以工作为导向的干预措施对因常见精神障碍休病假者重返工作岗位的影响--系统性综述。

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Elisabeth Brämberg, Elizabeth Åhsberg, Gunilla Fahlström, Elisabet Furberg, Carl Gornitzki, Anna Ringborg, Peter Skogman Thoursie
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引用次数: 0

摘要

目的:评估以工作为导向的干预措施对因常见精神障碍(即轻度至中度抑郁、焦虑、适应障碍和严重压力反应)而休病假者重返工作岗位的影响:系统综述按照事先制定并注册的方案(Prospero CRD42021235586)进行。证据的确定性由两名独立审查员采用建议、评估、发展和评价分级法进行评估:我们审查了 2015 年至 2021 年间发表的 14794 条记录。其中,11 篇文章中发表的 8 项 RCT 纳入了分析:干预措施:以工作为导向的干预措施:干预措施:以工作为导向的干预措施:结果:重返工作岗位、病假天数、收入。总体而言,与标准护理或无干预相比,以工作为重点的CBT和以工作为重点的团队支持对重返工作岗位的影响增加或加快了重返工作岗位的速度(证据确定性较低)。与标准护理相比,个人安置和支持对复工的影响没有差异(证据确定性很低):结论:涉及工作场所的干预措施可提高复工的可能性。本文讨论了所纳入研究中需要改进的方面,例如方法问题。此外,还就如何在进行大规模试验时提高方法的严谨性提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effects of work-directed interventions on return-to-work in people on sick-leave for to common mental disorders-a systematic review.

Effects of work-directed interventions on return-to-work in people on sick-leave for to common mental disorders-a systematic review.

Purpose: To evaluate the body of evidence of the effects of work-directed interventions on return-to-work for people on sick leave due to common mental disorders (i.e., mild to moderate depression, anxiety, adjustment disorders and reactions to severe stress).

Methods: The systematic review was conducted in accordance with an a priori developed and registered protocol (Prospero CRD42021235586). The certainty of evidence was assessed by two independent reviewers using the Grading of Recommendations, Assessment, Development and Evaluations.

Results: We reviewed 14,794 records published between 2015 and 2021. Of these, eight RCTs published in eleven articles were included in the analysis.

Population: Working age adults (18 to 64 years), on sick leave due to mild to moderate depression, anxiety, adjustment disorders or reactions to severe stress.

Intervention: Work-directed interventions.

Comparator: No comparator, Standard care, or other measures.

Outcome: return to work, number of days on sick leave, income. Overall, the effects of work-focused CBT and work-focused team-based support on RTW resulted in increased or faster return-to-work compared with standard care or no intervention (low certainty of evidence). The effects of Individual Placement and Support showed no difference in RTW compared with standard care (very low certainty of evidence).

Conclusion: Interventions involving the workplace could increase the probability of RTW. Areas in need of improvement in the included studies, for example methodological issues, are discussed. Further, suggestions are made for improving methodological rigor when conducting large scale trials.

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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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