Incidence and cost of depression after occupational injury

J Occup Environ Med. 2012 Sep;54(9):1086-91. doi: 10.1097/JOM.0b013e3182636e29.

Abstract

Objectives: We examined if injured workers were more likely than noninjured workers to be treated for depression after an occupational injury and estimated the cost paid by group medical insurance.

Method: Nearly 367,900 injured and noninjured workers were drawn from the 2005 Thomson Reuters MarketScan data. Descriptive, logistic, and two-part model regression analyses were used.

Results: The odds of injured workers being treated for depression within the study period were 45% higher than those of noninjured workers (95% confidence interval, 1.17-1.78). The unconditional average cost of outpatient depression treatment was 63% higher for injured workers than for noninjured workers.

Conclusions: Injured workers were more likely than noninjured workers to suffer from depression during the study period. Consequently, additional costs are incurred for treating injured workers' depression; these costs were not covered by the workers' compensation system.

MeSH terms

  • Accidents, Occupational / psychology*
  • Adult
  • Ambulatory Care / economics
  • Confidence Intervals
  • Databases, Factual
  • Depression / economics*
  • Depression / epidemiology*
  • Depression / therapy
  • Female
  • Health Benefit Plans, Employee / economics
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Odds Ratio
  • United States / epidemiology