Computerized cognitive behavioural therapy at work: a randomized controlled trial in employees with recent stress-related absenteeism
Computerized cognitive behavioural therapy at work: a randomized controlled trial in employees with recent stress-related absenteeism
复制标题
DOI：
10.1093/occmed/kqh077
复制
发表时间：
2004-08-01
影响因子：
5.1
通讯作者：
Grime, PR
中科院分区：
文献类型：
--
作者：
Grime, PR
背景 情绪困扰对雇员和雇主都有重大影响。认知行为疗法（CBT）是一种推荐的治疗方法，但供不应求。 CBT 非常适合计算机化。大多数员工援助计划尚未经过系统评估，计算机化 CBT 此前也未在工作场所进行过研究。目的 评估为期 8 周的计算机化认知行为治疗计划“Beating The Blues”对最近因压力相关缺勤的员工情绪困扰的效果，并探讨不参与的原因。方法 在伦敦 NHS 职业健康部门进行的一项开放、随机试验。过去 6 个月内因压力相关缺勤累计 10 天或以上的 48 名公共部门雇员，被随机分配到“战胜忧郁”加传统护理组，或单独接受传统护理组。主要结局指标是治疗结束时以及1、3和6个月后的医院焦虑和抑郁量表以及归因风格问卷评分；结果 治疗结束时和 1 个月后，干预组的调整后平均抑郁评分和调整后平均负面归因风格评分显着较低。治疗后一个月，干预组的调整后平均焦虑评分也显着降低。治疗后3个月和6个月时差异无统计学意义。不参与的情况很常见，与准入问题、对其他治疗的偏好、时间投入、对干预措施的怀疑以及与雇主的联系有关。结论“战胜忧郁”可能会加速近期因压力相关缺勤的员工的心理恢复。更大的灵活性和可访问性可能会提高采用率。
Background Emotional distress has major implications for employees and employers. Cognitive behavioural therapy (CBT) is a recommended treatment, but demand outstrips supply. CBT is well suited to computerization. Most employee assistance programmes have not been systematically evaluated and computerized CBT has not previously been studied in the workplace.Aims To evaluate the effect of an 8 week computerized cognitive behavioural therapy programme, 'Beating The Blues', on emotional distress in employees with recent stress-related absenteeism, and to explore the reasons for non-participation.Methods An open, randomized trial in a London NHS occupational health department. Forty-eight public sector employees, with 10 or more cumulative days stress-related absenteeism in the last 6 months, randomized equally to 'Beating The Blues' plus conventional care, or conventional care alone. Main outcome measures were Hospital Anxiety and Depression Scale and Attributional Style Questionnaire scores at end of treatment and 1, 3 and 6 months later; and reasons for non-participation.Results At end of treatment and 1 month later, adjusted mean depression scores and adjusted mean negative attributional style scores were significantly lower in the intervention group. One month post-treatment, adjusted mean anxiety scores were also significantly lower in the intervention group. The differences were not statistically significant at 3 and 6 months post-treatment. Non-participation was common and related to access problems, preference for other treatments, time commitment, scepticism about the intervention and the employer connection.Conclusions Beating The Blues may accelerate psychological recovery in employees with recent stress-related absenteeism. Greater flexibility and accessibility might improve uptake.