BackgroundSubthreshold 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).MethodsWe 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.ResultsThe 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<0.001, Effect size = 0.69, 95%CI: 0.32 to 1.05). However, there was no statistically significant decrease in absolute and relative presenteeism (p = 0.44, ES = 0.15, −0.21 to 0.52, and p = 0.50, ES = 0.02, −0.34 to 0.39, respectively).ConclusionRemote CBT, including tCBT, may provide easy access to quality-assured effective psychotherapy for people in the work force who present with subthreshold depression. Further studies are needed to evaluate the effectiveness of this approach in longer terms. The study was funded by Sekisui Chemicals Co. Ltd.Trial RegistrationClinicalTrials.gov NCT00885014
The present study demonstrated that measurement of gelatinolytic activity by FIZ analysis of aspiration cytology samples may be useful for improving the cytological diagnosis of breast tumors.
We identified the mastery processes of experienced psychotherapists by drawing their life histories, which indicated principles for guiding the development of young psychotherapists. Participants were psychotherapists with over 30 years of experience (N = 7, six men and one woman, mean age = 71.86 years). The data were analyzed using the trajectory equifinality model (TEM). The results indicated that a psychotherapist might continue to practice even while experiencing conflicts and might eventually integrate and establish their unique therapeutic approach into their work. Essential factors in facilitating the motivation to be a psychotherapist include: hope; good friends, coworkers, and supervisors; experience with many cases; learning from a global perspective; and interest in human beings. Moreover, after the mid-career, adverse events in participants' private lives had positive effects on their development as experts. It was concluded that the development of a psychotherapist is a process of growth as a person. This study indicated factors necessary to continue as a psychotherapist while facing conflicts, which is considered useful for educating future Japanese psychotherapists.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.