Bühler B, Kocalevent R, Berger R, Mahler A, Preiß B, Liwowsky I, Carl P, Hegerl U
Humanwissenschaftliches Zentrum, Ludwig-Maximilians-Universität München, Goethestrasse 31, Munich, Germany.
Nervenarzt. 2013 May;84(5):603-7. doi: 10.1007/s00115-011-3457-6.
Untreated psychiatric disorders of long-term unemployed persons represent a medical problem and a placement barrier to the labor market that can be eliminated. The objective of the study was to assess the spectrum of diagnoses and the treatment rates in a group of unemployed persons (≥ 50 years) referred by the employment exchange of the job center in Munich to a center for psychosocial coaching.
Out of 105 participants 44 (42%) showing signs of psychiatric disorders according to the patient health questionnaire (PHQ) screening were included in the evaluation. The psychiatric diagnoses were assessed by means of a fully structured diagnostic interview, the Munich composite international diagnostic interview (M-CIDI). A semi-structured interview was conducted to investigate the treatment rates and treatment compliance with guidelines.
Affective disorders (70%) were in the foreground followed by anxiety disorders (55%, specific phobias, other and unspecified phobic anxiety disorders were excluded) and disorders due to abuse of alcohol (32%). Of the participants 61 % received no disorder-specific treatment or no treatment at all and treatment compliant with guidelines was received by 9%.
Untreated psychiatric disorders (especially depression) or those that are not treated in compliance with guidelines represent a medical problem and a placement barrier to the labor market that can be eliminated.
长期失业者未经治疗的精神疾病既是一个医学问题，也是劳动力市场上可以消除的就业障碍。本研究的目的是评估一组由慕尼黑就业中心就业交易所转介至心理社会辅导中心的失业者（≥50岁）的诊断范围和治疗率。
在105名参与者中，根据患者健康问卷（PHQ）筛查显示有精神疾病迹象的44名（42%）被纳入评估。通过完全结构化的诊断访谈——慕尼黑综合国际诊断访谈（M-CIDI）来评估精神疾病诊断。进行了半结构化访谈以调查治疗率和遵循指南的治疗情况。
情感障碍（70%）最为常见，其次是焦虑障碍（55%，特定恐惧症、其他和未特定的恐惧性焦虑障碍除外）以及酒精滥用所致障碍（32%）。61%的参与者未接受针对特定疾病的治疗或根本未接受治疗，9%的参与者接受了遵循指南的治疗。
未经治疗的精神疾病（尤其是抑郁症）或未遵循指南治疗的精神疾病既是一个医学问题，也是劳动力市场上可以消除的就业障碍。
