Behavioral activation therapy for return to work in medication-responsive chronic depression with persistent psychosocial dysfunction
Autor: | Greg Erickson, Donna O’Shea, Kallio Hunnicutt-Ferguson, Yuanjia Wang, Amy Withers, Ying Chen, David J. Hellerstein, Sarah K. Reynolds, Patrick J. McGrath, Jonathan W. Stewart |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent lcsh:RC435-571 Pilot Projects Efficiency Neuropsychological Tests Return to work law.invention Young Adult Return to Work Pharmacotherapy Occupational Therapy Randomized controlled trial Behavior Therapy law Internal medicine lcsh:Psychiatry medicine Humans Psychiatry Depression (differential diagnoses) Aged Psychiatric Status Rating Scales Depressive Disorder Major Dysthymic Disorder Social Behavior Disorders Middle Aged Behavioral activation Antidepressive Agents Diagnostic and Statistical Manual of Mental Disorders Clinical trial Psychiatry and Mental health Clinical Psychology Treatment Outcome Chronic Disease Income Female Psychology Psychosocial |
Zdroj: | Comprehensive Psychiatry, Vol 57, Iss, Pp 140-147 (2015) |
Popis: | Objective: Chronic depression is associated with significant impairment in work functioning, relationships, and health. Such impairment often persists following medication-induced remission of depressive symptoms. We adapted and tested Behavioral Activation therapy with a goal of return to work (BA-W) in subjects with chronic depression who had responded to medication treatment but remained unemployed. Method: Sixteen adults aged 18–65 with DSM-IV diagnosed Dysthymic Disorder or chronic Major Depression were recruited from clinical trials taking place at the New York State Psychiatric Institute between 4/2009 and 12/2012 and enrolled in 12 weeks of individual manual-driven BA-W. Functioning was measured at intake, post-treatment and at 24 week follow-up. Results: Eighty-seven percent (n = 14) of subjects completed the full 12 weeks of BA-W. Hours of work related activity (p |
Databáze: | OpenAIRE |
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