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Prevalence of Psychological Distress, as Measured by the Kessler 6 (K6), and Related Factors in Japanese Employees

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Abstract

The aim of this study was to examine the prevalence of and related factors for psychological distress among employees. The employees in Akita prefecture, Japan, were invited to complete the Kessler 6 (K6). A value of 13 or higher on the K6 scale indicated high psychological distress. Furthermore, we identified the relationships among the prevalence of high psychological distress, socio-demographic status, and employment-related variables. The data of 1,709 employees indicated that 10.8% of the employees had high psychological distress; the proportion of psychological distress found in the present study was high compared to that found in previous studies. The identified socio-demographic and occupation-related factors included young age groups associated with a high risk and clerical or administrative tasks associated with a low risk of psychological distress. The data of this study can be used as K6 benchmark values, which enhance the significance of future corporate health risk appraisal surveys.

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References

  • Andrews, G., Henderson, S., & Hall, W. (2001). Prevalence, comorbidity, disability and service utilisation. Overview of the Australian National Mental Health Survey. British Journal of Psychiatry, 178, 145–153.

    Article  PubMed  CAS  Google Scholar 

  • Australian Bureau of Statistics (ABS) (2003). National health survey: Mental Health, Australia, 2001 (cat. no. 4811.0). Canberra: ABS.

  • Australian Bureau of Statistics (ABS) (2006). National health survey: Summary of results, Australia, 2004–05 (cat. no. 4364.0). Canberra: ABS.

  • Bijl, R. V., de Graaf, R., Hiripi, E., Kessler, R. C., Kohn, R., Offord, D. R., et al. (2003). The prevalence of treated and untreated mental disorders in five countries. Health Affairs, 22, 122–133.

    Article  PubMed  Google Scholar 

  • Bijl, R. V., Ravelli, A., & van Zessen, G. (1998). Prevalence of psychiatric disorder in the general population: Results of The Netherlands Mental Health Survey and incidence study (NEMESIS). Social Psychiatry and Psychiatric Epidemiology, 33, 587–595.

    Article  PubMed  CAS  Google Scholar 

  • Bültmann, U., Kant, I., Kasl, S. V., Beurskens, A. J., & van den Brandt, P. A. (2002). Fatigue and psychological distress in the working population: psychometrics, prevalence, and correlates. Journal of Psychosomatic Research, 52, 445–452.

    Article  PubMed  Google Scholar 

  • Cannuscio, C. C., Colditz, G. A., Rimm, E. B., Berkman, L. F., Jones, C. P., & Kawachi, I. (2004). Employment status, social ties, and caregivers’ mental health. Social Science and Medicine, 58, 1247–1256.

    Article  PubMed  Google Scholar 

  • Cuijpers, P., Smit, F., Oostenbrink, J., de Graaf, R., Ten Have, M., & Beekman, A. (2007). Economic costs of minor depression: a population-based study. Acta Psychiatrica Scandinavica, 115, 229–236.

    Article  PubMed  CAS  Google Scholar 

  • Dewa, C. S., & Lin, E. (2000). Chronic physical illness, psychiatric disorder and disability in the workplace. Social Science and Medicine, 51, 41–50.

    Article  PubMed  CAS  Google Scholar 

  • Dewa, C. S., McDaid, D., & Ettner, S. L. (2007). An international perspective on worker mental health problems: Who bears the burden and how are costs addressed? Canadian Journal of Psychiatry, 52, 346–356.

    Google Scholar 

  • Furukawa, T. A., Kessler, R. C., Slade, T., & Andrews, G. (2003). The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychological Medicine, 33, 357–362.

    Article  PubMed  CAS  Google Scholar 

  • Fushimi, M., Shimizu, T., Saito, S., Kudo, Y., Seki, M., & Murata, K. (2010). Prevalence of and risk factors for psychological distress among employees in Japan. Public Health, 124, 713–715.

