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Sangestani M, Mohammadi Y, Hamidi Y, Babamiri M. Investigating and comparing disabilities caused by substance abuse using Disability Assessment Schedule 2.0 (WHODAS 2.0). JOURNAL OF SUBSTANCE USE 2022. [DOI: 10.1080/14659891.2022.2120427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Mahta Sangestani
- MPH, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Younes Mohammadi
- Social Determinants of Health Research Center and Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Yadollah Hamidi
- Social Determinants of Health Research Center and Department of Management, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohammad Babamiri
- Social Determinants of Health Research Center and Department of Ergonomics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
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Hien DA, López-Castro T, Fitzpatrick S, Ruglass LM, Fertuck EA, Melara R. A unifying translational framework to advance treatment research for comorbid PTSD and substance use disorders. Neurosci Biobehav Rev 2021; 127:779-794. [PMID: 34062208 DOI: 10.1016/j.neubiorev.2021.05.022] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 05/13/2021] [Accepted: 05/20/2021] [Indexed: 11/20/2022]
Abstract
We provide a unifying translational framework that can be used to synthesize extant lines of human laboratory research in four neurofunctional domains that underlie the co-occurrence of posttraumatic stress and substance use disorders (PTSD+SUD). We draw upon the Alcohol and Addiction Research Domain Criteria (AARDOC) to include executive functioning, negative emotionality, reward, and added social cognition from the National Institute of Mental Health (NIMH) Research Domain Criteria into our framework. We review research findings across each of the four domains, emphasizing human experimental studies in PTSD, SUD, and PTSD+SUD for each domain. We also discuss the implications of research findings for treatment development by considering new ways of conceptualizing risk factors and outcomes at the level of the individual patient, which will enhance treatment matching and advance innovations in intervention.
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Affiliation(s)
- Denise A Hien
- Center of Alcohol & Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers University-New Brunswick, Piscataway, New Jersey, United States.
| | - Teresa López-Castro
- Psychology Department, The City College of New York, New York, NY, United States
| | | | - Lesia M Ruglass
- Center of Alcohol & Substance Use Studies, Graduate School of Applied and Professional Psychology, Rutgers University-New Brunswick, Piscataway, New Jersey, United States; Psychology Department, The City College of New York, New York, NY, United States
| | - Eric A Fertuck
- Psychology Department, The City College of New York, New York, NY, United States
| | - Robert Melara
- Psychology Department, The City College of New York, New York, NY, United States
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Wilson S, Malone SM, Venables NC, McGue M, Iacono WG. Multimodal indicators of risk for and consequences of substance use disorders: Executive functions and trait disconstraint assessed from preadolescence into early adulthood. Int J Psychophysiol 2021; 163:47-57. [PMID: 31866519 PMCID: PMC7302985 DOI: 10.1016/j.ijpsycho.2019.12.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 11/23/2019] [Accepted: 12/02/2019] [Indexed: 11/21/2022]
Abstract
Risk for substance use disorders (SUDs) is hypothesized to include behavioral disinhibition, a genetically mediated inability to inhibit or regulate behavior given task demands or motivational drives. In the present study, we examined developmental trajectories of multiple indicators of behavioral disinhibition assessed from preadolescence into early adulthood among individuals with versus without alcohol, tobacco, and cannabis use disorders. Participants were a population-based sample of 1512 male and female twins from the Minnesota Twin Family Study, prospectively assessed at ages 11, 14, 17, 20, and 24. Multimodal indicators of behavioral disinhibition included measures of executive function (visuospatial working memory accuracy, antisaccade task performance) and mother- and self-reported trait disconstraint. Multilevel modeling analyses that accounted for the repeated measures and nested nature of the twin family data were used to examine premorbid (age 11) indicators of executive function and trait disconstraint prior to the onset of any SUD symptoms, as well as changes from preadolescence into early adulthood (ages 11 to 24). Premorbid deviations evident at age 11 among individuals who subsequently developed SUDs included poorer performance on the visuospatial working memory test and higher levels of trait disconstraint. In addition, individuals with SUDs did not demonstrate developmentally normative improvements in inhibitory control (i.e., antisaccade performance did not improve) or in their levels of trait disconstraint. We conclude that these deviations in both neurocognitive and dispositional correlates of behavioral disinhibition precede onset of SUDs and may confer risk for their development, and in addition, problematic substance use may exacerbate preexisting deviations and interfere with normative developmental trajectories of executive function and trait disconstraint, with deleterious consequences for functioning.
