate clinical guidelines. However, it is also important for patient care to determine the various causes or triggers including work-related factors. Clearly identifying the stressors associated with the mental health disorder can help clinicians to assess functional limitations, develop an appropriate care plan, and interact more effectively with worker’s compensation and disability programs, as well as employers. There is currently no widely accepted tool to definitively identify MDD as work-related, but the presence of certain patient and work characteristics may help. This paper seeks to review the evidence specific to depression in the workplace, and provide practical tips to help clinicians to identify and treat work-related MDD, as well as navigate disability issues.

【 授权许可】

Unknown   
Copyright © 2023 Chokka, Bender, Brennan, Ahmed, Corbière, Dozois, Habert, Harrison, Katzman, McIntyre, Liu, Nieuwenhuijsen and Dewa.