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Mood and anxiety disorders: differences between long- and short-term psychotherapies in work ability, but not employment

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QUESTION

Question:

How effective are short- and long-term psychotherapies for improving work and functional capacity in people with depressive and anxiety disorders?

Patients:

326 adult outpatients (20–45 years old) with DSM-IV mood or anxiety disorders who were considered to have between neurosis and higher level borderline disorder according to Kernberg’s classification of personality organisation. Main exclusions: psychotic disorder, severe personality disorder, adjustment disorder, substance related disorder, serious physical disorders, including organic brain disorder, mental retardation, having psychotherapy in previous 2 years, or employed in psychiatric health.

Setting:

Outpatient psychiatric services in the Helsinki region, Finland; recruitment June 1994 to June 2000.

Intervention:

Long-term psychodynamic psychotherapy (LPP), short-term psychodynamic psychotherapy (SPP), or solution-focused therapy (SFT). See online notes for further details.

Outcomes:

Work ability (Work Ability Index (WAI) modified to apply to the unemployed, students, and the employed, score range 7–49, higher score indicates greater ability; work-subscale of the Social Adjustment Scale (SAS)-Work; Perceived Psychological Functioning Scale (PPFS), score range …

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