Getting down to business: an examination of occupational outcomes in cognitive behavioral therapy for depression.

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Title: Getting down to business: an examination of occupational outcomes in cognitive behavioral therapy for depression.
Authors: Ezawa, Iony D. (AUTHOR), Bartels, Graham C. (AUTHOR), Strunk, Daniel R. (AUTHOR)
Source: Cognitive Behaviour Therapy. Nov2021, Vol. 50 Issue 6, p479-491. 13p. 3 Charts.
Subjects: Cognitive therapy, Cognitive styles, Presenteeism (Labor), Mental depression, Symptoms
Abstract: Depression is associated with unemployment and poor occupational functioning. Although cognitive behavioral therapy (CBT) has been shown to reduce depressive symptoms, the degree to which it improves occupational outcomes has received little attention. We investigated change in job status and presenteeism (i.e., the inability to focus on and accomplish work) over the course of CBT. We assessed employment status, presenteeism, depressive symptoms, cognitive style, and CBT skills at intake and posttreatment in a sample of 126 participants enrolled in a 16-week course of CBT for depression. Employment status significantly improved from pre to posttreatment, with 11 of the 27 patients (41%) seeking to improve their employment status achieving this goal. Among the 59 consistently employed patients, presenteeism decreased significantly over the course of treatment (dz = 1.13). We also found, even after controlling for changes in symptoms, reductions in negative cognitive style (but not changes in CBT skills) were associated with reductions in presenteeism. Our findings suggest CBT patients experience positive changes in occupational outcomes, both in finding work and being more focused and productive at work. Changes in negative cognitive styles appeared to partly explain this latter change. We encourage future work examining CBT's impact on occupational outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Cognitive Behaviour Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Getting down to business: an examination of occupational outcomes in cognitive behavioral therapy for depression.
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  Data: <searchLink fieldCode="AR" term="%22Ezawa%2C+Iony+D%2E%22">Ezawa, Iony D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bartels%2C+Graham+C%2E%22">Bartels, Graham C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strunk%2C+Daniel+R%2E%22">Strunk, Daniel R.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Cognitive+Behaviour+Therapy%22">Cognitive Behaviour Therapy</searchLink>. Nov2021, Vol. 50 Issue 6, p479-491. 13p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+styles%22">Cognitive styles</searchLink><br /><searchLink fieldCode="DE" term="%22Presenteeism+%28Labor%29%22">Presenteeism (Labor)</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Depression is associated with unemployment and poor occupational functioning. Although cognitive behavioral therapy (CBT) has been shown to reduce depressive symptoms, the degree to which it improves occupational outcomes has received little attention. We investigated change in job status and presenteeism (i.e., the inability to focus on and accomplish work) over the course of CBT. We assessed employment status, presenteeism, depressive symptoms, cognitive style, and CBT skills at intake and posttreatment in a sample of 126 participants enrolled in a 16-week course of CBT for depression. Employment status significantly improved from pre to posttreatment, with 11 of the 27 patients (41%) seeking to improve their employment status achieving this goal. Among the 59 consistently employed patients, presenteeism decreased significantly over the course of treatment (dz = 1.13). We also found, even after controlling for changes in symptoms, reductions in negative cognitive style (but not changes in CBT skills) were associated with reductions in presenteeism. Our findings suggest CBT patients experience positive changes in occupational outcomes, both in finding work and being more focused and productive at work. Changes in negative cognitive styles appeared to partly explain this latter change. We encourage future work examining CBT's impact on occupational outcomes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Cognitive Behaviour Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/16506073.2021.1875039
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 13
        StartPage: 479
    Subjects:
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Cognitive styles
        Type: general
      – SubjectFull: Presenteeism (Labor)
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Symptoms
        Type: general
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      – TitleFull: Getting down to business: an examination of occupational outcomes in cognitive behavioral therapy for depression.
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            NameFull: Ezawa, Iony D.
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            NameFull: Bartels, Graham C.
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            NameFull: Strunk, Daniel R.
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            – D: 01
              M: 11
              Text: Nov2021
              Type: published
              Y: 2021
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              Value: 50
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            – TitleFull: Cognitive Behaviour Therapy
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