    Article  PubMed  CAS  Google Scholar 

  • Fushimi, M., Sugawara, J., & Shimizu, T. (2005). Suicide patterns and characteristics in Akita, Japan. Psychiatry and Clinical Neurosciences, 59, 296–302.

    Article  PubMed  Google Scholar 

  • Gilbody, S., Bower, P., & Whitty, P. (2006). Costs and consequences of enhanced primary care for depression: Systematic review of randomised economic evaluations. British Journal of Psychiatry, 189, 297–308.

    Article  PubMed  Google Scholar 

  • Goetzel, R. Z., Long, S. R., Ozminkowski, R. J., Hawkins, K., Wang, S., & Lynch, W. (2004). Health, absence, disability and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. Journal of Occupational and Environmental Medicine, 46, 398–412.

    Article  PubMed  Google Scholar 

  • Hilton, M. F., Whiteford, H. A., Sheridan, J. S., Cleary, C. M., Chant, D. C., Wang, P. S., et al. (2008). The prevalence of psychological distress in employees and associated occupational risk factors. Journal of Occupational and Environmental Medicine, 50, 746–757.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32, 959–976.

    Article  PubMed  CAS  Google Scholar 

  • Kessler, R. C., Barber, C., Birnbaum, H. G., Frank, R. G., Greenberg, P. E., Rose, R. M., et al. (1999). Depression in the workplace: Effects on short-term disability. Health Affairs, 18, 163–171.

    Article  PubMed  CAS  Google Scholar 

  • Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184–189.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., & Frank, R. G. (1997). The impact of psychiatric disorders on work loss days. Psychological Medicine, 27, 861–873.

    Article  PubMed  CAS  Google Scholar 

  • Kessler, R. C., Green, J. G., Gruber, M. J., Sampson, N. A., Bromet, E., Cuitan, M., et al. (2010). Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative. International Journal of Methods in Psychiatric Research, 19(Suppl 1), 4–22.

    Article  PubMed  Google Scholar 

  • King, D. A., & Buchwald, A. M. (1982). Sex differences in subclinical depression: administration of the Beck depression inventory in public and private disclosure situations. Journal of Personality and Social Psychology, 42, 963–969.

    Article  PubMed  CAS  Google Scholar 

  • Lim, D., Sanderson, K., & Andrews, G. (2000). Lost productivity among full-time workers with mental disorders. Journal of Mental Health Policy and Economics, 3, 139–146.

    Article  PubMed  Google Scholar 

  • McVeigh, K. H., Galea, S., Thorpe, L. E., Maulsby, C., Henning, K., & Sederer, L. I. (2006). The epidemiology of nonspecific psychological distress in New York City, 2002 and 2003. Journal of Urban Health, 83, 394–405.

    Article  PubMed  Google Scholar 

  • Plaisier, I., de Bruijn, J. G., Smit, J. H., de Graaf, R., Ten Have, M., Beekman, A. T., et al. (2008). Work and family roles and the association with depressive and anxiety disorders: Differences between men and women. Journal of Affective Disorders, 105, 63–72.

    Article  PubMed  CAS  Google Scholar 

  • Pratt, L. A., Dey, A. N., & Cohen, A. J. (2007). Characteristics of adults with serious psychological distress as measured by the K6 scale: United States, 2001–04. Advance Data, 382, 1–18.

    PubMed  Google Scholar 

  • Prause, J., & Dooley, D. (2001). Favourable employment status change and psychological depression: A two-year follow-up analysis of the national longitudinal survey of youth. Applied Psychology: An International Review, 50, 282–304.

    Article  Google Scholar 

  • Sanderson, K., & Andrews, G. (2006). Common mental disorders in the workforce: Recent findings from descriptive and social epidemiology. Canadian Journal of Psychiatry, 51, 63–75.

