The Effects of Stress Managemen Program for Company Workers : A Randomized Controlled Trial

为了制定预防工人精神障碍的压力管理计划，我们计划了一个压力预防教育计划，并用随机对照试验对其进行了评估，并检查了评估指标。这项以认知行为疗法为基础的项目是与职业健康护士共同策划的。100名公司员工参加了RCT。与对照组相比，干预组在抑郁和防止病情恶化方面表现出改善。修改程序后，对另一家公司的工人进行了随机对照试验。超过80%的参与者对应对技能(认知结构调整、解决问题等)给出了肯定的回答。使用159名参与者的数据对结果变量进行分析。抑郁与应对方式、感知健康能力和凝聚感之间存在显著相关。这一发现对于确定预防抑郁症的可观察的评估指标是有用的。

To develop a stress management program for prevention of mental disorders in workers, we planned a stress prevention education program, evaluated it by RCT and examined the evaluation indicators. The program based on cognitive behavioral therapy was planned together with occupational health nurses. 100 company workers participated in the RCT. The intervention group showed improvements in depression and prevention of getting worse, compared to the control group. After modifying the program an RCT was performed among 64 workers of another company. Over 80% of the participants gave positive answers about coping skills (cognitive restructure, problem solving etc.). The outcome variables were analyzed using the data of 159 participants. Significant correlations were found between depression and coping, perceived health competence and sense of coherence. This finding is useful for defining observable evaluation indicators for preventing depression.