SINGAPORE: The higher number of retrenched workers in the last few years has caused a spike in the number of depression cases experts see here.
In 2016, job redundancies in Singapore hit a seven-year high since the 2009 global financial crisis. A total of 19,170 workers were retrenched that year, compared to the 9,800 in 2010, according to the Manpower Ministry’s latest labour market report.
Think Psychological Services, which sees three or four new cases every month, has seen an approximately 18 per cent increase in individuals who are affected by job changes in the last five years. Most of them present with various symptoms of depression and anxiety, said Vyda S Chai, Think Psychological Services' clinical psychologist.
More than just a loss of financial security, retrenchment and other job-related changes can have a knock-on effect on mental health and well-being too.
"Many people are conditioned from a young age to define themselves by what they do and how much they earn. I see many patients who experience a loss of self-esteem, feelings of worthlessness and guilt when they lose their job," said Dr Adrian Wang, consultant psychiatrist at Gleneagles Medical Centre.
In the last six months, Dr Wang has observed more middle-aged patients expressing concerns about financial issues and job security. Middle-aged to older adults tend to be more susceptible to job-related anxiety as they worry that it is too late to start over or re-train themselves, he said.
One of them was a middle-aged man in his 40s who had sought treatment when he could not cope with the reality of losing his job. Despite knowing six months in advance that he would be retrenched, the patient became increasingly depressed as the clock wound down to his last day of employment, said Dr Wang.
“It was very much like a grief reaction. He experienced denial, anger, bargaining and depression - all the stages of grief - as he tried to understand why the irreversible job loss had to happen to him,” he said.
Like Dr Wang, Ms Chai has also seen an increasing number of individuals and families who have difficulties coping with job-related changes or retrenchment amid today’s fast-changing economy.
“Due to difficulties in coping with their (job) loss, we are also seeing a number of individuals who resort to drinking excessively. A few of them suffer symptoms similar to post-traumatic stress disorder such as high levels of psychological distress and fear."
“For instance, they may experience recurring nightmares of the day they were laid off. This makes it challenging for them to apply for new jobs as they grapple with significant levels fear of rejection or failure," said Ms Chai.
UNEMPLOYED TWICE AS LIKELY TO BE DEPRESSED
Research has shown that retrenchment and job changes can increase the risk of developing anxiety and/or depression, said Ms Chai.
Unemployed individuals (12.4 per cent) were more than twice as likely as those with full-time jobs (5.6 per cent) to report being treated for depression, according to a study based on telephone surveys with over 350,000 Americans conducted in 2013 as part of the Gallup-Healthways Well-Being Index.
In a separate study from Sweden, which was published in BMC Public Health in 2015, job loss consistently predicted subsequent major depression, with a somewhat greater effect in men.
Dr Wang said people who define their sense of self with their jobs tend to feel pressured and anxious when things do not go well at work.
In general, job-related anxiety can affect people from all walks of life and ages. However, the extent of the impact of a job change or loss generally depends on the individual’s situation such as financial liabilities and family support, said Gilbert Tan, CEO of e2i (Employment and Employability Institute), an initiative of the National Trades Union Congress (NTUC).
“For example, if the person is the sole breadwinner, he may feel more anxious to get back on track,” said Mr Tan.
Other factors include the duration of time they have been with the company and the job role they held at work, Ms Chai added.
The stress of losing a job may also manifest differently in each individual. “When removed from the role as a provider for the family, men may feel depressed and a loss of identity and purpose. Women in general experience higher rates of anxiety when their jobs are in jeopardy,” said Dr Wang.