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Bergdolt J, Hubert S, Schreiter J, Jenderny S, Beblo T, Driessen M, Steinhart I, Dehn LB. Predictors of return to work in people with major depression: Results from a supported employment program in Germany. J Affect Disord 2024; 364:1-8. [PMID: 39029690 DOI: 10.1016/j.jad.2024.07.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 06/26/2024] [Accepted: 07/14/2024] [Indexed: 07/21/2024]
Abstract
BACKGROUND Depression is a common mental disorder and is associated with work disability. For the implementation of evidence-based interventions, such as Individual Placement and Support (IPS) for people with depression in Germany, the aim of this study was to investigate client variables that predict return to work. METHODS The sample consisted of 129 participants, initially treated in a psychiatric hospital due to major depression, who participated in IPS as part of a German clinical trial. Baseline demographic (age, sex, education, sickness absence days, employment status), psychiatric (symptom severity, comorbidity, general physical and mental health, disability), and neuropsychological (self-rated deficits, test performance) variables were included. Return to work within one year was predicted using separate and overall binary logistic regression analyses. RESULTS A total of 70 participants (56 %) returned to work within the one-year follow-up period. >100 days of sick leave in the year prior to study entry (vs. <100 days) and higher self-rated cognitive deficits were significantly associated with reduced odds of return to work within one year of IPS. LIMITATIONS The sample consisted of participants with a relatively good work history who were assigned to IPS by the treatment team, thus, the generalizability of the results is limited. CONCLUSIONS People with depression who participate in IPS interventions might benefit from specifically targeting perceived cognitive deficits. Factors associated with prolonged sick leave due to depression and their role in return to work with IPS need further investigation.
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Affiliation(s)
- Juliane Bergdolt
- Universitätsklinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Universitätsklinikum OWL, Universität Bielefeld, Remterweg 69-71, 33617 Bielefeld, Germany; Department of Psychology, University of Bielefeld, Universitätsstraße 25, 33615 Bielefeld, Germany.
| | - Stella Hubert
- Universitätsklinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Universitätsklinikum OWL, Universität Bielefeld, Remterweg 69-71, 33617 Bielefeld, Germany
| | - Julia Schreiter
- Institut für Sozialpsychiatrie Mecklenburg-Vorpommern e.V., Universität Greifswald, Greifswald, Germany
| | - Sarah Jenderny
- Institut für Sozialpsychiatrie Mecklenburg-Vorpommern e.V., Universität Greifswald, Greifswald, Germany
| | - Thomas Beblo
- Universitätsklinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Universitätsklinikum OWL, Universität Bielefeld, Remterweg 69-71, 33617 Bielefeld, Germany; Department of Psychology, University of Bielefeld, Universitätsstraße 25, 33615 Bielefeld, Germany
| | - Martin Driessen
- Universitätsklinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Universitätsklinikum OWL, Universität Bielefeld, Remterweg 69-71, 33617 Bielefeld, Germany; Department of Psychology, University of Bielefeld, Universitätsstraße 25, 33615 Bielefeld, Germany
| | - Ingmar Steinhart
- Institut für Sozialpsychiatrie Mecklenburg-Vorpommern e.V., Universität Greifswald, Greifswald, Germany
| | - Lorenz B Dehn
- Universitätsklinik für Psychiatrie und Psychotherapie, Evangelisches Klinikum Bethel gGmbH, Universitätsklinikum OWL, Universität Bielefeld, Remterweg 69-71, 33617 Bielefeld, Germany; Department of Psychology, University of Bielefeld, Universitätsstraße 25, 33615 Bielefeld, Germany
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2
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Tanaka S, Kuge RI, Nakano M, Inukai S, Hamamoto M, Terasawa M, Nakamura T, Sugiyama N, Kobayashi M, Washizuka S. Outcomes of an interdisciplinary return to work intervention including occupational therapy for mood and adjustment disorders: A single-arm clinical trial. Work 2023; 74:515-530. [PMID: 36278381 PMCID: PMC9986701 DOI: 10.3233/wor-211144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND Mood and adjustment disorders are two major causes of long-term sick leave among employees, leading to large social losses. Therefore, a return to work (RTW) intervention was attempted, targeting patients with mood and adjustment disorders. OBJECTIVE This study aimed to investigate the outcome of an interdisciplinary RTW intervention including occupational therapy implemented within the Japanese healthcare framework. METHODS An interdisciplinary RTW intervention including occupational therapy was conducted five times a week for approximately three months, targeting individuals with mood and adjustment disorders who took a leave of absence. Their mental symptoms, cognitive functioning, job performance, temperament, social adaptation, psychosocial state, and readiness to RTW before and after the intervention were evaluated. Full-time RTW ratios at 3, 6, 12, 18, and 24 months from baseline were followed up and compared with those of prior studies. RESULTS A total of 30 individuals completed the intervention. After the intervention, participants' psychological symptoms, cognitive function, vocational aptitude, temperament, social adaptation, psychosocial state, and readiness to RTW improved (p≤0.001-0.0279). The ratios of RTW at 3, 6, 12, 18, and 24 months from the baseline were 6.7%, 46.7%, 73.3%, 77.8%, and 82.6%, respectively, reflecting a higher pattern than prior reports. CONCLUSIONS The interdisciplinary RTW intervention including occupational therapy has the potential to improve not only depressive symptoms but also cognitive functioning, job performance, social adaptation, and readiness to RTW. They can also raise RTW ratios.
