Background: Anxiety and depression are the most common psychiatric disorders and are the cause of a large and increasing amount of sick-leave in most developed countries. They are also implicated as an increasing mortality risk in community surveys. In this study we addressed, whether sick leave due to anxiety, depression or comorbid anxiety and depression was associated with increased risk of retirement due to permanent disability and increased mortality in a cohort of German workers.
View Article and Find Full Text PDFBackground: Alcohol use disorders (AUDs) are associated with the highest all-cause mortality rates of all mental disorders. The majority of patients with AUDs never receive inpatient treatment for their AUD, and there is lack of data about their mortality risks despite their constituting the majority of those affected. Absenteeism from work (sick leave) due to an AUD likely signals worsening.
View Article and Find Full Text PDFBackground: So far, Siegrist's model of effort-reward imbalance (ERI) has been tested almost exclusively for paid employment. This article reports results on a newly developed questionnaire measuring ERI in unpaid household and family work.
Methods: Using data of a population-based sample of 3129 German mothers, logistic regression analyses were performed to test the following three main assumptions: (i) high effort combined with low reward in household and family work increases the risk of poor health; (ii) a high level of overcommitment may enhance the risk of poor health; and (iii) mothers reporting an extrinsic high ERI and a high level of overcommitment have an even higher risk of poor health.
Psychother Psychosom Med Psychol
September 2011
Family stressors and personal resources of mothers are discussed as important risk factors for infant development. At 2 measurement points (beginning and end of mother-child rehabilitation; duration: 3 weeks; N = 564 mother-child-pairs) data of mothers' self-report of stress as well as personal resources and children's self-report of quality of life were examined, using a structural equation model. Family stressors have a direct effect on children's quality of life and an indirect effect mediated by psychological health or maternal self-reported competence.
View Article and Find Full Text PDFObjectives: Based on a cross-sectional population survey of 3,129 women with minor children, it was analyzed how socioeconomic status, family structure and perceived psychosocial stress are linked and how they contributed to women's self-reported depressive symptoms.
Methods: Pearson's χ(2) test and multi-factor analysis of variance were used for investigating relationships between social status, family characteristics and psychosocial stress. Logistic regression models were computed for estimating their impact on depressive symptoms.
Objective: It was the aim of this study to estimate effects of depression on permanent disability and death in a statutory health insurance population.
Methods: Data from 128,001 clients were used with a mean follow up of 6.4 years.
Psychother Psychosom Med Psychol
June 2010
With this study the suitability of two instruments for assessing changes in the quality of life was examined. Data were collected in mother-child rehabilitation centres. The Kiddy-KINDL (n=727), a parent-based instrument for assessing health related quality of life in children (age 4 to 7 years) and the Kid-KINDL (n=716), a self-report questionnaire for children (age 8-12 years) were used at the beginning and the end of rehabilitation.
View Article and Find Full Text PDFPsychother Psychosom Med Psychol
May 2009
Siegrists concept of effort-reward imbalance (ERI) had been shown to be associated with a broad range of health impairments, in particular cardiovascular diseases and depression. The original questionnaire was designed to assess ERI in the field of occupational work. This paper reports on a newly developed questionnaire for the assessment of ERI in household and family work.
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