Evidence map›Paper›PMID 26908523›Full record

ArticleBMJ open2016

Discrimination in the workplace, reported by people with major depressive disorder: a cross-sectional study in 35 countries.

E P M Brouwers, J Mathijssen, T Van Bortel, L Knifton, K Wahlbeck, C Van Audenhove, N Kadri, Ch Chang, B R Goud, D Ballester and 11 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
16.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Mental health first aid in the workplace: a reflexive thematic analysis of UK workers' experiences.International journal of qualitative studies on health and well-being · 2026
    Trial
  4. Trial
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  9. Observational
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  11. Article
  12. Mental health and well-being at the workplace.Indian journal of psychiatry · 2024
    Article
  13. Article
  14. Review
  15. Teleosts as behaviour test models for social stress.Frontiers in behavioral neuroscience · 2023
    Review
  16. Article
  17. Article
  18. Review
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 14 institutions in 12 countries.

E P M BrouwersDepartment of Tranzo, Tilburg University, Tilburg, The Netherlands.
J MathijssenDepartment of Tranzo, Tilburg University, Tilburg, The Netherlands.
T Van BortelKing's College London, Institute of Psychiatry, London, UK.
L KniftonMental Health Foundation, Glasgow, UK.
K WahlbeckNational Institute for Health and Welfare, Vaasa, Finland.
C Van AudenhoveKatholieke Universiteit Leuven, Leuven, Belgium.
N KadriIbn Rushd University Psychiatric Centre, Casablanca, Morocco.
Ch ChangDepartment of Psychiatry, Chi Mei Medical Centre, Tainan, Taiwan.
B R GoudSt John's Medical College Hospital, St John's National Academy of Health Sciences, Bangalore, India.
D BallesterSistema de Saúde Mãe de Deus, Porto Alegre, Brazil.
L F TófoliUniversidade Federal do Ceara, Campus Sobral, Brazil.
R BelloHospital Universitario de Caracas, Caracas, Venezuela.
M F Jorge-MonteiroAssociacao para o Estudo e Integracao Psicossocial, Lisbon, Portugal.
H ZäskeHeinrich-Heine Universitat Dusseldorf, Rheinische Kliniken Dusseldorf, Germany.
I MilaćićFaculty for Special Education and Rehabilitation, Belgrade, Serbia.
A UçokFoundation of Psychiatry Clinic of Medical Faculty of Istanbul, Istanbul, Turkey.
C BonettoDepartment of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy.
A LasalviaDepartment of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy.
G ThornicroftKing's College London, Institute of Psychiatry, London, UK.
J Van WeeghelDepartment of Tranzo, Tilburg University, Tilburg, The Netherlands.
ASPEN/INDIGO Study Group*
Tilburg University · NLKing's College London · GBUniversity of Verona · ITCentre Hospitalier Universitaire Ibn Rochd · MAChi Mei Medical Center · TWFinnish Institute for Health and Welfare · FIHeinrich Heine University Düsseldorf · DEHospital Clínico Universitario de Caracas · VEHospital Mãe de Deus · BRIstanbul University · TRKU Leuven · BEMental Health Foundation · GBSt. John's National Academy of Health Sciences · INUniversidade Federal do Ceará · BR

Funding

Medical Research Council G0601660
6 · The paper itself

Abstract

objectiveWhereas employment has been shown to be beneficial for people with Major Depressive Disorder (MDD) across different cultures, employers' attitudes have been shown to be negative towards workers with MDD. This may form an important barrier to work participation. Today, little is known about how stigma and discrimination affect work participation of workers with MDD, especially from their own perspective. We aimed to assess, in a working age population including respondents with MDD from 35 countries: (1) if people with MDD anticipate and experience discrimination when trying to find or keep paid employment; (2) if participants in high, middle and lower developed countries differ in these respects; and (3) if discrimination experiences are related to actual employment status (ie, having a paid job or not).

methodParticipants in this cross-sectional study (N=834) had a diagnosis of MDD in the previous 12 months. They were interviewed using the Discrimination and Stigma Scale (DISC-12). Analysis of variance and generalised linear mixed models were used to analyse the data.

resultsOverall, 62.5% had anticipated and/or experienced discrimination in the work setting. In very high developed countries, almost 60% of respondents had stopped themselves from applying for work, education or training because of anticipated discrimination. Having experienced workplace discrimination was independently related to unemployment.

conclusionsAcross different countries and cultures, people with MDD very frequently reported discrimination in the work setting. Effective interventions are needed to enhance work participation in people with MDD, focusing simultaneously on decreasing stigma in the work environment and on decreasing self-discrimination by empowering workers with MDD.

Indexed as

Major Depressive DisorderSocial StigmaAdultCross-Sectional StudiesEmploymentFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPrejudiceUnemploymentWorkplacediscriminationhuman development indexOCCUPATIONAL & INDUSTRIAL MEDICINEstigmawork

Identifiers

PMID26908523
PMCPMC4769412
OpenAlexW2289436503

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.