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Affiliation(s)
- Sachie Tanaka
- Department of Fundamental Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan
| | - Ryunosuke Iwai Kuge
- Department of Rehabilitation, Shinshu University Hospital, Matsumoto, Nagano, Japan.,Department of Health Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan
| | - Miku Nakano
- Department of Rehabilitation, Shinshu University Hospital, Matsumoto, Nagano, Japan.,Department of Medical Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan
| | - Sayaka Inukai
- Patient Support Center, Shinshu University Hospital, Matsumoto, Nagano, Japan
| | - Midori Hamamoto
- Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
| | - Miho Terasawa
- Department of Pharmacy, Shinshu University Hospital, Matsumoto, Nagano, Japan
| | - Toshinori Nakamura
- Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
| | - Nobuhiro Sugiyama
- Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.,Department of Applied Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan
| | - Masayoshi Kobayashi
- Department of Fundamental Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan.,Department of Health Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan
| | - Shinsuke Washizuka
- Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
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3
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Shibaoka M, Masuda M, Iwasawa S, Ikezawa S, Eguchi H, Nakagome K. Relationship between objective cognitive functioning and work performance among Japanese workers. J Occup Health 2023; 65:e12385. [PMID: 36694368 PMCID: PMC9874020 DOI: 10.1002/1348-9585.12385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 12/30/2022] [Accepted: 12/31/2022] [Indexed: 01/26/2023] Open
Abstract
OBJECTIVES We aimed to explore the relationship between objective cognitive functioning and work performance among Japanese workers. METHODS From February to November 2019, this cross-sectional study enrolled workers aged 18-65 years from 10 companies located in a metropolitan area of Japan. We emailed invitations to participate to employees of companies that had agreed to cooperate with the study. We measured work performance with the question, "How would you rate your performance (compared with your optimum performance) over the past 4 weeks?" Responses were made via a visual analog scale (range: 0-100). Cognitive functioning was assessed using the THINC-integrated tool (THINC-it®). THINC-it® is a brief, objective computerized cognitive assessment battery. Associations between work performance and cognitive functioning tests were examined using logistic regression analysis. RESULTS In total, 353 individuals provided e-consent to participate, of whom 276 were included in the analysis (after omitting those with missing values). The median work performance was used to divide participants into high- (scoring ≥ 80%) and low- (scoring < 80%) performing groups. The P-values for trends indicated that association between cognitive domains, such as attention, executive functioning and working memory was significant (P < .05). Work performance was significantly associated with cognitive function for the two tests that assess attention, executive functioning, and working memory in general workers. CONCLUSIONS Our results suggest that objective cognitive functioning may be related to work performance. Longitudinal investigations may allow for the establishment of causality.