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Affiliation(s)
- Sylia Wilson
- Institute of Child Development, University of Minnesota, United States of America.
| | - Stephen M Malone
- Department of Psychology, University of Minnesota, United States of America
| | - Noah C Venables
- Department of Psychology, University of Minnesota, United States of America
| | - Matt McGue
- Department of Psychology, University of Minnesota, United States of America
| | - William G Iacono
- Department of Psychology, University of Minnesota, United States of America
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4
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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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Dietch JR, Ruggero CJ, Schuler K, Taylor DJ, Luft BJ, Kotov R. Posttraumatic stress disorder symptoms and sleep in the daily lives of World Trade Center responders. J Occup Health Psychol 2019; 24:689-702. [PMID: 31204820 DOI: 10.1037/ocp0000158] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Sleep disturbances are common in posttraumatic stress disorder (PTSD) and can have major impacts on workplace performance and functioning. Although effects between PTSD and sleep broadly have been documented, little work has tested their day-to-day temporal relationship particularly in those exposed to occupational trauma. The present study examined daily, bidirectional associations between PTSD symptoms and self-reported sleep duration and quality in World Trade Center (WTC) responders oversampled for PTSD. WTC responders (N = 202; 19.3% with current PTSD diagnosis) were recruited from the Long Island site of the WTC health program. Participants were administered the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; SCID; First, Spitzer, Gibbon, & Williams, 1997) and completed daily assessments of PTSD symptoms, sleep duration and sleep quality for 7 days. PTSD symptoms on a given day were prospectively associated with shorter sleep duration (β = -.13) and worse sleep quality (β = -.18) later that night. Reverse effects were also significant but smaller, with reduced sleep duration (not quality) predicting increased PTSD the next day (β = -.04). Effects of PTSD on sleep duration and quality were driven by numbing symptoms, whereas effects of sleep duration on PTSD were largely based on intrusion symptoms. PTSD symptoms and sleep have bidirectional associations that occur on a daily basis, representing potential targets to disrupt maintenance of each. Improving PTSD numbing symptoms may improve sleep, and increasing sleep duration may improve intrusion symptoms in individuals with exposure to work-related traumatic events. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
| | | | | | | | | | - Roman Kotov
- Department of Psychiatry and Behavioral Sciences, Stony Brook University
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6
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Depressive Symptoms and Migrant Worker Wages: Estimation Based on a Nationally-Representative Panel Dataset. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16061009. [PMID: 30897747 PMCID: PMC6466155 DOI: 10.3390/ijerph16061009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 03/11/2019] [Accepted: 03/15/2019] [Indexed: 12/15/2022]
Abstract
In recent years, migrant workers, defined as people who move from Chinese rural areas to cities in other parts of the country to find work, have experienced slowed wage growth. An important question that has emerged is whether depressive symptoms have a significant relationship with migrant worker wages. This paper uses a nationally representative panel dataset to examine the overall association of depressive symptoms and migrant worker wages in China and explores the indirect mechanisms through which these impacts occur. Using the Coarsened Exact Matching method, our results show that depressive symptoms have a significant direct negative relationship with migrant worker wages, and that this relationship is consistent. Furthermore, we also find that depressive symptoms can reduce migrant worker wages indirectly by increasing the frequency of job conversion or by shortening work duration.
