Functional status and return to work in people with major depression: a 3-year national follow-up study

Hong, Ji Hong; Lee, Chih-Hong; Lee, Yu-Hao; Escorpizo, Reuben; Chiang, Yu-Chen; Liou, Tsan Hon

doi:10.1007/s00127-022-02240-y

Cited by 3 publications

(2 citation statements)

References 56 publications

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“…Work/social impairment also significantly decreased, albeit with moderate effect size changes. Consistent with existing evidence, 40 larger changes were seen in the symptom areas themselves than in the impairment from those symptoms, although the latter still improved significantly. Improvements in depression and anxiety symptoms replicate prior work on HCW treatment during COVID-19, 18–23,41 with a larger and Canadian sample.…”

Section: Discussionsupporting

confidence: 86%

A Rapid Access Brief Psychotherapy Intervention to Respond to Healthcare Workers in Ontario Whose Mental Health was Negatively Impacted During the COVID-19 Pandemic: Une brève intervention de psychothérapie à accès rapide pour répondre aux travailleurs de la santé de l'Ontario dont la santé mentale a été affectée négativement pendant la pandémie de COVID-19

et al. 2023

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Objective Although the coronavirus disease 2019 (COVID-19) pandemic has had widespread negative impacts on the mental health of healthcare workers (HCWs), there has been little research on psychological interventions during the pandemic for this population. The current study examines whether a brief coping-focused treatment intervention delivered in a virtual individual format would be associated with positive changes in Canadian HCWs’ mental health during the pandemic. Method Three hundred and thirty-three HCWs receiving the intervention at 3 large specialty tertiary care hospitals in Ontario, Canada, completed measures of anxiety, depression, perceived stress, work/social impairment, insomnia and fear of COVID-19. After completing treatment, HCWs rated their satisfaction with the treatment. Results The intervention was associated with large effect size improvements in anxiety, depression, perceived stress, insomnia and fear of COVID-19, and moderate effect size improvements in work/social impairment. At treatment session 1, prior mental health diagnosis and treatment were both significantly correlated with depression, anxiety, and work/social impairment scores. Secondary analyses of data from one of the sites revealed that treatment-related changes in anxiety, depression, perceived stress and work/social impairment were independent of age, gender, occupational setting, profession and the presence of a previous mental health diagnosis or treatment, with the exception that nurses improved at a slightly greater rate than other professions in terms of work/social impairment. HCWs were highly satisfied with the treatment. Conclusions A large number of HCWs experiencing significant distress at baseline self-referred for assistance. Timely and flexible access to a brief virtual coping-focused intervention was associated with improvements in symptoms and impairment, and treatment response was largely unrelated to demographic or professional characteristics. Short-term psychological interventions for HCWs during a pandemic may have a highly positive impact given their association with improvement in various aspects of HCWs’ mental health improvement.

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Section: Discussionsupporting

confidence: 86%

A Rapid Access Brief Psychotherapy Intervention to Respond to Healthcare Workers in Ontario Whose Mental Health was Negatively Impacted During the COVID-19 Pandemic: Une brève intervention de psychothérapie à accès rapide pour répondre aux travailleurs de la santé de l'Ontario dont la santé mentale a été affectée négativement pendant la pandémie de COVID-19

et al. 2023

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“…Whereas MDD and other mental disorders can lead to temporary or permanent loss of employment, unemployment can lead to further deterioration in mental health and reduced chances of gaining employment ( 23 , 24 ). Long term work absence and disability are associated with a range of poor health outcomes including increased mortality rates ( 25 , 26 ), especially from cardiovascular disease and suicide ( 9 , 10 , 25 , 26 ), increased rates of pain, obesity, chronic illnesses, disability, and healthcare utilization and cost, and decreased quality of life have also been reported ( 25 – 27 ).…”

Section: Burden and Unmet Needs Around Mental Health In The Workplacementioning

confidence: 99%

Practical pathway for the management of depression in the workplace: a Canadian perspective

Chokka,

Bender,

Brennan

et al. 2023

Front. Psychiatry

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Major depressive disorder (MDD) and other mental health issues pose a substantial burden on the workforce. Approximately half a million Canadians will not be at work in any week because of a mental health disorder, and more than twice that number will work at a reduced level of productivity (presenteeism). Although it is important to determine whether work plays a role in a mental health condition, at initial presentation, patients should be diagnosed and treated per appropriate clinical guidelines. However, it is also important for patient care to determine the various causes or triggers including work-related factors. Clearly identifying the stressors associated with the mental health disorder can help clinicians to assess functional limitations, develop an appropriate care plan, and interact more effectively with worker’s compensation and disability programs, as well as employers. There is currently no widely accepted tool to definitively identify MDD as work-related, but the presence of certain patient and work characteristics may help. This paper seeks to review the evidence specific to depression in the workplace, and provide practical tips to help clinicians to identify and treat work-related MDD, as well as navigate disability issues.

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Designing a Model of Career Issues and Vocational Rehabilitation Program for People Living With Bipolar Disorde

rostami,

Abedi,

nilforooshan

2024

ioh

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Functional status and return to work in people with major depression: a 3-year national follow-up study

Cited by 3 publications

References 56 publications

Practical pathway for the management of depression in the workplace: a Canadian perspective

Designing a Model of Career Issues and Vocational Rehabilitation Program for People Living With Bipolar Disorde

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