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Affiliation(s)
- Michi Shibaoka
- Tokyo Rosai Hospital, Japan Organization of Occupational Health and SafetyTokyoJapan
| | | | - Satoko Iwasawa
- National Defense Medical College, Preventive Medicine and Public HealthSaitamaJapan
| | - Satoru Ikezawa
- Endowed Institute for Empowering Gifted MindsUniversity of Tokyo Graduate School of Arts and SciencesTokyoJapan
| | - Hisashi Eguchi
- Department of Mental Health, Institute of Industrial Ecological SciencesUniversity of Occupational and Environmental HealthFukuokaJapan
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4
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Gjengedal RGH, Osnes K, Reme SE, Lagerveld SE, Johnson SU, Lending HD, Sandin K, Bjørndal MT, Hjemdal O. Changes in depression domains as predictors of return to work in common mental disorders. J Affect Disord 2022; 308:520-527. [PMID: 35460747 DOI: 10.1016/j.jad.2022.04.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 03/06/2022] [Accepted: 04/13/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Depression highly impairs function and reduces quality of life. Therefore, both symptomatic and functional recovery are important treatment goals. Depression consists of several cognitive, somatic, and affective symptom factors that differently affect function. However, it is unclear whether changes in these domains predict return to work (RTW) after treatment. METHODS Data were collected during treatment from patients on full or partial sick leave reporting depression symptoms (N = 300) at an out-patient clinic. Information on work status was assessed pre- and post-treatment and at 6 months follow-up. Multiple logistic regression was used to investigate if residualized changes in symptom factors predicted full RTW, controlling for gender, education level, and age. RESULTS Changes (as symptom improvement) in the cognitive, somatic, and affective factor scores each significantly predicted full RTW post-treatment and at follow-up for patients on full and partial sick leave, even after controlling for gender, education level, and age. The change in the somatic factor explained the largest proportion of variance for full work post-treatment in patients on full sick-leave, while change in the cognitive factor explained most unique variance for patients on graded sick leave. LIMITATIONS The sample consisted of a majority of women with a relatively high level of education. This study should be replicated in more heterogeneous samples. CONCLUSION Changes in depression symptom domains are significant predictors for RTW work post-treatment. The change in the somatic factor explained the largest proportion of variance in patients on full sick leave and thus may particularly influence RTW after treatment.
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Affiliation(s)
- Ragne G H Gjengedal
- Diakonhjemmet Hospital, Oslo, Norway; Norwegian University of Science and Technology, Trondheim, Norway.
| | | | - Silje E Reme
- Diakonhjemmet Hospital, Oslo, Norway; University of Oslo, Norway
| | | | - Sverre U Johnson
- Diakonhjemmet Hospital, Oslo, Norway; University of Oslo, Norway
| | | | - Kenneth Sandin
- Diakonhjemmet Hospital, Oslo, Norway; Norwegian University of Science and Technology, Trondheim, Norway
| | - Marianne T Bjørndal
- Diakonhjemmet Hospital, Oslo, Norway; Norwegian University of Science and Technology, Trondheim, Norway
| | - Odin Hjemdal
- Diakonhjemmet Hospital, Oslo, Norway; Norwegian University of Science and Technology, Trondheim, Norway
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5
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Yamashita H, Sakai A, Terao T. Effects of a rework program in a university hospital and predictors of work restoration and maintenance in the participants. Front Psychiatry 2022; 13:944472. [PMID: 35958642 PMCID: PMC9357927 DOI: 10.3389/fpsyt.2022.944472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Accepted: 07/04/2022] [Indexed: 11/13/2022] Open
Abstract
During sickness absence, it appears necessary for psychiatric patients suffering from depression or bipolar disorder to undergo a psychiatric rehabilitation called the rework program that aids in work restoration and maintenance. However, few studies have investigated the effects of such a program and predictors of work restoration and maintenance in the participants. Here, we aimed to investigate the effects of a rework program as well as to examine whether cognitive function and mental state at the end of the rework program predict the probability of work restoration and maintenance and whether the frequency of rework program participation predicts successful work restoration and maintenance. The rework program included both patients absent from work and unemployed patients. Patients completed assessments including Trail Making Test Type B (TMT-B), the Wisconsin Card Sorting Test, and the Social Adaptation Self-Evaluation Scale just before graduating from the rework program. Simultaneously, their depressive state was assessed using the Hamilton Depression Rating scale. The patients were divided into the job group, comprising 94 patients who were able to restore their work or get a new job, and the non-job group, comprising 34 patients who were not able to do so. We found that the program was more effective in patients absent from work than in unemployed patients, TMT-B could predict work restoration and maintenance, and the frequency of rework program participation could predict work restoration but not work maintenance. Based on the findings, we propose "Yamashita's criterion" where a TMT-B completion time of 70 s is the cut-off point for work restoration. The present findings may provide useful evidence that could aid in the further development of rework program(s).
