Abstract：
BACKGROUND: Depression is a common mental disorder and is associated with work disability. For the implementation of evidence-based interventions, such as Individual Placement and Support (IPS) for people with depression in Germany, the aim of this study was to investigate client variables that predict return to work.
METHODS: The sample consisted of 129 participants, initially treated in a psychiatric hospital due to major depression, who participated in IPS as part of a German clinical trial. Baseline demographic (age, sex, education, sickness absence days, employment status), psychiatric (symptom severity, comorbidity, general physical and mental health, disability), and neuropsychological (self-rated deficits, test performance) variables were included. Return to work within one year was predicted using separate and overall binary logistic regression analyses.
RESULTS: A total of 70 participants (56 %) returned to work within the one-year follow-up period. >100 days of sick leave in the year prior to study entry (vs. <100 days) and higher self-rated cognitive deficits were significantly associated with reduced odds of return to work within one year of IPS.
CONCLUSIONS: The sample consisted of participants with a relatively good work history who were assigned to IPS by the treatment team, thus, the generalizability of the results is limited.
CONCLUSIONS: People with depression who participate in IPS interventions might benefit from specifically targeting perceived cognitive deficits. Factors associated with prolonged sick leave due to depression and their role in return to work with IPS need further investigation.
METHODS: The sample consisted of 129 participants, initially treated in a psychiatric hospital due to major depression, who participated in IPS as part of a German clinical trial. Baseline demographic (age, sex, education, sickness absence days, employment status), psychiatric (symptom severity, comorbidity, general physical and mental health, disability), and neuropsychological (self-rated deficits, test performance) variables were included. Return to work within one year was predicted using separate and overall binary logistic regression analyses.
RESULTS: A total of 70 participants (56 %) returned to work within the one-year follow-up period. >100 days of sick leave in the year prior to study entry (vs. <100 days) and higher self-rated cognitive deficits were significantly associated with reduced odds of return to work within one year of IPS.
CONCLUSIONS: The sample consisted of participants with a relatively good work history who were assigned to IPS by the treatment team, thus, the generalizability of the results is limited.
CONCLUSIONS: People with depression who participate in IPS interventions might benefit from specifically targeting perceived cognitive deficits. Factors associated with prolonged sick leave due to depression and their role in return to work with IPS need further investigation.
摘要：
背景：抑郁症是一种常见的精神障碍，与工作障碍有关。为了实施基于证据的干预措施，例如德国抑郁症患者的个人安置和支持(IPS)，这项研究的目的是调查预测重返工作岗位的客户变量。
方法：样本由129名参与者组成，最初因严重抑郁症在精神病医院接受治疗，他参加了IPS作为德国临床试验的一部分。基线人口统计(年龄，性别,教育,疾病缺席日，就业状况)，精神病（症状严重程度，合并症，一般身心健康，残疾),和神经心理学(自我评估的缺陷，测试性能)变量包括在内。使用单独的和整体的二元逻辑回归分析来预测一年内的重返工作。
结果：在一年的随访期内，共有70名参与者（56％）重返工作岗位。>进入研究前一年的病假100天(vs.<100天）和较高的自我评估认知缺陷与IPS一年内重返工作的几率降低显着相关。
结论：样本由具有相对良好工作经历的参与者组成，他们被治疗小组分配到IPS，因此，结果的普适性是有限的。
结论：参与IPS干预的抑郁症患者可能受益于专门针对感知的认知缺陷。与抑郁症导致的长期病假相关的因素及其在返回IPS工作中的作用需要进一步调查。
方法：样本由129名参与者组成，最初因严重抑郁症在精神病医院接受治疗，他参加了IPS作为德国临床试验的一部分。基线人口统计(年龄，性别,教育,疾病缺席日，就业状况)，精神病（症状严重程度，合并症，一般身心健康，残疾),和神经心理学(自我评估的缺陷，测试性能)变量包括在内。使用单独的和整体的二元逻辑回归分析来预测一年内的重返工作。
结果：在一年的随访期内，共有70名参与者（56％）重返工作岗位。>进入研究前一年的病假100天(vs.<100天）和较高的自我评估认知缺陷与IPS一年内重返工作的几率降低显着相关。
结论：样本由具有相对良好工作经历的参与者组成，他们被治疗小组分配到IPS，因此，结果的普适性是有限的。
结论：参与IPS干预的抑郁症患者可能受益于专门针对感知的认知缺陷。与抑郁症导致的长期病假相关的因素及其在返回IPS工作中的作用需要进一步调查。
