Evidence map›Paper›PMID 25295792›Full record

ArticleThe American journal of managed care2014

The effect of depression treatment on work productivity.

Arne Beck, Lauren A Crain, Leif I Solberg, Jürgen Unützer, Michael V Maciosek, Robin R Whitebird, Rebecca C Rossom

Open access · greenAbstract read
In one paragraph

Article in The American journal of managed care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Arne BeckKaiser Permanente Colorado Institute for Health Research, Box 378066, Denver, CO 80237-8066. E-mail: arne.beck@kp.org.
Lauren A Crain
Leif I Solberg
Jürgen Unützer
Michael V Maciosek
Robin R Whitebird
Rebecca C Rossom
Kaiser Permanente · US

Funding

Evaluation of a Natural Experiment to Improve Statewide Depression Care in MNR01MH080692 · NIMH · HEALTHPARTNERS INSTITUTE · PI SOLBERG, LEIF I · 2007 to 2011
$3.2M
NIMH NIH HHS 5R01MH080692NIMH NIH HHS R01 MH080692
6 · The paper itself

Abstract

objectivesDepression is associated with lowered work functioning, including absence, productivity impairment at work, and decreased job retention. Although high-quality depression treatment provided in clinical trials has been found to reduce symptoms and improve work function, the effectiveness of routine treatment for depression in primary care has received less attention. STUDY

designThis prospective cohort study investigated the relationship between improvements in both depression symptoms and productivity in outpatients from 77 clinics in Minnesota following routine depression treatment.

methodsData were obtained from patients receiving usual care for depression prior to initiation of a statewide quality improvement collaborative called DIAMOND (Depression Improvement Across Minnesota: Offering a New Direction). Patients started on antidepressants were surveyed on depression symptom severity (Patient Health Questionnaire [PHQ-9]), productivity loss (Work Productivity and Activity Impairment questionnaire [WPAI]), health status, and demographics. Data were collected again 6 months later to assess changes in depression symptoms and productivity.

resultsData from 432 employed patients with complete baseline and outcome data showed significant reductions in depression symptoms and increases in productivity (P < .0001) over 6 months. Greater improvements in productivity at 6 months were associated with greater improvement in depression symptoms as well as with greater depression severity (P < .0001) and poorer productivity (P < .0001) at baseline.

conclusionsThis study demonstrated a significant relationship betweenimprovement in depression symptoms and improvements in productivity following routine primary care depression treatment. These findings underscore the benefit of depression care to improve work outcomes and to yield a potential return on healthcare investment to employers.

Indexed as

Antidepressive AgentsDepressionEfficiency, OrganizationalEmploymentFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAntidepressive Agents

Identifiers

PMID25295792
PMCPMC4214368
OpenAlexW2417860654

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.