Depression in the workplace has recently gained the at-
tention of Chinese researchers because of its increasing in-
cidence and its economic and social impact. For example, an
epidemiological study of the incidence of depression in the
Beijing, He Nan, and He Bei provinces found that the
workplace depression rate was 40.2% among employees,18
which is significantly higher than that in both the United
States (6.4%)17 and Europe (33%).26 Given the costs of de-
pression to Chinese society, applying an effective treatment
to reduce the length of depressive episodes (or prevent epi-
sodes) and reduce suicide rates is needed to ensure a sig-
nificant reduction in the total burden of disease. Many
effective management protocols are available in Western
societies to improve the symptoms of depression27 in the
workplace. Depression treatment also has been shown to be
cost-effective,28 to keep depressed people employed,29 and is
capable of improving the productivity of people suffering
from depression who are already employed.30 However,
only approximately 20% of people with major depression are
treated adequately in China.31 The possible reasons for the
low rate of treatment may relate to the fact that mental illness
is stigmatized in traditional Chinese culture32; therefore,
Chinese people tend not to seek treatment from mental
health professionals.32 This is compounded by the lack of
medical and social support services.33
Depression in the workplace has recently gained the at-
tention of Chinese researchers because of its increasing in-
cidence and its economic and social impact. For example, an
epidemiological study of the incidence of depression in the
Beijing, He Nan, and He Bei provinces found that the
workplace depression rate was 40.2% among employees,18
which is significantly higher than that in both the United
States (6.4%)17 and Europe (33%).26 Given the costs of de-
pression to Chinese society, applying an effective treatment
to reduce the length of depressive episodes (or prevent epi-
sodes) and reduce suicide rates is needed to ensure a sig-
nificant reduction in the total burden of disease. Many
effective management protocols are available in Western
societies to improve the symptoms of depression27 in the
workplace. Depression treatment also has been shown to be
cost-effective,28 to keep depressed people employed,29 and is
capable of improving the productivity of people suffering
from depression who are already employed.30 However,
only approximately 20% of people with major depression are
treated adequately in China.31 The possible reasons for the
low rate of treatment may relate to the fact that mental illness
is stigmatized in traditional Chinese culture32; therefore,
Chinese people tend not to seek treatment from mental
health professionals.32 This is compounded by the lack of
medical and social support services.33
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