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Affiliation(s)
- Hitomi Yamashita
- Department of Neuropsychiatry, Oita University Faculty of Medicine, Yufu, Japan
| | - Akari Sakai
- Department of Neuropsychiatry, Oita University Faculty of Medicine, Yufu, Japan.,Tsurumidai Hospital, Beppu, Japan
| | - Takeshi Terao
- Department of Neuropsychiatry, Oita University Faculty of Medicine, Yufu, Japan
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Changes in Presenteeism Six Months After Returning from Sick Leave Due to Mental Illness. J UOEH 2021; 43:385-395. [PMID: 34897167 DOI: 10.7888/juoeh.43.385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
This study examines how psychological distress (measured by the K10 screening test) and presenteeism (measured by the quality and quantity method) change in the six months after returning to work from having taken a sick leave because of a mental illness. In a manufacturing company with approximately 2,600 employees, 23 employees returned to work after experiencing mental illness between April 2015 and March 2016, and all 23 agreed to participate in the study. We analyzed 18 cases for which we had sufficient data. Two of the employees were absent from work in the sixth month. We performed multilevel analysis for K10 and presenteeism over time on the 16 without recurrence. A significant decreasing trend was observed for both K10 and presenteeism. Eleven of the 16 employees were consistently below the K10 cutoff value of 10 for six months, and 5 had zero presenteeism in the sixth month, whereas 6 employees showed improvement in presenteeism that stopped midway through the study. An occupational physician judged that the employees could work normally with presenteeism of zero. After returning to work, it is important to monitor not only psychiatric symptoms but also presenteeism.
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7
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Hirakawa H, Terao T, Ishii N, Sakai A, Yamashita H, Kawatani M, Namba S, Goto C. Thought Process Evolved From Rigid to Flexible in a Patient With Bipolar Disorder Via "Return to Work Program": A Case Report. J Nerv Ment Dis 2021; 209:609-611. [PMID: 34397761 DOI: 10.1097/nmd.0000000000001353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT In the working population, bipolar disorder can have a significant negative effect on professional relationships, attendance, functioning, and loss of productivity. In Japan, workers who take a leave due to depressive episodes receive a work-focused intervention program called the "return to work program" during their leave. A 39-year-old Japanese woman with bipolar II disorder took a third sick leave of absence. We recommended her the return to work program of our university hospital. At the beginning of the program, she had a rigid thought process toward her perceptions of her duties in the workplace and at home. Through the program, mindfulness might identify rigidity, group cognitive-behavioral therapy might correct rigidity, and self-analysis might have regained flexibility. In conclusion, a variety of effects of our return to work program might have enabled her thought process to evolve from rigid to flexible, and she showed successful reinstatement.
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Affiliation(s)
- Hirofumi Hirakawa
- Department of Neuropsychiatry, Oita University Faculty of Medicine, Yufu, Oita, Japan
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8
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Depression and ability to work after vestibular schwannoma surgery: a nationwide registry-based matched cohort study on antidepressants, sedatives, and sick leave. Acta Neurochir (Wien) 2021; 163:2225-2235. [PMID: 33963435 PMCID: PMC8270857 DOI: 10.1007/s00701-021-04862-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 04/22/2021] [Indexed: 10/31/2022]
Abstract
BACKGROUND In patients with vestibular schwannomas (VS), tumor control is often achieved, and life expectancy is relatively good. The main risks of surgical treatment are hearing loss and facial nerve function. The occurrence of mood and sleeping disorders in relation to surgery is an important aspect of health that has rarely been studied. Similarly, only limited data exist on the rate of sick leave for patients with VS. In this nationwide registry-based study, we define the use of antidepressants and sedatives and the sick leave pattern before and after VS surgery. METHODS Adult patients with histopathologically verified VS were identified in the Swedish Brain Tumor Registry (SBTR) and clinical data were linked to relevant national registries after assigning five matched controls to each patient. We studied patterns of dispensed antidepressants and sedative drugs as well as patterns of sick leave compared to respective controls at 2 years before and 2 years following surgery. RESULTS We identified 333 patients and 1662 matched controls. The rate of antidepressant use was similar between patients and controls 2 years before surgery (6.0% vs 6.3%) and 2 years after surgery (10.1% vs 7.5%). The rate of sedative use was also similar 2 years before surgery (3.9% vs 4.3%) and 2 years after surgery (4.8% vs 5.3%). The rate of sick leave was similar at baseline between patients and controls, but at 2 years after surgery, 75% of patients vs 88% of controls (p < 0.01) had no registered sick leave. Long-term sick leave after surgery was predicted by use of sedatives (OR 0.60, 95% CI 0.38-0.94, p = 0.03), more preoperative sick leave (OR 0.91, 95% CI 0.89-0.93, p < 0.001), and new-onset neurological deficits after surgery (OR 0.42, 95% CI 0.24-0.76, p = 0.004). CONCLUSION This nationwide study shows no significant differences in the use of antidepressants and sedatives between patients and controls, while the rate of postoperative sick leave was higher in patients than in controls after VS surgery. Our findings underpin the importance of avoiding surgical sequelae and facilitating return to normal professional life.
