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Title
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The associations between childhood trauma and work functioning in adult workers with and without depressive and anxiety disorders
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Author
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Abstract
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| Background: To examine the association between childhood trauma and work functioning, and to elucidate to what extent this association can be accounted for by depression and/or anxiety. Methods: Data of 1,649 working participants were derived from the Netherlands Study of Depression and Anxiety (NESDA, n = 2,981). Childhood trauma (emotional neglect, psychological, physical, and sexual abuse before age 16) was assessed with a structured interview and work functioning, in terms of absenteeism and presenteeism, with the Health and Labor Questionnaire Short Form (SF-HLQ) and the World Health Organization Disability Assessment Schedule II (WHODAS-II), respectively. Depressive and/or anxiety disorders were assessed with the Composite Interview Diagnostic Instrument (CIDI). Mediation analyses were conducted. Results: At baseline, 44.8% reported to have experienced childhood trauma. Workers with the highest childhood trauma level showed significantly (p < 0.001) more absenteeism as well as more presenteeism. Mediation analyses revealed that indirect effects between the childhood trauma index and both work indices were significantly mediated by current depressive disorder (p = 0.023 and p < 0.001, respectively) and current comorbid depression-anxiety (p = 0.020 and p < 0.001, respectively), with the latter accounting for the largest effects (PM = 0.23 and PM = 0.29, respectively). No significant mediating role in this relationship was found for current anxiety disorder and remitted depressive and/or anxiety disorder. Conclusions: Persons with childhood trauma have significantly reduced work functioning in terms of absenteeism and presenteeism. This seems to be largely accounted for by current depressive disorders and current comorbid depression-anxiety. |
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Language
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English
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Source (journal)
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European psychiatry : the journal of the Association of European Psychiatrists. - Paris, 1991, currens
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Publication
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Paris
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Elsevier
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2020
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ISSN
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0924-9338
[print]
1778-3585
[online]
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DOI
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10.1192/J.EURPSY.2020.70
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Volume/pages
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63
:1
(2020)
, p. 1-8
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Article Reference
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e76
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ISI
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000561574800001
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Pubmed ID
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32669136
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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