Do Working Conditions of Patients in Psychotherapeutic Consultation in the Workplace Differ from Those in Outpatient Care? Results from an Observational Study

Amira Barrech, Reinhold Kilian, Edit Rottler, Lucia Jerg-Bretzke, Michael Hölzer, Monika Annemarie Rieger, Marc Nicolas Jarczok, Harald Gündel and Eva Rothermund
Additional contact information
Amira Barrech: Department of Psychosomatic Medicine and Psychotherapy, University Clinic Ulm, 89081 Ulm, Germany
Reinhold Kilian: Department of Psychiatry II, University Clinic Ulm, BKH 89312 Guenzburg, Germany
Edit Rottler: Department of Psychosomatic Medicine and Psychotherapy, University Clinic Ulm, 89081 Ulm, Germany
Lucia Jerg-Bretzke: Department of Psychosomatic Medicine and Psychotherapy, University Clinic Ulm, 89081 Ulm, Germany
Michael Hölzer: ZfP Suedwuerttemberg, Sonnenbergklinik, 70597 Stuttgart, Germany
Monika Annemarie Rieger: Institute for Occupational and Social Medicine and Health Services Research, University Clinic Tuebingen, Competence Centre Health Services Research, Medical Faculty Tuebingen, 72074 Tuebingen, Germany
Marc Nicolas Jarczok: Department of Psychosomatic Medicine and Psychotherapy, University Clinic Ulm, 89081 Ulm, Germany
Harald Gündel: Department of Psychosomatic Medicine and Psychotherapy, University Clinic Ulm, 89081 Ulm, Germany
Eva Rothermund: Department of Psychosomatic Medicine and Psychotherapy, University Clinic Ulm, 89081 Ulm, Germany

IJERPH, 2018, vol. 15, issue 2, 1-10

Abstract: In previous studies, it was found that patients treated at a psychosomatic outpatient clinic (PSOC) for common mental disorders showed more severe symptoms than those who used a psychotherapeutic consultation service at the workplace (PSIW). This study examines whether the higher symptom severity of the PSOC patients in comparison to their PSIW counterparts is also related to higher levels of occupational stress as measured by the demand-control-support model (DCS). N = 253 participants (PSIW n = 100; PSOC n = 153) provided self-reported data on demands, decision latitude, social support, and health before consultation. The association between mental health care setting, symptom level and demands, decision latitude, and social support was assessed by means of a path model. Results of the path model indicated that the higher level of depression in PSOC patients was related to higher levels of demands and lower levels of social support. Demands and social support were found to be indirectly associated with treatment setting. No interaction effect between demands, decision latitude, social support, and depression was found. Results of this study reveal that the working conditions influenced the pathway to care process via symptom severity.

Keywords: workplace perception; demand-control-support model; depression; health services research; early intervention; help-seeking behavior (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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