The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review.
The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review.
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DOI：
10.1186/s12888-015-0706-4
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发表时间：
2016-01-06
期刊：
影响因子：
4.4
通讯作者：
Sabariego C
中科院分区：
文献类型：
--
作者：
Hanisch SE;Twomey CD;Szeto AC;Birner UW;Nowak D;Sabariego C
大多数有心理健康问题的人不会寻求帮助，而精神疾病的耻辱感被认为是寻求适当治疗的主要障碍。更有针对性的干预措施（例如在工作场所）似乎是对公共运动的一种有希望和必要的补充，但对其有效性知之甚少。本系统性综述的目的是提供一个概述的证据，针对在工作场所的精神疾病的耻辱干预措施的有效性。在文献综述后纳入了16项研究。通过检查以下方面的变化来评估工作场所反污名干预措施的有效性：（1）对精神障碍及其治疗的了解，以及对精神疾病体征/症状的认识，（2）对有精神健康问题的人的态度，以及（3）支持行为。结果表明，在工作场所的反污名干预措施可以提高员工的知识和对心理健康问题的人的支持行为。干预措施对员工态度的影响好坏参半，但总体上是积极的。证据的质量在不同的研究中有所不同。这突出表明，需要对更多样化的工作人口样本进行更严格、更高质量的评价。未来的研究应该探讨员工的知识，态度和支持行为的变化在多大程度上导致受影响的个人更早地寻求帮助。这种调查可能会使重要的利益攸关方了解目前工作场所反污名干预措施的潜在好处，并为制定和实施有效的未来干预措施提供指导。本文的在线版本（doi：10.1186/s12888-015-0706-4）包含补充材料，可供授权用户使用。
The majority of people experiencing mental-health problems do not seek help, and the stigma of mental illness is considered a major barrier to seeking appropriate treatment. More targeted interventions (e.g. at the workplace) seem to be a promising and necessary supplement to public campaigns, but little is known about their effectiveness. The aim of this systematic review is to provide an overview of the evidence on the effectiveness of interventions targeting the stigma of mental illness at the workplace. Sixteen studies were included after the literature review. The effectiveness of anti-stigma interventions at the workplace was assessed by examining changes in: (1) knowledge of mental disorders and their treatment and recognition of signs/symptoms of mental illness, (2) attitudes towards people with mental-health problems, and (3) supportive behavior. The results indicate that anti-stigma interventions at the workplace can lead to improved employee knowledge and supportive behavior towards people with mental-health problems. The effects of interventions on employees’ attitudes were mixed, but generally positive. The quality of evidence varied across studies. This highlights the need for more rigorous, higher-quality evaluations conducted with more diverse samples of the working population. Future research should explore to what extent changes in employees’ knowledge, attitudes, and supportive behavior lead to affected individuals seeking help earlier. Such investigations are likely to inform important stakeholders about the potential benefits of current workplace anti-stigma interventions and provide guidance for the development and implementation of effective future interventions. The online version of this article (doi:10.1186/s12888-015-0706-4) contains supplementary material, which is available to authorized users.