Evidence map›Paper›PMID 28056101›Full record

ArticlePloS one2017

Improving Access to Mental Health Care by Delivering Psychotherapeutic Care in the Workplace: A Cross-Sectional Exploratory Trial.

Eva Rothermund, Reinhold Kilian, Edit Rottler, Dorothea Mayer, Michael Hölzer, Monika A Rieger, Harald Gündel

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
8.9field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 41 citations in OpenAlex.

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  5. [Rationale, models, and impact of workplace-based psychotherapeutic services].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Review
  6. [Psychotherapeutic consultation at work: associations between company size and psychosomatic health].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Article
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  9. Conceptual Framework of a Psychotherapeutic Consultation in the Workplace: A Qualitative Study.International journal of environmental research and public health · 2022
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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 3 institutions in 1 country.

Eva RothermundDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, Ulm, Germany.ORCID http://orcid.org/0000-0002-8295-2632
Reinhold KilianDepartment of Psychiatry II, University Hospital Ulm, BKH Günzburg, Germany.
Edit RottlerDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Dorothea MayerHealth and Safety, Daimler AG, Sindelfingen, Germany.
Michael HölzerSonnenbergklinik, Stuttgart, Germany.
Monika A RiegerInstitute for Occupational and Social Medicine and Health Services Research, University Hospital Tübingen, Tübingen, Competence Centre Health Services Research, Medical Faculty Tübingen, Germany.
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, Ulm, Germany.
University Hospital Ulm · DEDaimler (Germany) · DESonneberg Observatory · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCommon mental disorders like mood and anxiety disorders and somatoform disorders have high costs, yet under-treatment is still frequent. Many people with common mental disorders are employed, so the workplace is potentially a suitable context in which to provide early treatment. Our study investigates whether a change of setting (workplace versus standard care) improves access to treatment for common mental disorders.

methodsConditional latent profile analysis was applied to identify user profiles for work ability (WAI), clinical symptoms like depression (patient health questionnaire depression, PHQ-9), health-related quality of life (QoL, SF-12), and work-related stress (Maslach Burnout Inventory, irritation scale). Patients were recruited consecutively, via psychotherapeutic consultation in the workplace (n = 174) or psychotherapeutic consultation in outpatient care (n = 193).

resultsWe identified four user profiles in our model: 'severe' (n = 99), 'moderate I-low QoL' (n = 88), 'moderate II-low work ability' (n = 83), and 'at risk' (n = 97). The 'at risk' profile encompassed individuals with reduced work ability (36.0, 34.73 to 37.37), only mild clinical symptoms (PHQ-9 5.7, 4.92 to 6.53), no signs of work-related stress and good quality of life. A higher proportion of the 'at risk' group than of the 'severe' group sought help via the psychotherapeutic consultation in the workplace (OR 0.287, P < 0.01); this effect remained after controlling for gender.

conclusionsOffering secondary mental health care in the workplace is feasible and accepted by users. Offering treatment in the workplace as an alternative to standard outpatient settings is a viable strategy for improving access to treatment for common mental disorders.

Indexed as

Mental HealthAdultAmbulatory CareAnxiety DisordersCross-Sectional StudiesDepressionFemaleHumansLogistic ModelsMaleMiddle AgedQuality of LifeReferral and ConsultationSomatoform DisordersWorkplace

Identifiers

PMID28056101
PMCPMC5215922
OpenAlexW2568180241

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.