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Depression Research and Treatment
Volume 2013, Article ID 926562, 8 pages
Research Article

The Impact of an Early Eclectic Rehabilitative Intervention on Symptoms in First Episode Depression among Employed People

1School of Health Sciences, University of Tampere, 33014 Tampere, Finland
2Department of Psychiatry, University Hospital of Oulu, Institute of Clinical Medicine, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
3Department of Psychiatry, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
4Lapland Central Hospital, Department of Psychiatry, P.O. Box 8041, 96101 Rovaniemi, Finland
5The Social Insurance Institution, Kela, P.O. Box 20, 00232 Helsinki, Finland
6Oulu Deaconess Institute, Albertinkatu 16, 90101 Oulu, Finland
7Department of Behavioral Sciences, University of Helsinki, 00014 Helsinki, Finland
8Tampere University Hospital, Department of Psychiatry, Tampere, Finland

Received 18 July 2013; Revised 17 September 2013; Accepted 17 September 2013

Academic Editor: Bettina F. Piko

Copyright © 2013 Tero Raiskila et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To evaluate the effect of an early vocational-orientated eclectic intervention on beck depression inventory (BDI) scores compared to treatment as usual in first ever depressive episode among employed people. Design. A randomized controlled trial comparing the rehabilitative intervention and the conventional treatment. Subjects. The subjects came from occupational health care units. Methods. Employees were sent to a rehabilitation center after being screened for depression using the BDI. They were diagnosed using the structured clinical interview for DSM-IV. The participating subjects ( ) were randomized into intervention and control groups. The intervention group received eclectic early depression intervention treatment ( ) and the control group was treated in the conventional way ( ). They were followed for one year. Results. The mean decrease in BDI scores within the intervention group was from 20.8 to 11.6 and within the control group from 19.3 to 10.8. BDI score decreased by 10 or more points in 64% of the participants in the intervention group and in 53% of the control group ( ). Conclusions. There was some evidence that early eclectic intervention in first ever episode depression may be more effective than conventional treatments among working age people in employment.