Sickness absence for psychiatric illness: The Whitehall II study

Stephen Stansfeld, Amanda Feeney, Jenny Head, Robert Canner, Fiona North and Michael Marmot

Social Science & Medicine, 1995, vol. 40, issue 2, 189-197

Abstract: Over the past 20 years, rates of sickness absence have increased and psychiatric disorders have become an important cause of sickness absence. The socio-demographic associations for psychiatric sickness absence are reported from the Whitehall II study, a longitudinal survey of 10,308 London-based male and female civil servants between 35-55 years. Short spells ([less-than-or-equals, slant] 7 days), long spells ( > 7 days) and very long spells ( > 21 days) of sickness absence were examined in 5620 civil servants for whom reason for absence was available in civil service records. Civil service coding of reasons for absence was validated against report of general practitioners' diagnoses. Psychiatric disorder, largely neurosis and neurosis ill-defined, was the third most common cause of long spells of sickness absence in women and the fourth most common in men. For both men and women it was the second most common cause of very long spells of absence. Psychiatric sickness absence for short, long and very long spells was more frequent in lower employment grades than higher employment grades in keeping with the pattern for other illnesses. This partly explains the higher rate of sickness absence in women than men. Widowed and single men, and divorced women had high rates of psychiatric sickness absence. Comparing reason codes based on sickness certificates with general practitioners reports, there appeared to be evidence of under-reporting of psychosis on certificates. The general rise in levels of sickness absence and in particular psychiatric sickness absence may have several explanations: increased recognition of psychiatric disorder; greater reporting of psychiatric disorder; a real increase in the incidence of psychiatric disorder; or a change in employment opportunities for individuals with minor psychiatric disorder. The contribution of psychiatric disorder to the overall burden of sickness absence is likely to be underestimated. It is argued that greater preventative effort examining working conditions and social supports and earlier recognition and treatment of existing psychiatric disorder will lead to a reduction in sickness absence.

Keywords: sickness; absence; psychiatric; disorder; social; neurosis (search for similar items in EconPapers)
Date: 1995
References: Add references at CitEc
Citations: View citations in EconPapers (4)

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/0277-9536(94)E0064-Y
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:40:y:1995:i:2:p:189-197

Ordering information: This journal article can be ordered from
http://www.elsevier.com/wps/find/supportfaq.cws_home/regional
http://www.elsevier. ... _01_ooc_1&version=01

Access Statistics for this article

Social Science & Medicine is currently edited by Ichiro (I.) Kawachi and S.V. (S.V.) Subramanian

More articles in Social Science & Medicine from Elsevier
Bibliographic data for series maintained by Catherine Liu ().