scholarly journals Predicting the Effectiveness of Work-Focused CBT for Common Mental Disorders: The Influence of Baseline Self-Efficacy, Depression and Anxiety

2018 ◽  
Vol 29 (1) ◽  
pp. 31-41 ◽  
Author(s):  
Veerle Brenninkmeijer ◽  
Suzanne E. Lagerveld ◽  
Roland W. B. Blonk ◽  
Wilmar B. Schaufeli ◽  
Leoniek D. N. V. Wijngaards-de Meij
Author(s):  
Marta Estrela ◽  
Maria Teresa Herdeiro ◽  
Pedro Lopes Ferreira ◽  
Fátima Roque

(1) Background: Mental disorders are a growing concern in the 21st century. The most prevalent common mental disorders include depression and anxiety. It is predicted that half of the population will at some point in their lives experience one or more mental disorders. Although common mental disorders are highly prevalent, some of the most significant related problems are the wide treatment gap and the excessive use of antidepressants, anxiolytics and sedatives/hypnotics, especially among older patients. (2) Methods: This study aimed to analyze mental health care in Portugal, with a focus on the consumption of antidepressants, anxiolytics, sedatives and hypnotics among older patients. (3) Results: The use of antidepressants, anxiolytics, sedatives and hypnotics has increased overall across Europe. In Portugal, a downward trend of sedatives and hypnotics consumption can be observed. Anxiolytics and antidepressants, on the other hand, have been increasing. Patients aged ≥60 years old consume more than half of the aforementioned drugs. (4) Conclusions: Mental health policies should be designed to improve the conscientious use of antidepressants, anxiolytics, sedatives and hypnotics, particularly among older adults.


2020 ◽  
pp. 1-9
Author(s):  
Qiao Wang ◽  
Mbatshi Dima ◽  
Ari Ho-Foster ◽  
Keneilwe Molebatsi ◽  
Chawangwa Modongo ◽  
...  

Abstract Objective: To determine the association between food insecurity and HIV infection with depression and anxiety among new tuberculosis (TB) patients. Design: Our cross-sectional study assessed depression, anxiety and food insecurity with Patient Health Questionnaire (PHQ-9), Zung Anxiety Self-Assessment Scale (ZUNG) and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ-9 ≥ 10) and anxiety (ZUNG ≥ 36). Setting: Gaborone, Botswana. Participants: Patients who were newly diagnosed with TB. Results: Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55·0 %) were HIV positive, 47 (26·1 %), 85 (47·2 %) and 69 (38·5 %) indicated depression, anxiety and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio (aPR) = 2·30; 95 % CI 1·40, 3·78) and anxiety (aPR = 1·41; 95 % CI 1·05, 1·91). Prevalence of depression and anxiety was similar between HIV-infected and HIV-uninfected participants. Estimates remained comparable when restricted to HIV-infected participants. Conclusions: Mental disorders may be affected by food insecurity among new TB patients, regardless of HIV status.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I W H van de Voort ◽  
A De Rijk ◽  
G Hensing ◽  
M Bertilsson

Abstract Background Managers may prevent Common Mental Disorders (CMDs) among their subordinates due to their authority to influence the work environment. Yet, their perspective has received only limited attention in research. This study aims to increase managers’ capacity to contribute to the prevention of CMDs by exploring the determinants of two managerial preventive actions: ’reviewing assignments and the work situation’ (MPA-review) and ’taking initiative to talk about depression and anxiety at work’ (MPA-talk). Methods An online survey was sent to 4,737 Swedish managers, aged 20-65 years (71% participated, n = 3,358) in 2017, of which 2,921 were included as they answered the MPA-items. Ten possible determinants of MPAs, comprising person-, work-, and competence-related characteristics of managers were related to performing MPAs (yes or no). Bivariate and multivariate binary logistic regression was performed to test associations (OR with 95% CI) between each determinant and MPAs. We have adjusted for experience-related characteristics of managers and company size. Results 50% of managers initiated MPA-review and 57% MPA-talk. Managers had a higher odds to initiate respectively MPA-review and MPA-talk when being female (OR 1.42, 95% CI 1.17-1.73; OR 1.33, 95% CI 1.08-1.64), working in organizations offering lectures on CMDs (OR 1.36, 95% CI 1.01-1.83; OR 1.84, 95% CI 1.30-2.60) or stress counselling (OR 1.79, 95% 1.46-2.20; OR 1.53, 95% CI 1.22-1.91), having responsibility for the work environment (OR 1.42, 95% CI 1.15-1.74; OR 1.44, 95% CI 1.16-1.79), or having had received training on CMDs (OR 1.56, 95% CI 1.27-1.93; OR 1.61, 95% CI 1.28-2.03). Conclusions Managers report taking more actions to prevent CMDs in their workforce when they are female, have received training on CMDs or work in organisations where CMD preventive measures have been implemented. Key messages Organizations could invest in company-wide preventive measures and training to enable MPAs. Managerial education should include information on CMDs in order to improve managers’ preventive capacity.


