An interpersonal group program for depression and work stress (IPT-Work) versus supportive psychotherapy: a multicentre, randomised, controlled trial

针对抑郁和工作压力的人际团体计划 (IPT-Work) 与支持性心理治疗：一项多中心、随机、对照试验

• 批准号: 507692077
• 负责人: Professorin Dr. Elisabeth Schramm, Ph.D.
• 金额: --
• 依托单位: Klinik für Psychiatrie und Psychotherapie
• 依托单位国家: 德国
• 项目类别: Clinical Trials
• 资助国家: 德国
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/507692077?language=en
• 关键词: interpersonal; group; program; depression; work

Depressive disorders are highly prevalent at the workplace and have a major impact on social and occupational functioning and on sick leave of depressed employees. Work related stress has been described as the most common cause of depression by patients. Psychosocial interventions for employees suffering from work related stress have received increasing attention in the past few years. However, there is only very little research on specific work focused approaches for depressed individuals. Since stress at work is driven largely by psychosocial factors, an additional novel focus of Interpersonal Psychotherapy (IPT) as an evidence-based depression treatment, namely "work stress" (IPT-Work), was conceptualized for the treatment of depression and work stress. As work usually takes place in an interpersonal context, IPT-Work addresses psychosocial stressors such as interpersonal conflicts at work, role stress, low social support, and the reduction of stressful working conditions. Pilot data for this concept show first encouraging results compared to treatment as usual. The goal of this project is to compare the efficacy of a 10-session IPT-Work group program with nonspecific supportive group therapy. Overall, 144 patients with depression and work stress will be investigated. It is expected that IPT-Work is more effective in reducing depressive symptoms and in increasing work ability compared to supportive psychotherapy three months after the end of treatment. The IPT-Work program may thus contribute to a decrease of work stress, an increase of work satisfaction, and reduced sickness absence in depressed individuals at the workplace.

抑郁症在工作场所非常普遍，对社会和职业功能以及抑郁员工的病假产生重大影响。与工作有关的压力被描述为患者抑郁症的最常见原因。在过去的几年里，对遭受工作压力的员工进行心理社会干预越来越受到关注。然而，只有很少的研究，具体的工作为重点的方法，为抑郁症患者。由于工作压力主要是由心理社会因素驱动的，人际心理治疗（IPT）作为一种循证抑郁症治疗的新焦点，即“工作压力”（IPT-工作），被概念化用于治疗抑郁症和工作压力。由于工作通常发生在人际关系的背景下，IPT工作解决了心理社会压力因素，如工作中的人际冲突，角色压力，低社会支持，以及减少紧张的工作条件。与常规治疗相比，这一概念的试点数据首次显示出令人鼓舞的结果。本项目的目的是比较10次IPT工作组计划与非特异性支持性团体治疗的疗效。总共有144名抑郁症和工作压力患者将接受调查。预计在治疗结束后三个月，与支持性心理治疗相比，IPT工作在减少抑郁症状和提高工作能力方面更有效。因此，IPT工作计划可能有助于减少工作压力，增加工作满意度，并减少工作场所抑郁症患者的病假。