Socioeconomic status, psychotherapy duration, and return to work from disability due to common mental disorders.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-07-03 DOI:10.1080/10503307.2023.2229500

Helena Leppänen, Olli Kampman, Reija Autio, Tino Karolaakso, Päivi Rissanen, Turkka Näppilä, Sami Pirkola

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引用次数: 0

Abstract

Objective Low socioeconomic status (SES) is a risk factor for work disability due to common mental disorders (CMDs), one possible reason being inequal use of services. Psychotherapy is an evidence-based treatment for CMDs. This study examines socioeconomic and sociodemographic differences in psychotherapy attendance and an association of psychotherapy duration with return to work (RTW).Methods The study subjects (N = 12,263) were all Finnish citizens granted a disability pension (DP) due to CMDs in 2010-2012. Numbers of psychotherapy sessions (maximum 200) were collected from the nine-year interval around the DP grant. Socioeconomic and sociodemographic differences in psychotherapy duration (dependent variable) among DP recipients were studied using multinomial logistic regression models, likewise, the association between psychotherapy duration and RTW (dependent variable) among temporary DP recipients was examined.Results Higher SES, female gender, and younger age were positively associated with attending longer psychotherapies and surpassing the early treatment termination level (>10 sessions). Attending 11-60 psychotherapy sessions was positively associated with full RTW and partial RTW, whereas longer psychotherapies were not. Early termination was positively associated with partial RTW only.Conclusion This study demonstrates varying tendencies among CMD patients from different backgrounds to attend long rehabilitative psychotherapies, which may create inequalities in RTW.

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社会经济地位、心理治疗持续时间以及因常见精神障碍而致残后重返工作岗位的情况。

目标低社会经济地位（SES）是常见精神障碍（CMDs）导致工作残疾的一个风险因素，其中一个可能的原因是服务使用的不平等。心理治疗是治疗常见精神障碍的循证疗法。本研究探讨了心理治疗就诊率的社会经济和社会人口差异，以及心理治疗持续时间与重返工作岗位（RTW）之间的关联。研究对象（N = 12,263）均为2010-2012年间因CMD而获得残疾抚恤金（DP）的芬兰公民。心理治疗次数（最多200次）收集自残疾抚恤金发放前后9年的间隔期。使用多项式逻辑回归模型研究了残疾抚恤金领取者在心理治疗持续时间（因变量）方面的社会经济和社会人口差异，同样，还研究了临时残疾抚恤金领取者的心理治疗持续时间与复工（因变量）之间的关联。接受 11-60 次心理治疗与完全复工和部分复工呈正相关，而接受更长时间的心理治疗则不呈正相关。结论本研究表明，来自不同背景的慢性阻塞性肺病患者参加长时间康复性心理治疗的倾向各不相同，这可能会造成复工方面的不平等。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.