Investigation on anxiety and depression status of patients with suspected occupational disease

Objective To investigate the prevalence of anxiety and depression of cases with suspected occupational disease.

Methods Totally 199 suspected cases, who applied for the diagnosis of occupational disease in the Shenzhen Prevention and Treatment Hospital for Occupational Disease during November 2015 to June 2016, were investigated with the hospital anxiety and depression scale (HAD) plus self-designed questionnaire. Binary unconditional logistic regression was used to analyze the association between the psychological conditions and the potential affecting factors.

Results The survey showed that the average scores of HAD-anxiety and HAD-depression of these cases were (10.03 ±4.68) and(8.94 ±4.56), respectively. It was showed that 122(61.3%), 107(53.8%) and 85 cases(42.7%) were diagnosed with anxiety, depression and anxiety-depression, respectively. The survey showed that the worry about the fairness in diagnosis procedure was a important reason for both anxiety and depression, the OR value was 1.523(95%CI, 1.136-2.043)for anxiety, 1.531(95%CI, 1.161-2.020) for depression and 1.420(95%CI, 1.047-1.925)for anxiety-depression, respectively. Good balance of payment and the employers' subjective support were protective factors for anxiety; the OR value was 0.618(95%CI, 0.370-0.933) and 0.850(95%CI, 0.758-0.952), respectively. The decreased monthly income after being illness was risk for depression and the OR value was 1.468(95%CI, 1.035-2.082). The elder and decreased monthly income after being illness were the risk factors for anxiety-depression and OR value was 2.028(95%CI, 1.304-3.155) and 1.494(95%CI, 1.010-2.209, respectively; while employers' subjective support was protective factor and OR value was 0.840(95%CI, 0.744-0.949).

Conclusion The prevalence of anxiety and depressive of patients with suspected occupational disease were high and more attention should be given to such cases.