    Google Scholar 

  • Sigmon, S. T., Rohan, K. J., Dorhofer, D., Hotovy, L. A., Trask, P. C., & Boulard, N. (1997). Effects of consent form information on self-disclosure. Ethics and Behavior, 7, 299–310.

    Article  PubMed  Google Scholar 

  • Simon, G. E. (2003). Social and economic burden of mood disorders. Biological Psychiatry, 54, 208–215.

    Article  PubMed  Google Scholar 

  • Stewart, W. F., Ricci, J. A., Chee, E., Hahn, S. R., & Morganstein, D. (2003). Cost of lost productive work time among US workers with depression. Journal of the American Medical Association, 289, 3135–3144.

    Article  PubMed  Google Scholar 

  • Tsutsumi, A., Nagami, M., Yoshikawa, T., Kogi, K., & Kawakami, N. (2009). Participatory intervention for workplace improvements on mental health and job performance among blue-collar workers: A cluster randomized controlled trial. Journal of Occupational and Environmental Medicine, 51, 554–563.

    Article  PubMed  Google Scholar 

  • Umanodan, R., Kobayashi, Y., Nakamura, M., Kitaoka-Higashiguchi, K., Kawakami, N., & Shimazu, A. (2009). Effects of a worksite stress management training program with six short-hour sessions: A controlled trial among Japanese employees. Journal of Occupational Health, 51, 294–302.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Beck, A. L., McKenas, D. K., Meneades, L. M., Pronk, N. P., Saylor, J. S., et al. (2002). Effects of efforts to increase response rates on a workplace chronic condition screening survey. Medical Care, 40, 752–760.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Patrick, A., Avorn, J., Azocar, F., Ludman, E., McCulloch, J., et al. (2006). The costs and benefits of enhanced depression care to employers. Archives of General Psychiatry, 63, 1345–1353.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Simon, G. E., Avorn, J., Azocar, F., Ludman, E. J., McCulloch, J., et al. (2007). Telephone screening, outreach, and care management for depressed workers and impact on clinical and work productivity outcomes: A randomized controlled trial. Journal of the American Medical Association, 298, 1401–1411.

    Article  PubMed  CAS  Google Scholar 

  • Wells, J. E., Oakley Browne, M. A., Scott, K. M., McGee, M. A., Baxter, J., & Kokaua, J. (2006). Te Rau Hinengaro: The New Zealand Mental Health Survey: Overview of methods and findings. Australian and New Zealand Journal of Psychiatry, 40, 835–844.

    Article  PubMed  Google Scholar 

  • Wilhelm, K., Parker, G., Geerligs, L., & Wedgwood, L. (2008). Women and depression: A 30 year learning curve. Australian and New Zealand Journal of Psychiatry, 42, 3–12.

    Article  PubMed  Google Scholar 

  • Williams, J. W., Jr., Gerrity, M., Holsinger, T., Dobscha, S., Gaynes, B., & Dietrich, A. (2007). Systematic review of multifaceted interventions to improve depression care. General Hospital Psychiatry, 29, 91–116.

    Article  PubMed  Google Scholar 

  • Wittchen, H. U. (2010). Screening for serious mental illness: Methodological studies of the K6 screening scale. International Journal of Methods in Psychiatric Research, 19(Suppl 1), 1–3.

    Article  PubMed  Google Scholar 

  • Zhang, M., Rost, K. M., Fortney, J. C., & Smith, G. R. (1999). A community study of depression treatment and employment earnings. Psychiatric Services, 50, 1209–1213.

    PubMed  CAS  Google Scholar 

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Correspondence to Masahito Fushimi.

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Fushimi, M., Saito, S., Shimizu, T. et al. Prevalence of Psychological Distress, as Measured by the Kessler 6 (K6), and Related Factors in Japanese Employees. Community Ment Health J 48, 328–335 (2012). https://doi.org/10.1007/s10597-011-9416-7

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  • DOI: https://doi.org/10.1007/s10597-011-9416-7

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