Conditional latent profile model.

<p>Factors of interest as continuous variables. Measures by the instruments WAI = work ability index, PHQ-9 Patient health questionaire 9 Items—depression, PHQ-7 Patient health questionaire 7 Items—anxiety, PHQ-15 Patient health questionaire 15 Items—somatoform symptom severity, SF12 = Health related quality of life, pcs = physical component score, mcs = mental component score, IS-GS = Irritations scale, global score, MBI = Maslach Burnout Inventory, EE = emotional exhaustion, PA = personal accomplishment, DP = depersonalisation.</p

Latent profiles of impairment for four-class solution.

<p>Latent profiles of impairment for four-class solution.</p

Improving Access to Mental Health Care by Delivering Psychotherapeutic Care in the Workplace: A Cross-Sectional Exploratory Trial

<div><p>Objective</p><p>Common mental disorders like mood and anxiety disorders and somatoform disorders have high costs, yet under-treatment is still frequent. Many people with common mental disorders are employed, so the workplace is potentially a suitable context in which to provide early treatment. Our study investigates whether a change of setting (workplace versus standard care) improves access to treatment for common mental disorders.</p><p>Methods</p><p>Conditional latent profile analysis was applied to identify user profiles for work ability (WAI), clinical symptoms like depression (patient health questionnaire depression, PHQ-9), health-related quality of life (QoL, SF-12), and work-related stress (Maslach Burnout Inventory, irritation scale). Patients were recruited consecutively, via psychotherapeutic consultation in the workplace (n = 174) or psychotherapeutic consultation in outpatient care (n = 193).</p><p>Results</p><p>We identified four user profiles in our model: ‘severe’ (n = 99), ‘moderate I—low QoL’ (n = 88), ‘moderate II—low work ability’ (n = 83), and ‘at risk’ (n = 97). The ‘at risk’ profile encompassed individuals with reduced work ability (36.0, 34.73 to 37.37), only mild clinical symptoms (PHQ-9 5.7, 4.92 to 6.53), no signs of work-related stress and good quality of life. A higher proportion of the ‘at risk’ group than of the ‘severe’ group sought help via the psychotherapeutic consultation in the workplace (OR 0.287, P < 0.01); this effect remained after controlling for gender.</p><p>Conclusions</p><p>Offering secondary mental health care in the workplace is feasible and accepted by users. Offering treatment in the workplace as an alternative to standard outpatient settings is a viable strategy for improving access to treatment for common mental disorders.</p></div

Sample description.

<p>Sample description.</p

Distribution of different user groups in the respective treatment settings.

<p>Severe (n = 99), moderate I (n = 88), moderate II (n = 83), at risk (n = 97)</p

Goodness-of-fit statistics for 3 to 5 class solutions.

<p>Goodness-of-fit statistics for 3 to 5 class solutions.</p

Flowchart participants according to the STROBE criteria [34].

<p>Flowchart participants according to the STROBE criteria [<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0169559#pone.0169559.ref034" target="_blank">34</a>].</p

Adjusted odds ratios (OR) and 95% confidence interval (CI) for having a high dyspepsia symptom score (upper tertile vs 1^st and 2^nd tertile) according to effort-reward imbalance and intrinsic effort.

<p>Adjusted odds ratios (OR) and 95% confidence interval (CI) for having a high dyspepsia symptom score (upper tertile vs 1^st and 2^nd tertile) according to effort-reward imbalance and intrinsic effort.</p

Distribution of dyspepsia symptom score (proportion in upper tertile) according to work-related factors and psychosocial variables in two independent studies conducted 1996 and 2015.

<p>Distribution of dyspepsia symptom score (proportion in upper tertile) according to work-related factors and psychosocial variables in two independent studies conducted 1996 and 2015.</p

Distribution of dyspepsia symptom score (proportion in upper tertile) according to sociodemographic factors, lifestyle variables, and current <i>H</i>. <i>pylori</i> infection status in two independent studies conducted 1996 and 2015.

<p>Distribution of dyspepsia symptom score (proportion in upper tertile) according to sociodemographic factors, lifestyle variables, and current <i>H</i>. <i>pylori</i> infection status in two independent studies conducted 1996 and 2015.</p