major depression
Conditions
Interventions
Psychiatric outpatient treatment (TAU): patients will be treated by psychiatric
residents in the outpatient department of the Mood Disorder Program according
to a treatment as usual protocol.
The
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - age: 18-65 years - diagnosis: depressive and/or dysthymic disorder (DSM IV) ;- labour effect: absenteeism or partial absenteeism (minimum of 25% absenteeism) - duration absenteeism more than 8 weeks OR duration DSMIV diagnosis depression more than 3 months - reintegration: possibility to return to own or new job - relation between depressive disorder and work: o work is one of the determinants of depressive disorder and contributes substantially (>25%) or o depressive symptoms reduces productivity or hinders the return to work - occupational therapy is an acceptable intervention for the patient
Exclusion criteria
Exclusion criteria: - bipolar disorder - psychotic disorder or depression with psychotic characteristics - severe alcohol or drug misuse/alcohol or drug dependence - severe physical problems that make participation to the study impossible - inpatient treatment at the clinic is indicated for patient - current participation in depression or occupational therapy cannot be discontinued - current participation in research study that enables participation in the DO IT study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary parameters: - work absenteism (work loss days, work cut back days) - work productivity - work functioning | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters: - psychopathology: depressive symptoms - health related quality of life - costs - neurocognitive functies (concentration, memory deficits) | — |
Countries
Netherlands
Outcome results
None listed