Depression in the workplace: a systematic review of evidence-based prevention strategies

Dietrich, Sandra; Deckert, Stefanie; Ceynowa, Martin; Hegerl, Ulrich; Stengler, Katarina

doi:10.1007/s00420-011-0634-7

Cited by 34 publications

(23 citation statements)

References 34 publications

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“…In order to prove a causal relationship and to show that improving work autonomy could in fact lower the burden of depressive symptoms, a controlled intervention trial aiming to improve well-being would be necessary. Since depression is a prominent health problem for young doctors, intervention studies are warranted (Dietrich et al 2011).…”

Section: Meaning Of the Studymentioning

confidence: 99%

Depressive symptoms in junior doctors: a follow-up study on work-related determinants

Weigl

Hornung

Petru

et al. 2011

Int Arch Occup Environ Health

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Section: Meaning Of the Studymentioning

confidence: 99%

Depressive symptoms in junior doctors: a follow-up study on work-related determinants

Weigl

Hornung

Petru

et al. 2011

Int Arch Occup Environ Health

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“…It has been suggested that depression can be effectively prevented and managed particularly in workplace settings where large populations can be reached 11. For a number of years, stress management programmes were considered as the most common strategy for mental health promotion in the workplace 12.…”

Section: Introductionmentioning

confidence: 99%

“…Another review identified 10 RCTs and 2 non-RCTs,15 but the authors concluded that only limited evidence can be drawn from these studies. There was also another review that focused solely on interventions that only targeted depression, but excluded any stress management interventions 11. Nevertheless, stress management interventions may decrease stress levels in addition to other mental health outcomes such as depression 13.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of universal and targeted workplace interventions for depression

2017

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Depression is increasingly being recognised as a significant mental health problem in the workplace contributing to productivity loss and economic burden to organisations. This paper reviews recently published randomised controlled trials (RCTs) of universal and targeted interventions to reduce depression in the workplace. Studies were identified through searches of EMBASE, MEDLINE/PubMed, PsycINFO, PsycARTICLES Full Text, and Global Health and Social Policy and Practice databases. Studies were included if they included an RCT of a workplace intervention for employees targeting depression as the primary outcome. Twenty-two published RCTs investigating interventions utilising various therapeutic approaches were identified. The cognitive behavioural therapy (CBT) approach is the most frequently used in the workplace, while interventions that combine different therapeutic approaches showed the most promising results. A universal intervention in the workplace that combines CBT and coping flexibility recorded the highest effect size (d=1.45 at 4 months' follow-up). Most interventions were delivered in group format and showed low attrition rates compared with other delivery formats. Although all studies reviewed were RCTs, the quality of reporting is low. Interventions using different therapeutic approaches with different modes of delivery have been used. Most of these interventions were shown to reduce depression levels among employees in the workplace, particularly those that combine more than one therapeutic approaches.

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“…However, gaps of two sorts exist in this research. First, much of this research focused on depression [10,16-24] and little is known about the associations of other common mental disorders with employment outcomes. Second, this research has been mainly based on cross-sectional rather than longitudinal studies.…”

Section: Introductionmentioning

confidence: 99%

Long-term effects of mental disorders on employment in the National Comorbidity Survey ten-year follow-up

Mojtabai

Stuart

Hwang

et al. 2015

Soc Psychiatry Psychiatr Epidemiol

105

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Purpose Although significant negative associations of mental disorders with employment have been documented in epidemiological research, much of this research was based on cross-sectional samples and focused only on severe and persistent mental disorders. The present study examined the longitudinal associations of more common mental disorders with employment. Methods Data on the associations of common mental disorders with employment are presented here from 4,501 respondents in the National Comorbidity Survey panel study, a two-wave community epidemiological survey of respondents aged 15-54 at baseline (1990-1992) who were re-interviewed in 2001-2003 and were employed, unemployed in the labor force or student at baseline. Lifetime mental disorders at baseline and disorders with onset after baseline were assessed with the Composite International Diagnostic Interview, a fully-structured interview that assessed lifetime prevalence of internalizing fear disorders (panic, phobias), anxiety/misery disorders (major depression, generalized anxiety disorder, post-traumatic stress disorder), externalizing disorders (conduct disorder, alcohol and illicit drug abuse-dependence), and bipolar disorder. Results Both baseline lifetime disorders and disorders with onsets after baseline were associated with significantly reduced odds of subsequent employment among respondents who were either employed or students at baseline. Population projections based on the assumption that these associations represented causal effects suggest that the mental disorders considered here were associated with 1.7-3.2 million adults being unemployed in the US population at follow-up. Conclusions Expanded access to treatment among current employees and students with mental disorders might lead to improved employment outcomes in these segments of the population.

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Depression in the workplace: a systematic review of evidence-based prevention strategies

Abstract: The findings are quite sobering given the high prevalence of depression and the individual and societal burden caused by it. More tailor-made interventions in the workplace targeting depression directly are needed.

Cited by 34 publications

References 34 publications

Depressive symptoms in junior doctors: a follow-up study on work-related determinants

Depressive symptoms in junior doctors: a follow-up study on work-related determinants

Systematic review of universal and targeted workplace interventions for depression

Long-term effects of mental disorders on employment in the National Comorbidity Survey ten-year follow-up

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