职业康复干预对成人情感性障碍患者抑郁和工作相关结果的影响：系统回顾和荟萃分析

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-06-16 DOI:10.1016/j.jpsychires.2025.06.013

Yi Xuan Chan , Si Qi Yoong , Jolene Zi Tong Teo , Ying Jiang

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引用次数: 0

摘要

实现和维持就业是精神健康障碍患者的一个关键问题，职业康复（VR）可能是有益的。然而，现有的评论集中在广泛的精神疾病上。目的：本系统综述和荟萃分析评估了与常规护理相比，VR对情感性障碍患者在改善抑郁症状、竞争性就业、缺勤时间和生活质量方面的有效性。方法随机对照试验纳入18-65岁抑郁症或双相情感障碍患者。适用时进行随机效应荟萃分析。数据来源从成立到2023年11月，系统地检索了en数据库。灰色文献在ProQuest和谷歌Scholar上检索。搜索结果于2024年3月22日更新。结果纳入9项研究的13篇文章（n = 1869名受试者）；没有研究涉及双相情感障碍患者。与常规护理相比，VR在干预后和短期随访中减轻了抑郁症状，但在长期随访中没有。竞争就业、缺勤时间、生活质量无显著差异。结论中等质量的证据支持VR减轻抑郁症状的有效性。未来的研究应侧重于双相情感障碍的虚拟现实，并纳入工作场所支持，以改善职业和生活质量。

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查看原文本刊更多论文

Effectiveness of vocational rehabilitation interventions on depression and work-related outcomes among adults with affective disorders: a systematic review and meta-analysis

Introduction

Achieving and sustaining employment is a critical concern for individuals with mental health disorders, and vocational rehabilitation (VR) may be beneficial. However, existing reviews focus on a wide range of mental illnesses.

Aim

This systematic review and meta-analysis evaluated the effectiveness of VR for individuals with affective disorders in improving depressive symptoms, competitive employment, absence duration, and quality of life compared to usual care.

Methods

Randomized controlled trials which recruited adults aged 18–65 with depressive disorders or bipolar disorders were included. A random-effects meta-analysis was conducted where applicable.

Data sources

Ten databases were systematically searched from inception to November 2023. Grey literature was searched on ProQuest and Google Scholar. The search was updated on March 22, 2024.

Results

Thirteen articles describing nine studies (n = 1869 participants) were included; no study involved individuals with bipolar disorders. VR reduced depressive symptoms post-intervention and at short-term follow-up compared to usual care but not at long-term follow-up. Competitive employment, absence duration, and quality of life showed no significant differences.

Conclusion

Moderate-quality evidence supports VR's effectiveness in reducing depressive symptoms. Future research should focus on VR for bipolar disorders and incorporate workplace support to improve vocational and quality-of-life outcomes.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;