[Symposium 102] Re-work Program in Japan: Resilience Improvement and Relapse Prevention after Return-to-Work

[SY-102-02] The Possibility of Personalized Treatment for Major Depressive Disorder in the Re-work Program

*Hikaru Hori (Department of Psychiatry, Faculty of Medicine, Fukuoka University(Japan))

Keywords:

Major depressive disorder,Re-work,cognitive function,social cognition

The number of workers in Japan on sick leave due to mental health-related illnesses is increasing. Even after returning to work after undergoing psychiatric treatment (pharmacotherapy, psychotherapy, environmental adjustment), it is known that the rate of return to sick leave is high¹⁾. We reported that the factors necessary for continued employment were activity, cognitive function, social adaptability, and benzodiazepine use^{2), 3), 4)}. We also reported on the effectiveness of the re-work program⁵⁾. However, major depressive disorder is highly heterogeneous. Therefore, the rehabilitation required for each patient in the re-work program may differ. We examined the effectiveness of individualized rehabilitation for patients with major depressive disorder⁶⁾. In this study, participants were randomly assigned to either the personalized treatment group or the usual treatment group, and underwent 8 weeks of rehabilitation treatment. Both groups showed improvements in neurocognitive function, social cognitive function, and emotional processing⁷⁾. The social cognitive function of the personalized treatment group improved significantly. In the future, personalized rework programs tailored to the patient's situation may be required.
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