Author(s):  
Andrea Gragnano ◽  
Patrizia Villotti ◽  
Christian Larivière ◽  
Alessia Negrini ◽  
Marc Corbière

AbstractPurpose Individual psychosocial factors are crucial in the return to work (RTW) process of workers with musculoskeletal disorders (MSDs) and common mental disorders (CMDs). However, the quality and validity of the questionnaires used to measure these factors have rarely been investigated. The present systematic search and literature review aims at identifying, categorizing, and evaluating the questionnaires (measurement tools) used to measure individual psychosocial factors related to the perception of the personal condition and motivation to RTW that are predictive of successful RTW among workers with MSDs or CMDs. Methods Through a systematic search on PubMed, Web of Science, and PsycINFO library databases and grey literature, we identified the individual psychosocial factors predictive of successful RTW among these workers. Then, we retrieved the questionnaires used to measure these factors. Finally, we searched for articles validating these questionnaires to describe them exhaustively from a psychometric and practical point of view. Results: The review included 76 studies from an initial pool of 2263 articles. Three common significant predictors of RTW after MSDs and CMDs emerged (i.e., RTW expectations, RTW self-efficacy, and work ability), two significant predictors of RTW after MSDs only (i.e., work involvement and the self-perceived connection between health and job), and two significant predictors of RTW after CMDs only (i.e., optimism and pessimism). We analyzed 30 questionnaires, including eight multiple-item scales and 22 single-item measures. Based on their psychometric and practical properties, we evaluated one of the eight multiple-item scales as questionable and five as excellent. Conclusions: With some exceptions (i.e., self-efficacy), the tools used to measure individual psychosocial factors show moderate to considerable room for improvement.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Karlijn M. van Beurden ◽  
Jac J. L. van der Klink ◽  
Evelien P. M. Brouwers ◽  
Margot C. W. Joosen ◽  
Jolanda J. P. Mathijssen ◽  
...  

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
K. Bokenberger ◽  
S. Rahman ◽  
M. Wang ◽  
M. Vaez ◽  
T. E. Dorner ◽  
...  

Abstract This study investigated the extent to which work disability patterns including sickness absence and disability pension (SA/DP) before and after acute myocardial infarction (AMI) were associated with subsequent common mental disorders (CMDs) such as depression and anxiety in AMI patients without previous CMD. Total 11,493 patients 26–64 years with incident AMI during 2008–10 were followed up for CMD (measured as antidepressant prescription) through 2013. Four SA/DP trajectory groups during the 3-years pre-AMI and 1-year post-AMI were identified. Hazard ratios (HRs) with 95% confidence intervals for subsequent CMD were estimated in Cox models. Higher pre-AMI SA/DP annual levels (>1–12 months/year) were associated with 40–60% increased CMD rate than the majority (78%) with low increasing levels (increasing up to 1 month/year). Regarding post-AMI findings, constant high (~25–30 days/month) SA/DP levels within the first 3 months was associated with a 76% higher CMD rate, compared to constant low (0 days/month). A gradually decreasing post-AMI SA/DP pattern over a 12-month period suggested protective influences for CMD (HR = 0.80). This is the first study to demonstrate that pre- and post-AMI work disability patterns are associated with subsequent CMD risk in AMI patients. Work disability patterns should be considered as an indicator of AMI prognosis in terms of CMD risk.


2012 ◽  
Vol 34 (2) ◽  
pp. 93-100 ◽  
Author(s):  
Márcia Ebling ◽  
Mary Sandra Carlotto

OBJECTIVE: To identify the prevalence of burnout syndrome (BS) dimensions and their relationship with sociodemographic data, working variables, psychosocial variables, job satisfaction, hardiness, self-efficacy, and common mental disorders among health professionals of a public hospital. METHOD: This cross-sectional study assessed 234 health professionals working at a public hospital in southern Brazil. Participants answered the Maslach Burnout Inventory, the Job Satisfaction Questionnaire, the Hardiness Scale, The General Self-Efficacy Scale, the Self-Reporting Questionnaire, and a questionnaire specifically designed for the present study to assess sociodemographic and variables related to work. Data were analyzed using descriptive and inferential statistics. RESULTS: An association was identified between the three dimensions of BS and sociodemographic data, variables related to work, psychosocial variables, hardy personality traits, and common mental disorders. CONCLUSION: The study allowed to define a risk profile for BS, namely male, young, undergraduate workers, with a low income, who see a large number of patients per day, physicians, government employees, absence of commitment, control and challenge (hardy personality traits), low self-efficacy, job dissatisfaction, presence of common mental disorders, and intention to change career, institution, or position at current institution.


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