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02 April 2010

Disengagement Can Be Really Depressing

Disengaged workplaces predict an increase in employee depression and anxiety, reports Gallup

by Jennifer Robison

Gallup has studied employee engagement for decades. Researchers have interviewed millions of people in numerous job roles in hundreds of companies all over the world. Over and over, Gallup has found that engagement -- an emotional and psychological bond between workers and workplaces -- leads to better work performance.

But recently, Gallup discovered that better employee engagement means better health too. "Engaged people feel less stress, and the stress they do feel is offset by a lot more happiness and enjoyment and interest," says James K. Harter, Ph.D., Gallup's chief scientist of workplace management and wellbeing and coauthor of 12: The Elements of Great Managing.

Not only do anxiety and depression take a personal toll on workers, but they also result in significant direct costs to businesses.

The converse is true of the disengaged, who feel more stress and have fewer sources of pleasure at work. "There's a significant relationship between work, stress, and health," Harter says. "In other words, if people are in an ongoing work situation that is negative or stressful, they have a higher potential for negative health consequences."

Disengagement and mental health

Those health consequences have been associated with a variety of illnesses in people over the age of 45 -- and not just ailments of age. The quality of the workplace can be linked to serious physical and mental illnesses such as clinical depression and chronic anxiety that can have a significant negative impact on workers' job performance and on their personal lives.

Anxiety and depression can be serious conditions that undermine daily functioning and health. According to the National Institute of Mental Health (NIMH), anxiety, typically a normal reaction to stress, becomes debilitating when it becomes "an excessive, irrational dread of everyday situations." In a given year, approximately 40 million U.S. adults (18 and older) -- about 18% of the U.S. population -- are affected by an anxiety disorder.

Depression, according to NIMH, interferes with daily life and normal functioning. While the symptoms of depression vary depending on the individual and his or her illness, they include "persistent sad, anxious or 'empty' feelings; feelings of hopelessness and/or pessimism; . . . loss of interest in activities or hobbies once pleasurable; . . . fatigue and decreased energy; [and] difficulty concentrating, remembering details and making decisions." About 14.8 million American adults, or about 7% of the U.S. population aged 18 and older, are affected by depression in a given year.

Not only do anxiety and depression take a personal toll on workers, but they also result in significant direct costs to businesses in medical expenses -- and indirect costs, including lost productivity. In 2000, for example, the economic burden of depression in the United States was estimated at $83.1 billion, which included $26.1 billion in direct treatment costs and $51.5 billion in indirect workplace costs from absenteeism and "presenteeism," or reduced productivity while at work due to depression. And a 2003 study found that workers with depression reported an average of 5.6 hours of lost productive time at work each week, compared with an expected 1.5 hours of lost productive time among workers without depression.

A recent Gallup study into the effects of disengagement on mental health -- conducted February 2008 through April 2009 -- studied U.S. workers as the country moved through the recession. At the start of the study, which involved 9,561 employed adults, Gallup asked respondents whether they had ever been diagnosed by a healthcare professional as suffering from a variety of medical conditions, including depression and anxiety. Respondents with a previous diagnosis of depression or anxiety were excluded from the analysis. Respondents were also asked Gallup's 12-item employee engagement assessment, the Q12, which determines an individual's level of engagement with his or her workplace.

When these respondents were surveyed again about eight months later, Gallup found that 6.4% of engaged workers had been diagnosed with anxiety, compared with 7.6% of not-engaged workers and 10.4% of actively disengaged workers. And 4.6% of engaged workers had been diagnosed with depression, as had 6% of not-engaged workers and 8.8% of actively disengaged workers. In other words, actively disengaged employees were 1.7 times as likely as engaged employees to report being diagnosed with anxiety for the first time in the next year. And actively disengaged employees were almost twice as likely as engaged employees to report being diagnosed with depression for the first time in the next year. (See graphic "Engagement and Depression, Anxiety.")

Engagement and Depression, Anxiety

The connection between the quality of a workplace and employee engagement is well-established. What's more, engagement has proved to be a powerful predictor of many key organizational outcomes, including profitability, productivity, customer engagement, quality, safety, and retention. This research shows that there is a strong connection between engagement and important individual outcomes, such as employees' mental health.

References

Greenberg, P.E., Kessler, R.C., Birnbaum, H.G., Leong, S.A., Lowe, S.W., Berglund, P.A., et al. (2003). The economic burden of depression in the United States: How did it change between 1990 and 2000? The Journal of Clinical Psychiatry, 64(12), 1465-1475.

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. The Journal of the American Medical Association, 289(23), 3135-3144.

