Impact of anxiety and depression of work -related problems and advancing intervention and prevention strategies for E.A.P.S

The purpose of this study is to describe and contrast the social and behavioral problems of employees who are assessed with work-related problems (WRP) and have background conditions of anxiety and/or depression (A/D) and those employees who are assessed with WRP without background conditions of A/D upon entering an Employee Assistance Program (EAP). It also looked at related factors such as gender and other issues, including drug use, tobacco use, parental psychiatric factors and negative relationship factors. The research design used descriptive statistics in a secondary analysis which summarized the original quantitative data in a usable form for interpreting and understanding the data in relation to the study questions. The study included 393 subjects, all of whom presented WRP as their primary condition for coming to the EAP. There were 260 (66.2%) women and 133 (33.8%) men. Data were collected through four instruments. First was the "Client Information Record," which is completed by the client and asks vital statistics, referral source and the reason for coming. Second, the "Clinical Assessment Summary" is completed during a structured clinical evaluation. Such items as mood states, psychiatric disorders and family history of problems make up a majority of the assessment summary. Third, the "Intake Summary" is a synopsis of the "Clinical Assessment Summary" The fourth form is the "Service Contract Record," which is used when the referral is considered a condition of employment. There are eight research questions. (1) Do clients who present WRP to an EAP present a greater frequency of background conditions of A/D than clients who present WRP? (2) Are clients with WRP with A/D referred to an EAP more frequently by a supervisor than clients without A/D? (3) Do more female clients in an EAP present a greater frequency of WRP and A/D than male clients with MW and A/D? (4) Do clients in an EAP with WRP and A/D present a greater frequency of alcohol abuse than do clients with WRP without A/D? (5) Do clients in an EAP with WRP and A/D present a greater frequency of drug abuse than do clients with WRP without A/D? (6) Do clients in an EAP with WRP and A/D present a greater frequency of tobacco use than clients with WRP without A/D? (7) Do clients in an EAP with WRP and A/D present a greater frequency of parental psychiatric factors than clients with WRP without A/D? (8) Do clients in an EAP with WRP and A/D present a greater frequency of negative relationship factors than clients with WRP without A/D?; As expected, of the 393 subjects with WRP, 294 had A/D. The remaining seven research questions were answered as follows: All but two conditions, alcohol abuse and parental psychiatric problems, were statistically significant, answering the research questions in the affirmative. The two that had no significant findings contradict the weight of the existing evidence.