In addition to dysfunction across domains of cognition, depression also produces wider functional impairments in daily life.1 In fact, depression is ranked as the leading cause of disability worldwide, and is also a major contributor to the global burden of disease.2 Functional disability in daily activities is one of the most important consequences of depression, yet it is also one of the least understood.1
Depression impacts patients in the workplace, increasing both presenteeism (loss of productivity due to attendance despite illness) and absenteeism (failure to attend work due to illness), which in severe cases can result in cessation of employment.3 Abilities to maintain household responsibilities and manage finances can also decline, in addition to reduced quantity and quality of social relationships and community ties.1