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MacLeod MA, Tremblay PF, Graham K, Bernards S, Rehm J, Wells S. Psychometric properties and a latent class analysis of the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) in a pooled dataset of community samples. Int J Methods Psychiatr Res 2016; 25:243-254. [PMID: 27634553 PMCID: PMC6860311 DOI: 10.1002/mpr.1523] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Revised: 06/27/2016] [Accepted: 07/29/2016] [Indexed: 11/05/2022] Open
Abstract
The 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a brief measurement tool used cross-culturally to capture the multi-dimensional nature of disablement through six domains, including: understanding and interacting with the world; moving and getting around; self-care; getting on with people; life activities; and participation in society. Previous psychometric research supports that the WHODAS 2.0 functions as a general factor of disablement. In a pooled dataset from community samples of adults (N = 447) we used confirmatory factor analysis to confirm a one-factor structure. Latent class analysis was used to identify subgroups of individuals based on their patterns of responses. We identified four distinct classes, or patterns of disablement: (1) pervasive disability; (2) physical disability; (3) emotional, cognitive, or interpersonal disability; (4) no/low disability. Convergent validity of the latent class subgroups was found with respect to socio-demographic characteristics, number of days affected by disabilities, stress, mental health, and substance use. These classes offer a simple and meaningful way to classify people with disabilities based on the 12-item WHODAS 2.0. Focusing on individuals with a high probability of being in the first three classes may help guide interventions.
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Affiliation(s)
- Melissa A. MacLeod
- Institute for Mental Health Policy ResearchCentre for Addiction and Mental HealthLondonOntarioCanada
- Region of Waterloo Public Health and Emergency ServicesWaterlooOntarioCanada
| | | | - Kathryn Graham
- Institute for Mental Health Policy ResearchCentre for Addiction and Mental HealthLondonOntarioCanada
- Department of PsychologyWestern UniversityLondonOntarioCanada
- Dalla Lana School of Public HealthUniversity of TorontoTorontoOntarioCanada
- National Drug Research InstituteCurtin UniversityPerthWestern AustraliaAustralia
- School of Psychology, Faculty of HealthDeakin UniversityVictoriaAustralia
| | - Sharon Bernards
- Institute for Mental Health Policy ResearchCentre for Addiction and Mental HealthLondonOntarioCanada
| | - Jürgen Rehm
- Dalla Lana School of Public HealthUniversity of TorontoTorontoOntarioCanada
- Institute for Mental Health Policy ResearchCentre for Addiction and Mental HealthTorontoOntarioCanada
- Faculty of MedicineUniversity of TorontoTorontoOntarioCanada
- PAHO/WHO Collaborating Centre for Mental Health & AddictionTorontoOntarioCanada
- Epidemiological Research UnitTechnische Universitat Dresden, Klinische Psychologie & PsychotherapieDresdenGermany
- Graduate Department of Community Health and Institute of Medical ScienceUniversity of TorontoTorontoCanada
| | - Samantha Wells
- Institute for Mental Health Policy ResearchCentre for Addiction and Mental HealthLondonOntarioCanada
- Dalla Lana School of Public HealthUniversity of TorontoTorontoOntarioCanada
- School of Psychology, Faculty of HealthDeakin UniversityVictoriaAustralia
- Department of Epidemiology and BiostatisticsWestern UniversityLondonOntarioCanada
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Loukine L, O'Donnell S, Goldner EM, McRae L, Allen H. Health status, activity limitations, work-related restrictions and level of disability among Canadians with mood and/or anxiety disorders. Health Promot Chronic Dis Prev Can 2016; 36:289-301. [PMID: 27977084 PMCID: PMC5387796 DOI: 10.24095/hpcdp.36.12.03] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
INTRODUCTION This study provides the first overview of the perceived general and mental health, activity limitations, work-related restrictions and level of disability, as well as factors associated with disability severity, among Canadian adults with mood and/or anxiety disorders, using a population-based household sample. METHODS We used data from the 2014 Survey on Living with Chronic Diseases in Canada- Mood and Anxiety Disorders Component. The sample consists of Canadians aged 18 years and older with self-reported mood and/or anxiety disorders from the 10 provinces (n = 3361; response rate 68.9%). We conducted descriptive and multinomial multivariate logistic regression analyses. RESULTS Among Canadian adults with mood and/or anxiety disorders, over one-quarter reported "fair/poor" general (25.3%) and mental (26.1%) health; more than one-third (36.4%) reported one or more activity limitations; half (50.3%) stated a job modification was required to continue working; and more than one-third (36.5%) had severe disability. Those with concurrent mood and anxiety disorders reported poorer outcomes: 56.4% had one or more activity limitations; 65.8% required a job modification and 49.6% were severely disabled. Upon adjusting for individual characteristics, those with mood and/or anxiety disorders who were older, who had a household income in the lowest or lower-middle adequacy quintile or who had concurrent disorders were more likely to have severe disability. CONCLUSION Findings from this study affirm that mood and/or anxiety disorders, especially concurrent disorders, are associated with negative physical and mental health outcomes. Results support the role of public health policy and programs aimed at improving the lives of people living with these disorders, in particular those with concurrent disorders.
