ArticleSocial psychiatry and psychiatric epidemiology2009
Screening for depression in the older long-term unemployed.
Article in Social psychiatry and psychiatric epidemiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 40 citations in OpenAlex.
- Cumulative effects of unemployment on health in midlife: the buffering effect of social participation.Frontiers in public health · 2025Article
- The Relationship Between Percentage Weight Loss and World Health Organization-Five Wellbeing Index (WHO-5) in Patients Having Bariatric Surgery.Obesity surgery · 2022Article
- A Review of Suicide Risk Assessment Tools and Their Measured Psychometric Properties in Korea.Frontiers in psychiatry · 2021Review
- Reflections on causes of suicidal behaviour.Epidemiology and psychiatric sciences · 2019Article
- Using Mobile Technology to Provide Personalized Reminiscence for People Living With Dementia and Their Carers: Appraisal of Outcomes From a Quasi-Experimental Study.JMIR mental health · 2018Article
- Identification of Depression and Screening for Work Disabilities among Long-Term Unemployed People.International journal of environmental research and public health · 2018Article
- Yield and Efficiency of Mental Disorder Screening at Intake to Prison: A Comparison of DIA-X Short- and Long-Screening-Protocols in Compensation Prisoners.Frontiers in psychiatry · 2018Article
- Employment Status and Mental Health: Mediating Roles of Social Support and Coping Strategies.The Psychiatric quarterly · 2017Article
- Minor depression in older, long-term unemployed people seeking vocational support.BMC psychiatry · 2017Article
- Quality of Life and Its Related Factors in Chinese Unemployed People: A Population-Based Cross-Sectional Study.International journal of environmental research and public health · 2016Article
- [Psychiatric interventions for the unemployed].Der Nervenarzt · 2016Review
- Effects of a Health Promotion Program Based on a Train-the-Trainer Approach on Quality of Life and Mental Health of Long-Term Unemployed Persons.BioMed research international · 2015Article
- The mediating role of self-efficacy in the relationship between Big five personality and depressive symptoms among Chinese unemployed population: a cross-sectional study.BMC psychiatry · 2014Article
- [Treatment situation of long-term unemployed with psychological disorders].Der Nervenarzt · 2013Article
- Mental health, duration of unemployment, and coping strategy: a cross-sectional study of unemployed migrant workers in eastern China during the economic crisis.BMC public health · 2012Article
- Mental health in the slums of Dhaka - a geoepidemiological study.BMC public health · 2012Article
- Depression and economic hardship across Greece in 2008 and 2009: two cross-sectional surveys nationwide.Social psychiatry and psychiatric epidemiology · 2011Article
- A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka.International journal of health geographics · 2011Article
- Prevalence of depression diagnosis and prescription of antidepressants in East and West Germany: an analysis of health insurance data.Social psychiatry and psychiatric epidemiology · 2010Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMisdiagnosis and undertreatment of depression in older, long-term unemployed people may not only pose a serious medical problem, but may also be an obstacle for their vocational reintegration. Screening for depression could be a first step to increasing treatment rates within this high-risk group. Therefore, the WHO-5 Well-Being Index was tested for its validity in unemployment offices. METHODOLOGY: Three hundred and sixty-five participants in a German programme for the vocational reintegration of long-term unemployed people were screened with the WHO-5 Well-Being Index. In 104 of these subjects, ICD-10 diagnoses were made using DIA-X Structured Clinical Interview.
resultsUsing the DIA-X data as a gold standard, the WHO-5 Well-Being Index obtained satisfactory results for sensitivity (82.5%) and specificity (70.3%) as a screening tool for affective disorders when used with an adjusted cut-off-point of < or = 12. While none of the 18.5% male participants diagnosed with major depression received treatment, half of the 24% of female participants with major depression received treatment.
conclusionScreening with the WHO-5 within unemployment offices is useful to detect people with depressive disorders. Many of them do not receive optimal treatment and can be motivated to seek professional help. Reducing depression by better treatment will also increase the chances of reemployment.
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