Effectiveness of psychotherapeutic consultation in the workplace: a controlled observational trial
Abstract Background This study compares the effectiveness of psychotherapeutic consultation in the workplace (PSIW) with psychotherapeutic outpatient care (PSOC) in Germany. Methods Work ability (WAI), quality of life (SF-12), clinical symptoms (PHQ) and work-related stress (MBI, IS) were assessed i...
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| Format: | Article |
| Language: | English |
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BMC
2016-08-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-016-3567-y |
| _version_ | 1811322349544275968 |
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| author | Eva Rothermund Harald Gündel Edit Rottler Michael Hölzer Dorothea Mayer Monika Rieger Reinhold Kilian |
| author_facet | Eva Rothermund Harald Gündel Edit Rottler Michael Hölzer Dorothea Mayer Monika Rieger Reinhold Kilian |
| author_sort | Eva Rothermund |
| collection | DOAJ |
| description | Abstract Background This study compares the effectiveness of psychotherapeutic consultation in the workplace (PSIW) with psychotherapeutic outpatient care (PSOC) in Germany. Methods Work ability (WAI), quality of life (SF-12), clinical symptoms (PHQ) and work-related stress (MBI, IS) were assessed in 367 patients seeking mental health care via two routes (PSIW n = 174; PSOC n = 193) before consultation and 12 weeks later. Changes in outcome variables were assessed using covariance analysis with repeated measures (ANCOVA) with sociodemographic variables (propensity score method), therapy dose, setting and symptom severity as covariates. Results The PSIW and PSOC groups included 122 and 66 men respectively. There were 102 first-time users of mental healthcare in the PSIW group and 83 in the PSOC group. There were group differences in outcome variables at baseline (p < 0.05); PSIW patients were less impaired overall. There were no group difference in sociodemographic variables, number of sessions within the offer or symptom severity. There was no main effect of group on outcome variables and no group*time interaction. Work-related stress indicators did not change during the intervention, but work ability improved in both groups (F = 10.149, p = 0.002; baseline M = 27.2, SD = 8.85); follow-up M = 28.6, SD = 9.02), as did perceived mental health (SF-12 MCS), depression (PHQ-9) and anxiety (PHQ-7). Effect sizes were between η2 = 0.028 and η2 = 0.040. Conclusions Psychotherapeutic consultation is similarly effective in improving patients’ functional and clinical status whether delivered in the workplace or in an outpatient clinic. Offering mental health services in the workplace makes it easier to reach patients at an earlier stage in their illness and thus enables provision of early and effective mental health care. Trial registration DRKS00003184 , retrospectively registered 13 January 2012. |
| first_indexed | 2024-04-13T13:33:45Z |
| format | Article |
| id | doaj.art-5f34ee8a53e042018b6d4a505f8998d7 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-13T13:33:45Z |
| publishDate | 2016-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-5f34ee8a53e042018b6d4a505f8998d72022-12-22T02:44:50ZengBMCBMC Public Health1471-24582016-08-0116111210.1186/s12889-016-3567-yEffectiveness of psychotherapeutic consultation in the workplace: a controlled observational trialEva Rothermund0Harald Gündel1Edit Rottler2Michael Hölzer3Dorothea Mayer4Monika Rieger5Reinhold Kilian6Department of Psychosomatic Medicine and Psychotherapy, University Hospital UlmDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital UlmDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital UlmZfP SuedwuerttembergHealth and Safety Sindelfingen, Daimler AGInstitute for Occupational and Social Medicine and Health Services Research, University Clinic Tuebingen, Competence Centre Health Services Research, Medical Faculty TuebingenDepartment of Psychiatry II, University Hospital UlmAbstract Background This study compares the effectiveness of psychotherapeutic consultation in the workplace (PSIW) with psychotherapeutic outpatient care (PSOC) in Germany. Methods Work ability (WAI), quality of life (SF-12), clinical symptoms (PHQ) and work-related stress (MBI, IS) were assessed in 367 patients seeking mental health care via two routes (PSIW n = 174; PSOC n = 193) before consultation and 12 weeks later. Changes in outcome variables were assessed using covariance analysis with repeated measures (ANCOVA) with sociodemographic variables (propensity score method), therapy dose, setting and symptom severity as covariates. Results The PSIW and PSOC groups included 122 and 66 men respectively. There were 102 first-time users of mental healthcare in the PSIW group and 83 in the PSOC group. There were group differences in outcome variables at baseline (p < 0.05); PSIW patients were less impaired overall. There were no group difference in sociodemographic variables, number of sessions within the offer or symptom severity. There was no main effect of group on outcome variables and no group*time interaction. Work-related stress indicators did not change during the intervention, but work ability improved in both groups (F = 10.149, p = 0.002; baseline M = 27.2, SD = 8.85); follow-up M = 28.6, SD = 9.02), as did perceived mental health (SF-12 MCS), depression (PHQ-9) and anxiety (PHQ-7). Effect sizes were between η2 = 0.028 and η2 = 0.040. Conclusions Psychotherapeutic consultation is similarly effective in improving patients’ functional and clinical status whether delivered in the workplace or in an outpatient clinic. Offering mental health services in the workplace makes it easier to reach patients at an earlier stage in their illness and thus enables provision of early and effective mental health care. Trial registration DRKS00003184 , retrospectively registered 13 January 2012.http://link.springer.com/article/10.1186/s12889-016-3567-yCommon mental disorderWorkplace based interventionPsychotherapyMental healthOccupational psychiatryHealth services research |
| spellingShingle | Eva Rothermund Harald Gündel Edit Rottler Michael Hölzer Dorothea Mayer Monika Rieger Reinhold Kilian Effectiveness of psychotherapeutic consultation in the workplace: a controlled observational trial BMC Public Health Common mental disorder Workplace based intervention Psychotherapy Mental health Occupational psychiatry Health services research |
| title | Effectiveness of psychotherapeutic consultation in the workplace: a controlled observational trial |
| title_full | Effectiveness of psychotherapeutic consultation in the workplace: a controlled observational trial |
| title_fullStr | Effectiveness of psychotherapeutic consultation in the workplace: a controlled observational trial |
| title_full_unstemmed | Effectiveness of psychotherapeutic consultation in the workplace: a controlled observational trial |
| title_short | Effectiveness of psychotherapeutic consultation in the workplace: a controlled observational trial |
| title_sort | effectiveness of psychotherapeutic consultation in the workplace a controlled observational trial |
| topic | Common mental disorder Workplace based intervention Psychotherapy Mental health Occupational psychiatry Health services research |
| url | http://link.springer.com/article/10.1186/s12889-016-3567-y |
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