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Affiliation(s)
- L Loukine
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - S O'Donnell
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - E M Goldner
- Centre for Applied Research in Mental Health and Addiction, Simon Fraser University, Vancouver, British Columbia, Canada
- Faculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada
| | - L McRae
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - H Allen
- Public Health Agency of Canada, Ottawa, Ontario, Canada
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Gambling Related Cognitive Distortions in Adolescence: Relationships with Gambling Problems in Typically Developing and Special Needs Students. J Gambl Stud 2014; 31:1417-29. [DOI: 10.1007/s10899-014-9480-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Burnett-Zeigler I, Ilgen MA, Bohnert K, Miller E, Islam K, Zivin K. The impact of psychiatric disorders on employment: results from a national survey (NESARC). Community Ment Health J 2013; 49:303-10. [PMID: 22451018 DOI: 10.1007/s10597-012-9510-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2011] [Accepted: 03/12/2012] [Indexed: 10/28/2022]
Abstract
In this study we examine the longitudinal effects of psychiatric and substance use disorders on employment, in an employed population. The sample included respondents to the National epidemiologic survey on alcohol related conditions (NESARC) who were employed at Wave 1 (N=22,407). Bivariate and multivariable analyses were conducted examining the associations between 12-month and new onset 12-month psychiatric diagnoses at Wave 1 and employment status at Wave 2. Past year and new onset 12-month depression, 12-month bipolar, new onset 12-month drug abuse, and 12-month and new onset 12-month drug dependence were associated with a decreased odds of being employed at Wave 2. This study suggests that it would be beneficial for employers to support their employees in participating in mental health treatment. Additionally, understanding how psychiatric disorders influence employment over the life course might inform the development of preemptive interventions to treat mental health symptoms.
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Affiliation(s)
- Inger Burnett-Zeigler
- VA Ann Arbor Healthcare System, VA Serious Mental Illness Treatment Research and Evaluation Center (SMITREC), Ann Arbor, MI 48105, USA.
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Valkanoff TA, Kline-Simon AH, Sterling S, Campbell C, Von Korff M. Functional disability among chronic pain patients receiving long-term opioid treatment. ACTA ACUST UNITED AC 2012; 11:128-42. [PMID: 22630601 DOI: 10.1080/1536710x.2012.677653] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
This study of 2,163 adult chronic, non-cancer-pain, long-term opioid therapy patients examines the relationship of depression to functional disability by measuring average pain interference, activity limitation days, and employment status. Those with more depression symptoms compared to those with fewer were more likely to have worse disability on all 3 measures (average pain interference score >5, OR = 5.36, p < .0001; activity limitation days ≥ 30, OR = 4.05, p < .0001; unemployed due to health reasons, OR = 4.06, p < .0001). Depression might play a crucial role in the lives of these patients; identifying and treating depression symptoms in chronic pain patients should be a priority.
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Affiliation(s)
- Tina A Valkanoff
- Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612, USA.
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12
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Catalina-Romero C, Martínez-Muñoz P, Quevedo-Aguado L, Ruiz-Moraga M, Fernández-Labandera C, Calvo-Bonacho E. [Predictors of the duration of non-work-related sick leave due to anxiety disorders]. GACETA SANITARIA 2012; 27:40-6. [PMID: 22425457 DOI: 10.1016/j.gaceta.2011.12.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2011] [Revised: 12/23/2011] [Accepted: 12/26/2011] [Indexed: 10/28/2022]
Abstract
OBJECTIVES To analyze the duration of non-work-related sick leave due to anxiety disorders and to identify demographic, occupational and clinical variables that may contribute to its prediction. METHODS We performed a prospective cohort study of 1,161 workers with an episode of non-work-related sick leave due to an anxiety disorder, belonging to the insured population of a mutual insurance company. We assessed the duration of non-work-related sick leave episodes and the main potentially related demographic, occupational and clinical variables. All non-work-related sick leave processes were followed-up until discharge. Cox regression analyses were conducted to establish the predictors of non-work-related sick leave duration. RESULTS The median duration of non-work-related sick leave due to anxiety disorders was 83 days. In a multivariate analysis, the following factors were identified as being significantly associated with increases in the duration of sick leave (p <0.05): age of over 35 years, lower educational level (primary school studies, secondary school studies or high-school diploma vs. university degree), and the existence of comorbidity and unemployment occurring during the sick leave. In contrast, being separated or divorced was associated with an earlier return to work (p <0.05). CONCLUSIONS Anxiety disorders are associated with long periods of non-work-related sick leave compared with other disorders and standard time duration. Demographic, occupational and clinical variables collected at the initial assessment of the sick leave episode would help to identify groups with an increased risk of prolonged sick leave, requiring strategies to facilitate return to work.
