有效的干预措施,以减少患有精神疾病的工人的病假:随机对照试验的系统审查
Rahman Shiri1, Pekka Varje1, Salla Toppinen-Tanner1
1Finnish Institute of Occupational Health, Helsinki, Finland.
Journal of psychosomatic research
|May 8, 2025
概括
减少精神疾病的病假需要多方面的策略. 将认知行为疗法等疗法与工作场所调整相结合,为持续的员工福祉提供了最有效的方法.
科学领域:
- 心理健康研究 心理健康研究
- 职业健康 职业健康 职业健康
- 基于证据的实践.
背景情况:
- 有效的干预措施来减少患有精神疾病的个体的病假并不成熟.
- 这一系统性审查综合了随机对照试验 (RCT) 的证据,以确定有效的策略.
研究的目的:
- 系统地审查随机对照试验 (RCT),评估减少精神疾病患者病假的干预措施.
主要方法:
- 在PubMed,Cochrane图书馆和PsycInfo进行的搜索截至2024年2月.
- 包括并行设计的RCT,使用Cochrane风险偏差工具 (ROB-2) 评估质量.
- 从5109个初始出版物中分析了75个RCT.
主要成果:
- 具有偏差风险较低的十个RCT表明,干预可以减少病假.
- 认知行为疗法和解决问题的疗法减少了短期的病假.
- 加强护理,工作场所调整和员工监督干预措施显示出减少缺勤率的前景.
- 在线认知行为疗法和小组治疗提供了适度的短期益处.
结论:
- 综合个人治疗与工作场所修改的多面性方法优于单一模式干预.
- 将以工作为中心的策略与在线认知行为治疗相结合,有效地减少了短期病假.
- 压力管理的小组治疗证明了短期的益处,减少了病假.
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