What's Depression Got to Do with It?

The purpose of “Diabetes at Work: What’s Depression Got to Do with It?” is to provide employers with information about the association between diabetes and depression, the economic cost of untreated depression, and the role that employers can take to help employees who are experiencing both illnesses.

The following case study describes the experience of an employee who has both diabetes and depression.

Case Study

woman with sad expression Cindy S. is a 52-year old employee at Networth Industries, Inc. More than 5 years ago, Cindy was diagnosed with diabetes. For the last 2 months, Cindy has found that she is less interested in tasks that she used to enjoy at work such as analyzing data, reporting the findings to management, and presenting the results to national stakeholders. Most days, it is difficult for Cindy to get out of bed and to make it to work on time. Once there Cindy finds herself distracted and unable to complete tasks that used to take her only an hour to finish. Cindy has noticed that she feels sad most of the time and has had trouble sleeping and remembering to take her diabetes medication. Cindy has thought about telling her supervisor that she feels depressed, but she worries about whether she will lose her job because she now has both diabetes and depression.

This case study highlights several of the concerns and challenges that employees with diabetes and depression may experience at the workplace. This Web page will review key topics highlighted in the case study and the role of the employer when their employee experiences both diabetes and depression. The topics that will be covered include the following:

Depression and Diabetes: Is There a Link?

man with frown Evidence suggests that an association between depression and diabetes exists, 1-4 but it is not clear which comes first or why they are often linked. What is clear is that both depression and diabetes can be effectively managed and treated.5,6

Anyone can develop depression, but people with diabetes may be at greater risk.7,8 Depression might result from the daily burden of having diabetes.1 Recent research has reported that depression is twice as common in people who have diabetes than it is in people who do not have this disease.2 In addition, the chances of becoming depressed increases as diabetes complications worsen.9

Additional information from research on depression and diabetes suggests that depression alone may also increase the likelihood of a person developing type 2 diabetes.10,11 In fact, research shows that depressed adults have a 37% increased risk of developing type 2 diabetes.12

Clinical depression is one of the most costly illnesses in the world. It is also a leading cause of disability in the United States and worldwide.11 Approximately 70% of people who have depression are employed; depression results in 400 million lost work days a year.13,14 It is estimated that the annual salary-equivalent cost of major depression due to work loss in the U.S. labor force is between $42 billion and $46 billion per year, with over 75% being attributed to indirect costs, such as lost productivity.15-17

Although depression can occur at any age, it tends to affect people in their prime working years, 25-44 years of age, and, if untreated, can last a lifetime.18

Employers should know that there are several treatment options available to assist employees who are experiencing depression in the workplace. Research has shown that 80% of those who seek treatment show improvement.19 Depression does not have to be a debilitating disease.

The U.S. Department of Health and Human Services’ National Diabetes Education Program is jointly sponsored by [the National Institute of Diabetes and Digestive and Kidney Diseases of] the National Institutes of Health and [the Division of Diabetes Translation of] the Centers for Disease Control and Prevention with the support of more than 200 partner organizations.

*Links to non-Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by the NDEP or the Federal Government, and none should be inferred. The NDEP is not responsible for the content of the individual organization Web pages found at this link.

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