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Affiliation(s)
- Carlos Catalina-Romero
- Ibermutuamur, Mutua de accidentes de trabajo y enfermedades profesionales de la Seguridad Social, Madrid, España.
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Stergiopoulos E, Cimo A, Cheng C, Bonato S, Dewa CS. Interventions to improve work outcomes in work-related PTSD: a systematic review. BMC Public Health 2011; 11:838. [PMID: 22040066 PMCID: PMC3219578 DOI: 10.1186/1471-2458-11-838] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2011] [Accepted: 10/31/2011] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Posttraumatic stress disorder acquired at work can be debilitating both for workers and their employers. The disorder can result in increased sick leave, reduced productivity, and even unemployment. Furthermore, workers are especially unlikely to return to their previous place of employment after a traumatic incident at work because of the traumatic memories and symptoms of avoidance that typically accompany the disorder. Therefore, intervening in work-related PTSD becomes especially important in order to get workers back to the workplace. METHODS A systematic literature search was conducted using Medline, PsycINFO, Embase, and Web of Science. The articles were independently screened based on inclusion and exclusion criteria, followed by a quality assessment of all included articles. RESULTS The systematic search identified seven articles for inclusion in the review. These consisted of six research articles and one systematic review. The review focused specifically on interventions using real exposure techniques for anxiety disorders in the workplace. In the research articles addressed in the current review, study populations included police officers, public transportation workers, and employees injured at work. The studies examined the effectiveness of EMDR, cognitive-behavioural techniques, and an integrative therapy approach called brief eclectic psychotherapy. Interestingly, 2 of the 6 research articles addressed add-on treatments for workplace PTSD, which were designed to treat workers with PTSD who failed to respond to traditional evidence-based psychotherapy. CONCLUSIONS Results of the current review suggest that work-related interventions show promise as effective strategies for promoting return to work in employees who acquired PTSD in the workplace. Further research is needed in this area to determine how different occupational groups with specific types of traumatic exposure might respond differently to work-tailored treatments.
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Affiliation(s)
- Erene Stergiopoulos
- Centre for Research on Employment and Workplace Health, Centre for Addition and Mental Health, 455 Spadina Avenue, Suite 300, Toronto, M5S 2G8, Canada
| | - Adriana Cimo
- Centre for Research on Employment and Workplace Health, Centre for Addition and Mental Health, 455 Spadina Avenue, Suite 300, Toronto, M5S 2G8, Canada
| | - Chiachen Cheng
- Centre for Research on Employment and Workplace Health, Centre for Addition and Mental Health, 455 Spadina Avenue, Suite 300, Toronto, M5S 2G8, Canada
- Canadian Mental Health Association, Clinic & Resource Centre, 272 Park Avenue, Thunder Bay, P7B 1C5, Canada
| | - Sarah Bonato
- Library Services, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, M5S 2S1, Canada
| | - Carolyn S Dewa
- Centre for Research on Employment and Workplace Health, Centre for Addition and Mental Health, 455 Spadina Avenue, Suite 300, Toronto, M5S 2G8, Canada
- Department of Psychiatry, University of Toronto, 250 College Street, Toronto, M5T 1R8, Canada
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Noordik E, van der Klink JJL, Klingen EF, Nieuwenhuijsen K, van Dijk FJH. Exposure-in-vivo containing interventions to improve work functioning of workers with anxiety disorder: a systematic review. BMC Public Health 2010; 10:598. [PMID: 20937125 PMCID: PMC3224747 DOI: 10.1186/1471-2458-10-598] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2010] [Accepted: 10/11/2010] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Anxiety disorders are associated with functional disability, sickness absence, and decreased productivity. Effective treatments of anxiety disorders can result in remission of symptoms. However the effects on work related outcomes are largely unknown. Exposure in vivo is potentially well fit to improve work-related outcomes. This study systematically reviews the effectiveness of exposure-in-vivo containing interventions in reducing work-related adverse outcomes in workers with anxiety