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Telephone Cognitive-Behavioral Therapy for Subthreshold Depression and Presenteeism in Workplace: A Randomized Controlled Trial

Author

Listed:
  • Toshi A Furukawa
  • Masaru Horikoshi
  • Norito Kawakami
  • Masayo Kadota
  • Megumi Sasaki
  • Yuki Sekiya
  • Hiroki Hosogoshi
  • Masami Kashimura
  • Kenichi Asano
  • Hitomi Terashima
  • Kazunori Iwasa
  • Minoru Nagasaku
  • Louis C Grothaus
  • on behalf of the GENKI Project

Abstract

Background: Subthreshold depression is highly prevalent in the general population and causes great loss to society especially in the form of reduced productivity while at work (presenteeism). We developed a highly-structured manualized eight-session cognitive-behavioral program with a focus on subthreshold depression in the workplace and to be administered via telephone by trained psychotherapists (tCBT). Methods: We conducted a parallel-group, non-blinded randomized controlled trial of tCBT in addition to the pre-existing Employee Assistance Program (EAP) versus EAP alone among workers with subthreshold depression at a large manufacturing company in Japan. The primary outcomes were depression severity as measured with Beck Depression Inventory-II (BDI-II) and presenteeism as measured with World Health Organization Health and Work Productivity Questionnaire (HPQ). In the course of the trial the follow-up period was shortened in order to increase acceptability of the study. Results: The planned sample size was 108 per arm but the trial was stopped early due to low accrual. Altogether 118 subjects were randomized to tCBT+EAP (n = 58) and to EAP alone (n = 60). The BDI-II scores fell from the mean of 17.3 at baseline to 11.0 in the intervention group and to 15.7 in the control group after 4 months (p

Suggested Citation

  • Toshi A Furukawa & Masaru Horikoshi & Norito Kawakami & Masayo Kadota & Megumi Sasaki & Yuki Sekiya & Hiroki Hosogoshi & Masami Kashimura & Kenichi Asano & Hitomi Terashima & Kazunori Iwasa & Minoru N, 2012. "Telephone Cognitive-Behavioral Therapy for Subthreshold Depression and Presenteeism in Workplace: A Randomized Controlled Trial," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-9, April.
    • Handle: RePEc:plo:pone00:0035330
    DOI: 10.1371/journal.pone.0035330
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    References listed on IDEAS

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    1. Van der Klink, J.J.L. & Blonk, R.W.B. & Schene, A.H. & Van Dijk, F.J.H., 2001. "The benefits of interventions for work-related stress," American Journal of Public Health, American Public Health Association, vol. 91(2), pages 270-276.
    2. Gavin Andrews & Pim Cuijpers & Michelle G Craske & Peter McEvoy & Nickolai Titov, 2010. "Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-6, October.
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    1. Rebecca W. M. Lau & W. H. Mak, 2017. "Effectiveness of Workplace Interventions for Depression in Asia: A Meta-Analysis," SAGE Open, , vol. 7(2), pages 21582440177, June.

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