The role of borderline personality disorder symptoms on absenteeism & work performance in the Netherlands Study of Depression and Anxiety (NESDA).

Tytuł:: The role of borderline personality disorder symptoms on absenteeism & work performance in the Netherlands Study of Depression and Anxiety (NESDA).
Autorzy:: Juurlink TT; Amsterdam UMC, Vrije Universiteit, Psychiatry, Amsterdam Public Health research institute, De Boelelaan 1117, Amsterdam, The Netherlands & GGZ inGeest Specialized Mental Health Care, Oldenaller 1, Amsterdam, The Netherlands. .
Lamers F; Amsterdam UMC, Vrije Universiteit, Psychiatry, Amsterdam Public Health research institute, De Boelelaan 1117, Amsterdam, The Netherlands & GGZ inGeest Specialized Mental Health Care, Oldenaller 1, Amsterdam, The Netherlands.
van Marle HJF; Amsterdam UMC, Vrije Universiteit, Psychiatry, Amsterdam Public Health research institute, De Boelelaan 1117, Amsterdam, The Netherlands & GGZ inGeest Specialized Mental Health Care, Oldenaller 1, Amsterdam, The Netherlands.
Anema JR; Amsterdam UMC, Vrije Universiteit, Social Medicine, Amsterdam Public Health research institute, De Boelelaan 1117, Amsterdam, The Netherlands.
Beekman ATF; Amsterdam UMC, Vrije Universiteit, Psychiatry, Amsterdam Public Health research institute, De Boelelaan 1117, Amsterdam, The Netherlands & GGZ inGeest Specialized Mental Health Care, Oldenaller 1, Amsterdam, The Netherlands.
Źródło:: BMC psychiatry [BMC Psychiatry] 2020 Aug 24; Vol. 20 (1), pp. 414. Date of Electronic Publication: 2020 Aug 24.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Borderline Personality Disorder*/complications
Borderline Personality Disorder*/epidemiology
Work Performance*
Absenteeism ; Anxiety/epidemiology ; Depression/epidemiology ; Humans ; Netherlands/epidemiology
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Contributed Indexing:: Keywords: Anxiety disorder; Borderline personality disorder; Depressive disorder; Work absence; Work performance
Entry Date(s):: Date Created: 20200825 Date Completed: 20201229 Latest Revision: 20201229
Update Code:: 20240105
PubMed Central ID:: PMC7444043
DOI:: 10.1186/s12888-020-02815-6
PMID:: 32831059
: Czasopismo naukowe

Pełny tekst

Background: Symptoms of borderline personality disorder (BPD) were previously found to be associated with decreased work performance, even after controlling for depressive and anxiety disorders. Furthermore, co-occurrence of BPD and affective disorders is common. Therefore, we examined the effect of BPD symptoms on occupational functioning in workers with affective disorders.
Methods: Healthy workers (n = 287), workers with current depression/anxiety only (n = 195), workers with BPD symptoms only (n = 54), and workers with both depression/anxiety and BPD symptoms (n = 103) were selected from the Netherlands Study of Depression and Anxiety (NESDA). Both a categorical and dimensional approach were used to cross-sectionally study the effect of BPD symptoms on work performance and absenteeism.
Results: Compared to healthy controls, all symptomatic groups had impaired occupational functioning. Workers with current depression/anxiety had higher long-term absenteeism (OR = 3.59; 95%CI:1.83-7.02) and impaired work performance (OR = 7.81; 95%CI:4.44-13.73), workers with BPD symptoms only had higher impaired work performance (OR = 6.02 95%CI:2.76-13.09), and workers with both depression/anxiety and BPD symptoms had higher long-term absenteeism (OR = 3.66 95%CI:1.69-7.91) and impaired work performance (OR = 10.41 95%CI:5.38-20.15). No difference was found between the (symptomatic) groups. In the dimensional analysis, all associations between BPD symptoms and occupational measures disappeared when depressive symptoms were added. Depressive and BPD symptoms were highly correlated (r = .67).
Conclusions: Our findings confirm that both affective disorders and BPD symptoms are associated with occupational dysfunction. The effect of BPD symptoms however, seems mediated by depressive symptoms. This would suggest that focusing on affective symptoms in occupational health may be effective to improve occupational functioning in persons with BPD.

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