Petersson E-L, Wikberg C, Westman J, Ariai N, Nejati S, Björkelund C
Department of Primary Health Care/Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Region Västra Götaland, Närhälsan Research and Development Primary Health Care, Gothenburg, Sweden.
Work. 2018;60(1):63-73. doi: 10.3233/WOR-182717.
Depression reduces individuals' function and work ability and is associated with both frequent and long-term sickness absence.
Investigate if monitoring of depression course using a self-assessment instrument in recurrent general practitioner (GP) consultations leads to improved work ability, decreased job strain, and quality of life among primary care patients.
Primary care patients n = 183, who worked. In addition to regular treatment (control group), intervention patients received evaluation and monitoring and used the MADRS-S depression scale during GP visit at baseline and at visits 4, 8, and 12 weeks. Work ability, quality of life and job strain were outcome measures.
Depression symptoms decreased in all patients. Significantly steeper increase of WAI at 3 months in the intervention group. Social support was perceived high in a significantly higher frequency in intervention group compared to control group.
Monitoring of depression course using a self-assessment instrument in recurrent GP consultations seems to lead to improved self-assessed work ability and increased high social support, but not to reduced job strain or increased quality of life compared to TAU. Future studies concerning rehabilitative efforts that seek to influence work ability probably also should include more active interventions at the workplace.
抑郁症会降低个体的功能和工作能力，并与频繁和长期的病假相关。
研究在全科医生（GP）复诊中使用自我评估工具监测抑郁症病程是否能提高初级保健患者的工作能力、减轻工作压力并改善生活质量。
183名在职的初级保健患者。除常规治疗（对照组）外，干预组患者在基线以及第4、8和12周的全科医生就诊时接受评估和监测，并使用蒙哥马利-艾森伯格抑郁量表（MADRS-S）。工作能力、生活质量和工作压力为观察指标。
所有患者的抑郁症状均减轻。干预组在3个月时工作能力指数（WAI）的增长明显更陡峭。与对照组相比，干预组中感受到高社会支持的频率显著更高。
在全科医生复诊中使用自我评估工具监测抑郁症病程，与常规治疗相比，似乎能提高自我评估的工作能力并增加高社会支持，但不能减轻工作压力或提高生活质量。未来关于旨在影响工作能力的康复努力的研究可能还应包括在工作场所进行更积极的干预。
