Improving work outcomes of dysthymia (persistent depressive disorder) in an employed population.
Improving work outcomes of dysthymia (persistent depressive disorder) in an employed population.
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DOI：
10.1016/j.genhosppsych.2015.04.001
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发表时间：
2015-07
影响因子：
7
通讯作者：
Rogers WH
中科院分区：
文献类型：
--
作者：
Adler DA;Lerner D;Visco ZL;Greenhill A;Chang H;Cymerman E;Azocar F;Rogers WH
目的：探讨以工作为中心的干预（WFI）对在职成年心境恶劣者工作结果的影响。该亚组分析来自一项随机对照试验，比较了167名员工（年龄≥45岁）的初始样本，这些员工使用PC-SAD筛查精神障碍，目前没有严重抑郁症，随机分为WFI组（n=85）或常规护理组（n=82）。研究地点包括19个雇主和5个额外的组织。基于电话的WFI咨询（8次，每月两次，每次50分钟）提供工作指导和修改、护理协调和认知行为治疗（CBT）。调整后的混合效应模型比较了WFI组和UC组在干预前和干预后四个月的工作限制变化，这些变化是通过工作限制问卷测量的。次要结局分析比较自我报告缺勤和抑郁症状严重程度（PHQ-9评分）的变化。WFI组的工作效率损失评分提高了43.0%，UC组提高了4.8%（变化差异P < 0.001）。WFI患者缺勤天数减少58.3%，UC患者缺勤天数减少0.0%（变化差异P = 0.09）。WFI组平均PHQ-9抑郁症状严重程度下降44.2%，UC组下降5.3%（变化差异P < 0.001）。在四个月时，WFI在三个结果中的两个方面比UC更有效。它可能是改善就业环境恶劣人群心理和功能健康的重要资源。
To test the effectiveness of a work-focused intervention (WFI) on the work outcomes of employed adults with dysthymia. This subgroup analysis from a randomized controlled trial compares an initial sample of 167 employees (age ≥ 45 years), screened for dysthymia using the PC-SAD without current major depressive disorder randomized to WFI (n=85) or usual care (UC) (n=82). Study sites included 19 employers and five additional organizations. Telephone-based WFI counseling (eight, twice monthly 50-minute sessions) provided work coaching and modification, care coordination and cognitive-behavioral therapy (CBT). Adjusted mixed effects models compared the WFI versus UC group pre-intervention to four-month post-intervention change in at-work limitations measured by the Work Limitations Questionnaire. Secondary outcome analysis compared the change in self-reported absences and depression symptom severity (PHQ-9 scores). Work productivity loss scores improved 43.0% in the WFI group vs. 4.8% in UC (difference in change P < 0.001). Absence days declined by 58.3% in WFI vs. 0.0% in UC (difference in change P = .09). Mean PHQ-9 depression symptom severity declined 44.2% in WFI vs. 5.3% in UC (difference in change P < 0.001). At four months, the WFI was more effective than UC on two of the three outcomes. It could be an important mental and functional health improvement resource for the employed dysthymic population.
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影响因子：
4.4
作者：
Beck, Arne;Crain, A. Lauren;Whitebird, Robin
通讯作者：
Whitebird, Robin
影响因子：
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作者：
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通讯作者：
Dunn, E
DOI：
10.4088/jcp.09m05663gry
发表时间：
2010-12
期刊：
The Journal of clinical psychiatry
影响因子：
--
作者：
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通讯作者：
Hasin DS
影响因子：
17.7
作者：
Klein, DN;Shankman, SA;Rose, S
通讯作者：
Rose, S
DOI：
10.1016/j.berh.2009.11.007
发表时间：
2010-04-01
影响因子：
5.2
作者：
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通讯作者：
Pransky, Glenn