Dataset Information

Improving work outcomes of dysthymia (persistent depressive disorder) in an employed population.

ABSTRACT:

Objective

To test the effectiveness of a work-focused intervention (WFI) on the work outcomes of employed adults with dysthymia.

Method

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-min sessions) provided work coaching and modification, care coordination and cognitive behavioral therapy. Adjusted mixed effects models compared the WFI vs. UC group preintervention to 4-month postintervention 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 (Patient Health Questionnaire PHQ-9 scores).

Results

Work productivity loss scores improved 43.0% in the WFI group vs. 4.8% in UC (difference in change: P<.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<.001).

Conclusion

At 4 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.

SUBMITTER: Adler DA

PROVIDER: S-EPMC4457606 | biostudies-literature | 2015 Jul-Aug

REPOSITORIES: biostudies-literature

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Publications

Improving work outcomes of dysthymia (persistent depressive disorder) in an employed population.

Adler David A DA Lerner Debra D Visco Zachary L ZL Greenhill Annabel A Chang Hong H Cymerman Elina E Azocar Francisca F Rogers William H WH

General hospital psychiatry 20150408 4

<h4>Objective</h4>To test the effectiveness of a work-focused intervention (WFI) on the work outcomes of employed adults with dysthymia.<h4>Method</h4>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 counse ...[more]

PMID: 25892151

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Dataset Information

Improving work outcomes of dysthymia (persistent depressive disorder) in an employed population.

Objective

Method

Results

Conclusion

Publications

Improving work outcomes of dysthymia (persistent depressive disorder) in an employed population.

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