Versorgungssituation von Langzeitarbeitslosen mit psychischen Störungen
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Versorgungssituation von Langzeitarbeitslosen mit psychischen Störungen. / Bühler, B; Kocalevent, R; Berger, R; Mahler, A; Preiß, B; Liwowsky, I; Carl, P; Hegerl, U.
In: NERVENARZT, Vol. 84, No. 5, 01.05.2013, p. 603-7.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Versorgungssituation von Langzeitarbeitslosen mit psychischen Störungen
AU - Bühler, B
AU - Kocalevent, R
AU - Berger, R
AU - Mahler, A
AU - Preiß, B
AU - Liwowsky, I
AU - Carl, P
AU - Hegerl, U
PY - 2013/5/1
Y1 - 2013/5/1
N2 - BACKGROUND: Untreated psychiatric disorders of long-term unemployed persons represent a medical problem and a placement barrier to the labor market that can be eliminated. The objective of the study was to assess the spectrum of diagnoses and the treatment rates in a group of unemployed persons (≥ 50 years) referred by the employment exchange of the job center in Munich to a center for psychosocial coaching.METHODS: Out of 105 participants 44 (42%) showing signs of psychiatric disorders according to the patient health questionnaire (PHQ) screening were included in the evaluation. The psychiatric diagnoses were assessed by means of a fully structured diagnostic interview, the Munich composite international diagnostic interview (M-CIDI). A semi-structured interview was conducted to investigate the treatment rates and treatment compliance with guidelines.RESULTS: Affective disorders (70%) were in the foreground followed by anxiety disorders (55%, specific phobias, other and unspecified phobic anxiety disorders were excluded) and disorders due to abuse of alcohol (32%). Of the participants 61 % received no disorder-specific treatment or no treatment at all and treatment compliant with guidelines was received by 9%.CONCLUSIONS: Untreated psychiatric disorders (especially depression) or those that are not treated in compliance with guidelines represent a medical problem and a placement barrier to the labor market that can be eliminated.
AB - BACKGROUND: Untreated psychiatric disorders of long-term unemployed persons represent a medical problem and a placement barrier to the labor market that can be eliminated. The objective of the study was to assess the spectrum of diagnoses and the treatment rates in a group of unemployed persons (≥ 50 years) referred by the employment exchange of the job center in Munich to a center for psychosocial coaching.METHODS: Out of 105 participants 44 (42%) showing signs of psychiatric disorders according to the patient health questionnaire (PHQ) screening were included in the evaluation. The psychiatric diagnoses were assessed by means of a fully structured diagnostic interview, the Munich composite international diagnostic interview (M-CIDI). A semi-structured interview was conducted to investigate the treatment rates and treatment compliance with guidelines.RESULTS: Affective disorders (70%) were in the foreground followed by anxiety disorders (55%, specific phobias, other and unspecified phobic anxiety disorders were excluded) and disorders due to abuse of alcohol (32%). Of the participants 61 % received no disorder-specific treatment or no treatment at all and treatment compliant with guidelines was received by 9%.CONCLUSIONS: Untreated psychiatric disorders (especially depression) or those that are not treated in compliance with guidelines represent a medical problem and a placement barrier to the labor market that can be eliminated.
KW - Adult
KW - Aged
KW - Alcoholism
KW - Comorbidity
KW - Female
KW - Germany
KW - Humans
KW - Male
KW - Mental Disorders
KW - Middle Aged
KW - Prevalence
KW - Risk Factors
KW - Unemployment
U2 - 10.1007/s00115-011-3457-6
DO - 10.1007/s00115-011-3457-6
M3 - SCORING: Zeitschriftenaufsatz
C2 - 23052889
VL - 84
SP - 603
EP - 607
JO - NERVENARZT
JF - NERVENARZT
SN - 0028-2804
IS - 5
ER -