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9
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Hoaki Y, Terao T. Frequency of Participation in a Return-to-Work Program Predicts Successful Work Restoration but Not Maintenance. Front Psychiatry 2021; 12:620520. [PMID: 34054592 PMCID: PMC8160237 DOI: 10.3389/fpsyt.2021.620520] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Accepted: 04/20/2021] [Indexed: 11/13/2022] Open
Abstract
Several predictors for work restoration and maintenance of restoration have been examined among employees with mood and/or anxiety disorders, but whether frequency of participation in a return-to-work (RTW) program can predict successful work restoration and maintenance remains unclear. In the present study, we attempted to investigate the hypothesis that the frequency of RTW program participation can predict successful work restoration and maintenance. Among seventy-seven patients attending an RTW program, the frequency of participation was positively associated with work restoration but not with maintenance. The result was in partial agreement (restoration) and partial disagreement (maintenance of restoration) with our hypothesis. Thus, the present study suggests that the frequency of participation in an RTW program can predict successful work restoration but not maintenance.
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Affiliation(s)
- Yuriko Hoaki
- Department of Psychiatry, Oita Okanoue Hospital, Oita, Japan
| | - Takeshi Terao
- Department of Neuropsychiatry, Oita University Faculty of Medicine, Oita, Japan
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10
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Katagiri T, Takaesu Y, Kurihara M, Oe Y, Ishii M, Onoda N, Hayasaka T, Kanda Y, Imamura Y, Watanabe K. Improving Employment Through Interpersonal Psychotherapy: A Case Series of Patients With Treatment-Refractory Depression. Front Psychiatry 2021; 12:617305. [PMID: 33967847 PMCID: PMC8102742 DOI: 10.3389/fpsyt.2021.617305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 03/23/2021] [Indexed: 11/13/2022] Open
Abstract
Patients with treatment-refractory depression (TRD) have significantly great losses in work productivity and employment. Interpersonal psychotherapy (IPT) is considered an approach for the treatment of TRD. However, the effectiveness of IPT in patients with TRD remains unclear. In this study, we report cases of TRD patients who underwent IPT after a detailed evaluation, along with their employment status. Of 112 patients who experienced 1-week examination administration for TRD at Kyorin University Hospital, which aimed to determine appropriate diagnosis and treatment approaches for each patient, four patients who met the criteria for major depressive disorder according to DSM-IV-TR and were determined suitable for IPT were included in this report. Two patients had moderate, one had mild, and one had remission levels of depressive symptoms according to the Montgomery-Asberg Depression Rating Scale at the time of admission. All four patients completed the scheduled sessions of IPT (6-16 sessions) in the outpatient clinic and achieved remission. All four patients attained full-time employment within 6 months after receiving IPT. This study suggests that the appropriate selection of IPT might be effective for TRD patients, possibly leading to positive outcomes, including work productivity and employment status.
