AS@W Antidepressant Skills at Work: Dealing with Mood Problems in the Workplace

AS@W...Depression and Physical Health Conditions

Why should mood difficulties in individuals with a health condition be addressed?

    • Stroke
    • Diabetes
    • Obesity
    • Parkinson’s Disease
    • Epilepsy
    • Arthritis
    • Kidney Disease
    • Asthma
    • Chronic Pain
    • AIDS
    • Chronic Obstructive Pulmonary Disease (COPD)
    • Dementia
    • Alzheimer’s Disease

What is the relationship between depression and specific health conditions?

Heart Disease:


Chronic Obstructive Pulmonary Disease (COPD):

Kidney Disease:



What are some things that can help individuals who are dealing with a mood difficulty and a health condition?


Anderson, B.L., Yang, H., Farrar, W., Golden-Kreutz, D.M., Emery, C.F., Thornton, L.M., Young, D.C., & Carson, W.E. (2008). Psychological intervention improves survival for breast cancer patients: a randomized clinical trial. Cancer. 113, 3450-3458.

Bilsker, D., Samra, J., & Goldner, E. (2008). Positive Coping with Health Conditions. Accessed from

Brenes, G. (2003). Anxiety and chronic obstructive pulmonary disease: prevalence, impact, and treatment. Psychosomatic Medicine, 65, 963-970.

Chapman, D., Peyy, G., & Strine, T. (2005). The vital link between chronic disease and depressive disorders. Preventing Chronic Disease: Public Health Research, Practice, and Policy, 2, 1-10.

O’Connor, C., Jiang, W., Kuchibhatla, M., Mehta, R., Clary, G., Cuffe, M., Christopher, E., Alexander, J., Califf, R., & Krishnan, R. (2008). Antidepressant use, depression, and survival in patients with heart failure. Archives of Internal Medicine, 168, 2232-2237.

Park, H., Hong, Y., Lee, H., Ha, E., & Sung, Y. (2004). Individuals with type 2 diabetes and depressive symptoms exhibited lower adherence with self-care. Journal of Clinical Epidemiology, 57, 978-984.

Rudisch, B., & Nemeroff, C. (2003). Epidemiology of comorbid coronary artery disease and depression. Biological Psychiatry, 54, 227-240.

Sirois, B. & Burg, M. (2003). Negative emotion and coronary heart disease: a review. Behaviour Modification, 27, 83-102.

Walters, K., Rait, G., Petersen, I., Williams, R., & Nazareth, I. (2008). Panic disorder and risk of new onset coronary heart disease, acute myocardial infarction, and cardiac mortality: cohort study using the general practice research database. European Heart Journal, 29, 2981-2988.


About AS@W

How was Antidepressant Skills at Work developed?

The guide was developed by British Columbia Mental Health and Addiction Services (BCMHAS), an agency of the Provincial Health Services Authority. The guide and accompanying materials have been authored by Dr. Dan Bilsker, Dr. Merv Gilbert, and Dr. Joti Samra – registered psychologists and scientist-practitioners with expertise in issues relating to workplace mental health. These psychologists are with the Centre for Applied Research in Mental Health and Addiction (CARMHA), Faculty of Health Sciences, Simon Fraser University. The guide was written on the basis of a review of the scientific literature; consultation with employers, unions, mental health providers and employee groups; and adaptation of existing self-care depression programs.

How can the manual be accessed?

The manual is available for viewing and free download at or from Individuals or organizations are free to print and make multiple copies of the guide, with permission from CARMHA. Print copies and audio CDs are available at a low cost from our ordering page at

For further information about AS@W and associated resources and materials, please visit . This information will be updated on a regular basis.