Endicott work productivity scale (ewps) | NURS 6640 – Psychotherapy

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  Endicott Work Productivity Scale (EWPS)

       In psychotherapy, a variety of assessment tools have been utilized to assess clients’ symptomology before and after treatment. Endicott Work Productivity Scale is a short survey of twenty -five questions (Endicott #038; Nee, 1997). The client’s self- reports by using the scale 0-4 to rate particular (0- no difficulty) or negative (4-always having trouble) in response to work productivity (Endicott #038; Nee, 1994).The results are then tailed from 0 to 100 work performance has been affected by their psychiatric diagnoses (Endicott #038; Nee, 1997) Assessment tool are primarily chosen by the provider depending on diagnosis, symptomology and treatment options. Endicott Work Productivity Scale is used mainly with psychiatric diagnosis such as depression, a variety of mood disorders, and medical conditions (headaches) affect work productivity.  The scale measure four domains of productivity within the workplace quality of work performance capacity, attendance, and internal factors. The paper explores the pros and cons of using the Endicott Work Productivity Scale. We will also explore the tool’s validity and reliability in comparison to psychopharmacology and the clinical areas the instrument is commonly utilized. 

    According to Soczynska et al. (2014), The Endicott Work Productivity Scale was used to measure the effects of Major Depressive Disorder and antidepressants on the memory and work production of adults ages 18 -50. The study was conducted for eight weeks to evaluate antidepressants Escitalopram and Bupropion XL  and the effects on work productivity (Soczynska et al., 2014). Thirty-six participants completed the Endicott Work Productivity Scale. Research showed that Escitalopram and Bupropion XL significantly improved function (all p ≤ 0.001), and work productivity (p = 0.045) (Soczynska et al., 2014). The pros of  EWPS is it is an excellent tool to measure the client’s progress in regards to behaviors, feeling, and thoughts regarding work production. It would be beneficial to give to the client before psychotherapy and measure frequently to see if progress has been made. The tool is useful in assessing the progress of medication. In this instance, the EWPS tool should be used in addition to another tool to get a better outlook on the client’s growth.  
 In conclusion, the EPWS tool is used by the provider to collect information from clients on their report of work performance (Ishak et al., 2013). This tool is used to calculate a total score between 0 and 100.  The rating measures subjective feelings, behaviors, or attitudes that can act as a bias. The client can choose high scores but, on the contrary, have low scores causing a different result. 

                                                                                                   References
 Endicott, J. (1994). Endicott Work Productivity Scale.https://web-a-ebscohostcom.ezp.waldenulibrary.org/ehost/detail/detail?vid=3#038;sid=2ac95f51-fe7e-473e- 922eeafa6090d2d5%40sessionmgr4008#038;bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=test.2108#038;db=mmt

      Endicott, J., Nee, J. (1997) Endicott Work Productivity Scale (EWPS): a new measure to assess treatment effects. Psychopharmacology Bull 33: 13–16. https://search.proquest.com/openview/40c743939f1b863f8198aed94b4afc26/1?pq-origsite=gscholar#038;cbl=35891

       Ishak, W., Balayan, K., Bresee, C., Greenberg, J., Fakhry, H., Christensen, S., #038; Rapaport, M. (2013). A descriptive analysis of quality of life using patient-reported measures in major depressive disorder in a naturalistic outpatient setting. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care #038; Rehabilitation, 22(3), 585–596.   https://doi-org.ezp.waldenulibrary.org/10.1007/s11136-012-0187-6

         Soczynska, J. K., Ravindran, L. N., Styra, R., McIntyre, R. S., Cyriac, A., Manierka, M. S., #038; Kennedy, S. H. (2014). The effect of bupropion XL and escitalopram on memory and functional outcomes in adults with major depressive disorder: Results from a randomized controlled trial. Psychiatry Research, 220(1–2), 245–250. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2014.06.053