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Affiliation(s)
- Takeshi Katagiri
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
| | - Yoshikazu Takaesu
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
| | - Mariko Kurihara
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
| | - Yuki Oe
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
| | - Miho Ishii
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
| | - Naoko Onoda
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
| | - Tomonari Hayasaka
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Occupational Therapy, Faculty of Health Sciences, Kyorin University, Tokyo, Japan
| | - Yuta Kanda
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
| | - Yayoi Imamura
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
| | - Koichiro Watanabe
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan
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11
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Han H, Hou Y, Yao S, Hu S, Zhou Q, Yu X, McIntyre RS, Shi C. The Relationship Between Cognitive Dysfunction Through THINC-Integrated Tool (THINC-it) and Psychosocial Function in Chinese Patients With Major Depressive Disorder. Front Psychiatry 2021; 12:763603. [PMID: 34887790 PMCID: PMC8650222 DOI: 10.3389/fpsyt.2021.763603] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 10/18/2021] [Indexed: 12/05/2022] Open
Abstract
Background: Herein, we validate the psychometric properties of the Chinese version of the THINC-integrated tool (THINC-it) as a screening tool for cognitive deficits in patients with major depressive disorder. The primary aim of this study is to determine whether cognitive deficits as detected by the THINC-it tool in adults with major depressive disorder (MDD) are associated with workplace productivity and/or psychosocial function. Methods: Subjects aged 18-65 (n = 91) with MDD were evaluated and compared to age-, sex- and education- matched healthy controls (n = 95). Symptoms of cognitive dysfunction, workplace productivity, and psychosocial function were measured using the THINC-it tool, Hamilton Depression Scale (HAMD), Sheehan Disability Scale (SDS), The Work Productivity and Activity Impairment questionnaire- Specific Health Problem (WPAI-SHP). Results: There were significant differences in THINC-it scores (p < 0.01), the average of HAMD total score (p < 0.01) and all aspects of SDS (p < 0.01) between two groups. There were significant differences in the four aspects of WPAI between the two groups in the employed status (p <0.01). THINC-it subjective cognition and SDS total score, SDS work/school, SDS social, SDS family showed significantly correlation (r ranging from 0.255 to 0.386, p <0.01). SDS and THINC-it Objective cognition, THINC-it comprehensive cognition were no correlation between two groups. HAMD total score and SDS total score, SDS social, SDS family showed significantly correlation (r ranging.
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Affiliation(s)
- Han Han
- Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China.,Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China.,National Health Commission (NHC) Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Health Disorders (Peking University Sixth Hospital), Beijing, China
| | - Yanyan Hou
- Qingdao Mental Health Center, Qingdao University, Shandong, China
| | - Shuqiao Yao
- Medical Psychological Center, The Second Xiangya Hospital Central South University, Changsha, China
| | - Shaohua Hu
- Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.,The Key Laboratory of Mental Disorder's Management of Zhejiang Province, Hangzhou, China
| | - Qi Zhou
- Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China.,National Health Commission (NHC) Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Health Disorders (Peking University Sixth Hospital), Beijing, China
| | - Xin Yu
- Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China.,National Health Commission (NHC) Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Health Disorders (Peking University Sixth Hospital), Beijing, China
| | - Roger S McIntyre
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada.,Mood Disorders Psychopharmacology Unit, Brain and Cognition Discovery Foundation (BCDF), Toronto, ON, Canada.,Depression and Bipolar Support Alliance (DBSA), Chicago, IL, United States.,Academician workstation of Mood and Brain Sciences, Guangzhou Medical University, Guangzhou, China.,College of Medicine, Korea University, Seoul, South Korea.,Department of Psychiatry and Neuroscience, School of Medicine, University of California, Riverside, Riverside, CA, United States
| | - Chuan Shi
- Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China.,National Health Commission (NHC) Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Health Disorders (Peking University Sixth Hospital), Beijing, China
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12
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Wisenthal A. Case Report: Cognitive Work Hardening for Return-to-Work Following Depression. Front Psychiatry 2021; 12:608496. [PMID: 33912080 PMCID: PMC8072015 DOI: 10.3389/fpsyt.2021.608496] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 02/26/2021] [Indexed: 11/13/2022] Open
Abstract
The growing number of mental health disability claims and related work absences are associated with a magnitude of human, economic and social costs with profound impact on the workplace. In particular, absences due to depression are prevalent and escalating. There is a need for treatment interventions that address the unique challenges of people returning to work following an episode of depression. Occupational functioning often lags depression symptom improvement which necessitates targeted treatment. Cognitive work hardening (CWH) is a multi-element, work-oriented intervention with empirical research supporting its role in return-to-work following a depressive episode. This case report details the use of CWH to prepare an individual to return to work following a disability leave due to depression. It illustrates how CWH bridges the functional gap between being home on disability and returning to competitive employment. The client presented is a 50 year old divorced woman who had been off work for approximately 2 years for depression precipitated by the terminal illness of her mother. She participated in a 4 week CWH program which addressed fatigue and decreased stamina, reduced cognitive abilities, outdated computer skills, and heightened anxiety. Work simulations enabled the rebuilding of cognitive abilities with concomitant work stamina; task mastery bolstered self-confidence and feelings of self-efficacy; and coping skill development addressed the need for stress management and assertive communication strategies. By program completion, the client's self-reported work ability had increased and both fatigue and depression symptom severity had decreased. Clinical markers of work performance indicated that the client was ready to return to her pre-disability job. Three months after completion of CWH, the client reported that she was at work, doing well and working full days with good stamina and concentration. This report provides insight into how CWH can be applied to return-to-work preparation following depression with positive outcomes.
