Aim of the study is to examine the feasibility of existing methods to assess type and severity of psychological complaints and stressfull experiences in persons who are (partly) unable to work due to mental health problems. Furthermore, the study…
ID
Source
Brief title
Condition
- Other condition
- Personality disorders and disturbances in behaviour
Synonym
Health condition
Meerdere psychische stoornissen, angststoornissen, stemmingsstoornisssen, stress gerelateerde stoornissen (PTSS, complexe PTSS), middelenmisbruik, persoonlijkheidsstoornissen
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Prevalence:
- Frequencies of trauma (STI);
- Frequencies of psychiatric disorders (CIDI)
Validation:
- STI as 'golden standard' (criterium) for validation of the CTQ;
- CIDI as 'golden standard' (criterium) for validation of the 4DKL, the Impact
of Events Scale and the AUDIT
Associations between PTSS and functional impairments: Patients with and without
PTSD (on the basis of the CIDI) are compared on their scores on:
1) Functional Capacity List;
2) Loneliness scale;
3) CIDI.
Secondary outcome
None
Background summary
In approximately one in every two to three people who become (partly) disabled
to work, psychological problems play a major role in the disability. Severe
stressfull experiences in childhood or later in life are risk factors for
psychopathology. About 50% of all people report at least one traumatic event in
their lives such as a car accident, a robbery, loss of a loved one, physical
aggression or involuntary sexual experiences. Stress related symptoms and
disorders often go undiagnosed. To recognize this stressfull background of
functional impairments in occupational functioning good diagnostiscs are
essential. Evidence based diagnostic methods in the field of occupational
health medicine and insurance medicine are still lacking.
Study objective
Aim of the study is to examine the feasibility of existing methods to assess
type and severity of psychological complaints and stressfull experiences in
persons who are (partly) unable to work due to mental health problems.
Furthermore, the study has to provide information on the functional impairments
in daily living and in occupational functioning among individuals with stress
related problems. To get a clear picture, patients with a range of stressfull
experiences and psychological complaintes will be interviewed. This knowledge
is relevant to positively influence the quality of and effectiveness of
evaluation of (the degree of) disability in individuals who filed claims for
disability benefits.
Study design
In a UWV region representative for the Netherlands, a sample of 500 subjects
are invited to participate.
Data are gathered through self report questionnaires and a structurered
interview. (All instruments are validated and have previously been positively
rated by a METC):
- Childhood Trauma Questionnaire (CTQ; Bernstein e.a., 2003) - a screener;
- Structured Trauma Interview (STI; Draijer, 1989);
- Composite International Diagnostic Interview (CIDI) (Robins et al., 1988;
Smeets & Dingemans, 1993), is a structured diagnostic interview developed by
the World health organization for DSM-IV psychiatric disorders;
- Impact of Event Scale (Horowitz e.a., 1979);
- Alcohol Use Disorder Identification test (AUDIT; Babor, 1989) a screener
developed by the World health organization (10 items) to identify
alcoholproblems;
- 4-dimensional symptom list (4DKL: Terluin, 1998) is used as a standard by the
Dutch Society of Work and Occupational medicine to assess work related
psychological symptoms (50 items).
- Loneliness scale (De Jong-Gierveld & van Tilburg, 1992) is used as a
standardscale to assess loneliness (17 items).
Interviews are conducted by trained and supervised interviewers.
Data from medical files are gathered (diagnosis; Functional Capacities Scale),
if the participant has agreed to it.
Non-respons data (demographics, no diagnosis) are registered to get a global
impression of the generalizability of the sample.
Stastical analysis see page 19 and 20 of the protocol.
Study burden and risks
The methods used to assess traumatic experiences are based on 25 years of
experience with research in this area. Training and supervision sessions with
interviewers are aimed to prevent and/or minimize potential distress for
interviewees.
There are no risks of participating in the study.
Participants may report that they feel tired or sad after the assessment
experience, or that they sleep less well than usual. A day after the interview
a follow-up contact is made to check for unfavorable reactions and to 'contain'
them.
In addition, participants often do not regret or negatively evaluate the
overall experience, rather they report to feel relieved.
AJ Ernststraat 887
1081 HL
Nederland
AJ Ernststraat 887
1081 HL
Nederland
Listed location countries
Age
Inclusion criteria
A primary psychic diagnosis, sufficient command of the Dutch language, the absence of organic dysfunction or severe cognitive impairments, being able to have a personal conversation, currently living in the Netherlands, not in clinical treatment and not an emloyee of UWV.
Exclusion criteria
A primary diagnosis of organic psychosis, schizophrenia, schizoaffective disorder, or mental retardation, insufficient command of the Dutch language, not being able to have a personal conversation due to the presence of severe cognitive impairments (e.g., dementia) or deafness, currently living outside the Netherlands, currently in clinical treatment, and UWV employé.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL18397.029.07 |