Utilization of an Employee Behavioral Health Program and Its Effects on Outcomes for Depression and Anxiety Disorders. Issue 10 (October 2019)

• Record Type: Journal Article
• Authors: Maeng, Daniel; Cornell, Ann E.; Nasra, George S.
• Is Part Of: Journal of occupational and environmental medicine. Volume 61:Issue 10(2019)
• Publication Date: 2019-10
• Subjects: anxiety -- behavioral health -- depression -- dose–response -- employee wellness -- the Generalized Anxiety Disorder -- mental health -- Patient Health Questionnaire; Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; Occupational Medicine -- Periodicals; Environmental Medicine -- Periodicals; Environmental health; Medicine, Industrial; Periodicals; Electronic journals; 616.9803
• DOI: 10.1097/JOM.0000000000001678
• Languages: English
• ISSNs: 1076-2752

Abstract

Abstract : Objective: To examine the impact of an employer-sponsored behavioral health program on depression and anxiety by assessing dose effect of psychotherapy. Methods: A retrospective data analysis of patients with baseline scores more than or equal to 10 on the Patient Health Questionnaire (PHQ9) or the Generalized Anxiety Disorder 7-item scale (GAD7). Survival analyses were conducted to assess whether those with a higher number of therapy sessions per episode (dose) achieved faster response (score reduction by 50% or below 10). Results: Patients with medium (8 to 12 visits) or high (more than 12 visits) dose achieved faster response than those with low dose (less than eight visits; hazard ratios more than 1.5, P < 0.05). No significant difference was found between the medium and high dose. Conclusion: Higher dose of psychotherapy is correlated with improved behavioral health outcomes, although there appears to be no incremental benefit beyond a certain level. Abstract : Supplemental Digital Content is available in the text