disorders. METHODS A systematic study search was conducted in Medline, Cinahl, Embase and Psycinfo. Two reviewers independently extracted data and from each study assessed the quality of evidence by using the GRADE approach. We performed a meta-analysis if data showed sufficient clinical homogeneity. RESULTS Seven studies containing 11 exposure-in-vivo interventions were included. Four studies were focused on Obsessive Compulsive Disorder (OCD), two on Post Traumatic Stress Disorder (PTSD), and one on a mixed group of OCD and severe phobias. The studies were grouped according to type of anxiety disorder and subsequently according to type of comparisons. For OCD, exposure-in-vivo containing interventions can yield better work-related outcomes compared to medication (SSRIs) and relaxation but not better compared to response prevention. The results on anxiety outcomes were similar. The net contribution of exposure in vivo in two OCD intervention programs is also presented as a meta-analysis and shows significant positive results on work role limitations. The calculated pooled effect size with 95% confidence interval was 0.72 (0.28, 1.15). For PTSD, exposure-in-vivo containing interventions can yield better work-related and anxiety-related outcomes compared to a waiting-list but not better compared to imaginal exposure. CONCLUSIONS Exposure in vivo as part of an anxiety treatment can reduce work-related adverse outcomes in workers with OCD and PTSD better than various other anxiety treatments or a waiting-list. We recommend that it should be studied how the results of these studies can be transferred to the practice of occupational health professionals and how clinicians can make better use of them to improve work-related outcomes. In future research, priority should be given to high-quality randomised controlled trials (RCTs) in which exposure-in-vivo containing interventions are applied to a variety of anxiety disorders and compared with other clinical anxiety treatments such as SSRIs. Work-related outcomes, in particular work functioning and sickness absence, need to be assessed with reliable and valid measures.
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Affiliation(s)
- Erik Noordik
- Coronel Institute of Occupational Health, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands.
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Lagerveld SE, Bültmann U, Franche RL, van Dijk FJH, Vlasveld MC, van der Feltz-Cornelis CM, Bruinvels DJ, Huijs JJJM, Blonk RWB, van der Klink JJL, Nieuwenhuijsen K. Factors associated with work participation and work functioning in depressed workers: a systematic review. JOURNAL OF OCCUPATIONAL REHABILITATION 2010; 20:275-92. [PMID: 20091105 PMCID: PMC2923705 DOI: 10.1007/s10926-009-9224-x] [Citation(s) in RCA: 146] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
BACKGROUND Depression is associated with negative work outcomes such as reduced work participation (WP) (e.g., sick leave duration, work status) and work functioning (WF) (e.g., loss of productivity, work limitations). For the development of evidence-based interventions to improve these work outcomes, factors predicting WP and WF have to be identified. METHODS This paper presents a systematic literature review of studies identifying factors associated with WP and WF of currently depressed workers. RESULTS A total of 30 studies were found that addressed factors associated with WP (N = 19) or WF (N = 11). For both outcomes, studies reported most often on the relationship with disorder-related factors, whereas personal factors and work-related factors were less frequently addressed. For WP, the following relationships were supported: strong evidence was found for the association between a long duration of the depressive episode and work disability. Moderate evidence was found for the associations between more severe types of depressive disorder, presence of co-morbid mental or physical disorders, older age, a history of previous sick leave, and work disability. For WF, severe depressive symptoms were associated with work limitations, and clinical improvement was related to work productivity (moderate evidence). Due to the cross-sectional nature of about half of the studies, only few true prospective associations could be identified. CONCLUSION Our study identifies gaps in knowledge regarding factors predictive of WP and WF in depressed workers and can be used for the design of future research and evidence-based interventions. We recommend undertaking more longitudinal studies to identify modifiable factors predictive of WP and WF, especially work-related and personal factors.
