Preventing the development of depression at work: a systematic review and meta-analysis of universal interventions in the workplace.
Preventing the development of depression at work: a systematic review and meta-analysis of universal interventions in the workplace.
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DOI：
10.1186/1741-7015-12-74
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发表时间：
2014-05-09
期刊：
影响因子：
9.3
通讯作者：
Harvey SB
中科院分区：
文献类型：
--
作者：
Tan L;Wang MJ;Modini M;Joyce S;Mykletun A;Christensen H;Harvey SB
抑郁症是工作年龄成年人的一个主要公共卫生问题。工作场所可能是预防抑郁症发生的干预措施的重要场所，但迄今为止，工作场所普遍干预措施对心理健康的影响尚不清楚。在相关数据库中进行了系统检索，以确定旨在普遍预防抑郁症的工作场所干预措施的随机对照试验。使用唐斯和布莱克清单评估研究质量。使用具有足够方法学质量的研究结果进行荟萃分析，并从随机效应模型中获得汇总效应大小估计值。确定了九项基于工作场所的随机对照试验 (RCT)。大多数纳入的研究都采用了认知行为疗法（CBT）技术。干预组和对照组之间的总体标准化平均差（SMD）为0.16（95%置信区间（CI）：0.07、0.24，P = 0.0002），表明有较小的积极作用。仅使用基于 CBT 的干预措施进行的单独分析得出的显着 SMD 为 0.12（95% CI：0.02, 0.22，P = 0.01）。有充分的证据表明，普遍实施的工作场所心理健康干预措施可以降低工人的抑郁症状水平。有更多证据表明基于 CBT 的计划比其他干预措施更有效。基于证据的工作场所干预措施应该是预防成年人抑郁症发展的重要组成部分。
Depression is a major public health problem among working-age adults. The workplace is potentially an important location for interventions aimed at preventing the development of depression, but to date, the mental health impact of universal interventions in the workplace has been unclear. A systematic search was conducted in relevant databases to identify randomized controlled trials of workplace interventions aimed at universal prevention of depression. The quality of studies was assessed using the Downs and Black checklist. A meta-analysis was performed using results from studies of adequate methodological quality, with pooled effect size estimates obtained from a random effects model. Nine workplace-based randomized controlled trials (RCT) were identified. The majority of the included studies utilized cognitive behavioral therapy (CBT) techniques. The overall standardized mean difference (SMD) between the intervention and control groups was 0.16 (95% confidence interval (CI): 0.07, 0.24, P = 0.0002), indicating a small positive effect. A separate analysis using only CBT-based interventions yielded a significant SMD of 0.12 (95% CI: 0.02, 0.22, P = 0.01). There is good quality evidence that universally delivered workplace mental health interventions can reduce the level of depression symptoms among workers. There is more evidence for the effectiveness of CBT-based programs than other interventions. Evidence-based workplace interventions should be a key component of efforts to prevent the development of depression among adults.
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影响因子：
4.4
作者：
Kitchener, Betty A.;Jorm, Anthony F.
通讯作者：
Jorm, Anthony F.
影响因子：
120.7
作者：
DICKERSIN, K
通讯作者：
DICKERSIN, K
DOI：
10.1097/jom.0b013e31816c435b
发表时间：
2008-08-01
影响因子：
3.2
作者：
Billings, Douglas W.;Cook, Royer F.;Dove, David C.
通讯作者：
Dove, David C.
影响因子：
6.3
作者：
Downs, SH;Black, N
通讯作者：
Black, N
影响因子：
4.6
作者：
Christensen, Helen;Petrie, Katherine
通讯作者：
Petrie, Katherine