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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
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]