Jennifer Robison is a Senior Editor for the Gallup Management Journal.
Reader Comments
Derek Irvine Posted On 4/3/2010 8:27:53 AM

Very interesting study. May I share anecdotal evidence in support of your research. A colleague joined Globoforce just a few years ago. She was recently telling me that since she joined our firm (and our culture of recognition that encourages engagement), her husband has been less tolerant of his own job at a company he has worked at for nearly 30 years. While the stress and workload has certainly fluctuated over those years, now that he sees the appreciation and recognition my colleague frequently receives he is less able to tolerate the lack of same in his own company. For the first time, his physical revealed high blood pressure and increased stress impact on his body. I don't believe this is coincidental.

dariush khaleghi Posted On 4/8/2010 10:10:50 AM

Excellent article! Although the neuroscience of workplace is a new frontier in understanding human behavior and performance, it will be instrumental in proving the points made clear in this article. I am convinced that if we run experiments to study the brain of disengaged employees or those who are suffering anxiety and depression or both, specifically, those marginalized and excluded, we may find meaningful difference in their brain activities. We may find some brain retardation in critical parts of the brain (i.e., the brain's executive function) that are critical to human optimum performance at work. Sincerely! dk

dariush khaleghi Posted On 4/8/2010 10:16:55 AM

Excellent article! Although the neuroscience of workplace is a new frontier in understanding human behavior and performance, it will be instrumental in proving the points made clear in this article. I am convinced that if we run experiments to study the brain of disengaged employees or those who are coping with anxiety and depression or both, specifically, those marginalized and excluded, we may find meaningful difference in their brain activities. We may find some brain retardation in critical parts of the brain (i.e., the brain's executive function) that help employees perform better, make correct decisions, and cope more effectively with challenges that overwhelm workplaces, constantly.

Paul Melihercik Posted On 4/8/2010 10:36:55 AM

I believe that the anecdotal evidence would be overwhelming as many of those queried may not have been engaged (trust) at a level to permit them to answer truthfully. I have a friend who was exhibiting "Sunday Evening Anxiety" week after week. He took the decision to retire early. He is still with us.

Posted On 4/8/2010 12:15:23 PM

This is amazing! This study is spot on and has brought to light how several situations that our employees have experienced in the last 6 months can be directly related to engagement at work. Employee physician visits have increased associated with blood pressure, heart palpitations and other stress related situations. Now we will have to work to re-engage staff.

Scott Taylor Posted On 4/8/2010 12:30:44 PM

A related anecdote from years past (Although I worked for Westinghouse years ago, this had nothing to do with me):

A Westinghouse plant was having production problems so they hired a team of consultants to fix it. The consultants analyzed the processes, personnel management and relations, and supply chains. They tuned up the production and improved some employee areas, delivered the invoice and went on their. Production improved for about two months and then dropped off to the previous levels.

In comes another consultant, wash-rinse-repeat, and recommended improved lighting. Resultant invoice, improved production for two or three months and then dropped off to previous levels.

Ok, we know the best way to change something is to keep doing it the same way and in comes consultant #3. Finally, the consultant and management went to the production floor and asked the employees why production would increase after recommended improvements and then drop off? "Because someone talked to us", they replied.

As an engineer this sounds completely antithetical, but I've been touting since high school that we have to get back to the rhythm of the humans and not live by the rhythm of the machines. We are not merely production components.

Howard Blomberg III Posted On 4/8/2010 2:22:42 PM

I enjoyed the article but question: is the depression/anxiety causing the disengagement or the disengagement causing the depression/anxiety? I read the latter in the article. It seems logical that depression would impact more than just the workplace but - depression being such a pervasive condition - disengagement at work MAY not develop to a condition of depression/anxiety. If depression is at the root, addressing the disengagement is only addressing a part of the issue. Obviously, one condition may feed the other and either may be at the source for a particular individual. As Scott Taylor aptly put it: "We are not merely production components." Indeed, Scott: Not even primarily so!

Roy Saunderson Posted On 4/9/2010 9:46:32 AM

Your research validates work from Dr. Jean-Pierre Brun, former Chair in Occupational Health and Safety Management from the University of Laval in their work where they determined the lack of recognition as the second highest reason for individuals experiencing workplace stress.

Let's all do to keep ourselves and those we work with engaged, respected and appreciated.

Eric Boyles Posted On 4/9/2010 6:10:37 PM

I work in a facility that has implemented Strengths Training and Six Sigma Improvement methodologies. Both of these systems are designed around the concept of empowering indiviuals/teams to achieve higher levels of performance(usually resulting from higher levels of engagement). The training involved has been a considerable investment in time and effort. The statistical data indicates a correlation between this training and improvements in our Key Process Measures. This was the goal for implementing these programs...but there were other apparent benefits. Our turn over, injuries and work loss due to illness have reduced. Qualitatively, employees state that the working culture is now much more positive.

ron goldberg Posted On 4/10/2010 1:30:40 PM

Those of us who have been around awhile in the workplace have seen significant real world case study examples that support these findings. From my own personal experience and by way of observing people and teams I have managed that engagement not only helps us avoid stress and illness, but is a driver of positive performance. Peak performance comes from strong engagement with the workplace.

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See Also
A Positive Approach to Workplace Stress
Your Job May Be Killing You
Engagement Keeps the Doctor Away
The Power of Positive Management (Part 1)
Bringing Work Problems Home

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