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Affiliation(s)
- S E Lagerveld
- TNO Quality of Life, Business Unit Work and Employment, P.O. Box 718, 130 AS, Hoofddorp, The Netherlands.
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Mewes R, Rief W, Stenzel N, Glaesmer H, Martin A, Brähler E. What is “normal” disability? An investigation of disability in the general population. Pain 2009; 142:36-41. [DOI: 10.1016/j.pain.2008.11.007] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2008] [Revised: 09/17/2008] [Accepted: 11/13/2008] [Indexed: 11/30/2022]
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Braden JB, Zhang L, Zimmerman FJ, Sullivan MD. Employment outcomes of persons with a mental disorder and comorbid chronic pain. PSYCHIATRIC SERVICES (WASHINGTON, D.C.) 2008. [PMID: 18678685 DOI: 10.1176/appi.ps.59.8.878] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE This study examined the independent and interactive effects of common mental disorders and chronic pain conditions on employment and work outcomes among individuals under 65 years old. METHODS Cross-sectional data were analyzed from the second wave of Healthcare for Communities (HCC2), a household telephone survey of U.S. civilian adults conducted in 2000-2001 (N=5,328). Common mental disorders were assessed by using the short-form version of the World Health Organization's Composite International Diagnostic Interview. Chronic pain conditions and employment outcomes were identified by self-report. Logistic and linear regression analyses were used to provide estimates for work impairment on the basis of the presence of a mental disorder or a chronic pain condition or both. RESULTS The interaction between presence of a mental disorder and presence of a chronic pain condition was significantly associated with no work for pay in the past 12 months (odds ratio=2.3, 95% confidence interval=1.2-4.2) and number of days of work missed in the past month because of health (regression coefficient=1.47, SE=.59). In stratified analyses this effect persisted for women but not for men. The presence of a mental disorder and the presence of a chronic pain condition were each independently associated with limitations in work and any work missed in the past 30 days because of health, although the interaction was not significant. CONCLUSIONS Mental disorders and chronic pain are each associated with work disability. Mental disorders are more strongly associated with some work disability outcomes when they are accompanied by chronic pain, especially among women.
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Affiliation(s)
- Jennifer Brennan Braden
- Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific St., Box 356560, Seattle, WA 98195-6560, USA.
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Braden JB, Zhang L, Zimmerman FJ, Sullivan MD. Employment outcomes of persons with a mental disorder and comorbid chronic pain. Psychiatr Serv 2008; 59:878-85. [PMID: 18678685 PMCID: PMC2717028 DOI: 10.1176/ps.2008.59.8.878] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study examined the independent and interactive effects of common mental disorders and chronic pain conditions on employment and work outcomes among individuals under 65 years old. METHODS Cross-sectional data were analyzed from the second wave of Healthcare for Communities (HCC2), a household telephone survey of U.S. civilian adults conducted in 2000-2001 (N=5,328). Common mental disorders were assessed by using the short-form version of the World Health Organization's Composite International Diagnostic Interview. Chronic pain conditions and employment outcomes were identified by self-report. Logistic and linear regression analyses were used to provide estimates for work impairment on the basis of the presence of a mental disorder or a chronic pain condition or both. RESULTS The interaction between presence of a mental disorder and presence of a chronic pain condition was significantly associated with no work for pay in the past 12 months (odds ratio=2.3, 95% confidence interval=1.2-4.2) and number of days of work missed in the past month because of health (regression coefficient=1.47, SE=.59). In stratified analyses this effect persisted for women but not for men. The presence of a mental disorder and the presence of a chronic pain condition were each independently associated with limitations in work and any work missed in the past 30 days because of health, although the interaction was not significant. CONCLUSIONS Mental disorders and chronic pain are each associated with work disability. Mental disorders are more strongly associated with some work disability outcomes when they are accompanied by chronic pain, especially among women.
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Affiliation(s)
- Jennifer Brennan Braden
- Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific St., Box 356560, Seattle, WA 98195-6560, USA.
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What Does Research Tell Us About Depression, Job Performance, and Work Productivity? J Occup Environ Med 2008; 50:401-10. [DOI: 10.1097/jom.0b013e31816bae50] [Citation(s) in RCA: 311] [Impact Index Per Article: 19.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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