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Hayasaka T, Takaesu Y, Nagashima I, Futada M, Nozaki K, Katagiri T, Imamura Y, Kurihara M, Oe Y, Tsuboi T, Watanabe K. Factors Associated With Time to Achieve Employment Through Occupational Support Programs in Patients With Mood Disorders: 1 Year Naturalistic Study. Front Psychiatry 2021; 12:617640. [PMID: 33796030 PMCID: PMC8007791 DOI: 10.3389/fpsyt.2021.617640] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 02/19/2021] [Indexed: 12/28/2022] Open
Abstract
Objective: Mood disorders cause significant work performance disability in sufferers and often lead to adverse employment outcomes in working individuals. The aim of this study was to explore factors associated with time to achieve employment through the occupational support program (OSP) for patients with mood disorders. Methods: The participants were patients admitted to the Kyorin university hospital from April 2016 to April 2019. Patients who met the criteria for major depressive disorder and depressive episode of bipolar I or II disorder according to DSM-5 and participated in the occupational therapy-based OSP for at least three sessions (one course) were included in this study. We collected demographic and clinical variables at the baseline of this study through medical records and OSP records; the variables included age, gender, diagnosis, scores of Quick Inventory of Depressive Symptomatology and Global Assessment of Functioning, the number of times of participation in the OSP, word count of the transcription task in the OSP, typographical deficiency, fatigue status and mood status after the OSP. The primary outcome was set as the time to achieve the employment within 1 year after the discharge. Results: Of the 211 patients who participated in the OSP during the survey period, 49 participants met the criteria in this study. The results showed that 14 patients achieved and the other 35 patients did not achieve the employment within 1 year of discharge from the hospital. A multivariate cox regression analysis revealed that the word count of the transcription task in the OSP (HR = 1.03, 95% CI = 1.01-1.05, p = 0.016) and mood status after the OSP (HR = 2.77, 95% CI = 1.18-6.51, p = 0.019) were significantly associated with time to achieve the employment. Conclusion: In conclusion, this study suggested that work speed and mood response in the OSP could be significant predictors for achieving employment in patients with mood disorders.
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Affiliation(s)
- Tomonari Hayasaka
- Department of Occupational Therapy, Faculty of Health Sciences, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Yoshikazu Takaesu
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Graduate School of Medicine, University of Ryukyus, Okinawa, Japan
| | - Izumi Nagashima
- Department of Occupational Therapy, Faculty of Health Sciences, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Miku Futada
- Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Kazuhiro Nozaki
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Takeshi Katagiri
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Yayoi Imamura
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Mariko Kurihara
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Yuki Oe
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Takashi Tsuboi
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
| | - Koichiro Watanabe
- Department of Neuropsychiatry, School of Medicine, Kyorin University, Tokyo, Japan.,Department of Neuropsychiatry, Kyorin University Hospital, Tokyo, Japan
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Atake K, Hori H, Katsuki A, Yoshimura R. Predictors of return to work success among Japanese employees with major depressive disorder. Psychiatry Res 2020; 291:113209. [PMID: 32544709 DOI: 10.1016/j.psychres.2020.113209] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Revised: 06/02/2020] [Accepted: 06/05/2020] [Indexed: 11/24/2022]
Affiliation(s)
- Kiyokazu Atake
- Department of Psychiatry, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 8078555, Japan
| | - Hikaru Hori
- Department of Psychiatry, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 8078555, Japan.
| | - Asuka Katsuki
- Department of Psychiatry, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 8078555, Japan
| | - Reiji Yoshimura
- Department of Psychiatry, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 8078555, Japan
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15
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Amiri S, Behnezhad S. Sleep disturbances and risk of sick leave: systematic review and meta-analysis. Sleep Biol Rhythms 2020. [DOI: 10.1007/s41105-020-00270-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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