title: Effectiveness of psychotherapeutic consultation in the workplace: a controlled observational trial.
abstract: This study compares the effectiveness of psychotherapeutic consultation in the workplace (PSIW) with psychotherapeutic outpatient care (PSOC) in Germany.
  
  
  
  Work ability (WAI), quality of life (SF-12), clinical symptoms (PHQ) and work-related stress (MBI, IS) were assessed in 367 patients seeking mental health care via two routes (PSIW n = 174; PSOC n = 193) before consultation and 12 weeks later. Changes in outcome variables were assessed using covariance analysis with repeated measures (ANCOVA) with sociodemographic variables (propensity score method), therapy dose, setting and symptom severity as covariates.
  
  
  
  The PSIW and PSOC groups included 122 and 66 men respectively. There were 102 first-time users of mental healthcare in the PSIW group and 83 in the PSOC group. There were group differences in outcome variables at baseline (p < 0.05); PSIW patients were less impaired overall. There were no group difference in sociodemographic variables, number of sessions within the offer or symptom severity. There was no main effect of group on outcome variables and no group*time interaction. Work-related stress indicators did not change during the intervention, but work ability improved in both groups (F = 10.149, p = 0.002; baseline M = 27.2, SD = 8.85); follow-up M = 28.6, SD = 9.02), as did perceived mental health (SF-12 MCS), depression (PHQ-9) and anxiety (PHQ-7). Effect sizes were between η(2) = 0.028 and η(2) = 0.040.
  
  
  
  Psychotherapeutic consultation is similarly effective in improving patients' functional and clinical status whether delivered in the workplace or in an outpatient clinic. Offering mental health services in the workplace makes it easier to reach patients at an earlier stage in their illness and thus enables provision of early and effective mental health care.
  
  
  
  DRKS00003184 , retrospectively registered 13 January 2012.
authors: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany. eva.rothermund@uni-ulm.de.
authors: Eva
authors: 0000-0002-8295-2632
authors: E
authors: Rothermund
authors: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
authors: Harald
authors: H
authors: Gündel
authors: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
authors: Edit
authors: E
authors: Rottler
authors: ZfP Suedwuerttemberg, Sonnenbergklinik, 70597, Stuttgart, Germany.
authors: Michael
authors: M
authors: Hölzer
authors: Health and Safety Sindelfingen, Daimler AG, 71059, Sindelfingen, Germany.
authors: Dorothea
authors: D
authors: Mayer
authors: Institute for Occupational and Social Medicine and Health Services Research, University Clinic Tuebingen, Competence Centre Health Services Research, Medical Faculty Tuebingen, 72074, Tuebingen, Germany.
authors: Monika
authors: M
authors: Rieger
authors: Department of Psychiatry II, University Hospital Ulm, BKH Guenzburg, 89312, Guenzburg, Germany.
authors: Reinhold
authors: R
authors: Kilian
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D001007:Anxiety / Q000628:therapy*; D001008:Anxiety Disorders / Q000628:therapy*; D003863:Depression / Q000628:therapy*; D003866:Depressive Disorder / Q000628:therapy*; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008603:Mental Health; D008605:Mental Health Services; D008875:Middle Aged; D009786:Occupational Health Services; D011613:Psychotherapy; D011619:Psychotropic Drugs; D011788:Quality of Life; D012017:Referral and Consultation; D013315:Stress, Psychological / Q000517:prevention & control; D016896:Treatment Outcome; D000066477:Work Performance; D017132:Workplace
chemical_list: D011619:Psychotropic Drugs
keywords: Common mental disorder; Health services research; Mental health; Occupational psychiatry; Psychotherapy; Workplace based intervention