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      Papel de la psicoterapia en la reducción del absentismo sobre trabajadores con depresión y/o ansiedad: revisión sistemática Translated title: Role of psychotherapy in reducing absenteeism in workers with depression and/or anxiety: a systematic review

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          Abstract

          RESUMEN. Objetivo: Sintetizar la evidencia encontrada sobre la efectividad de diferentes tipos de psicoterapia destinadas a reducir la ausencia por enfermedad en trabajadores con trastorno depresivo y/o de ansiedad. Material y Métodos: Se realizó una revisión sistemática en las bases de datos electrónicas de MEDLINE (PubMed), EMBASE, The Cochrane Library, Scopus, Web of Science. Resultados: En total se incluyeron 3121pacientes. El diagnóstico de la enfermedad se realiza basándose en el DSM-IV o CIE 10. Para la reducción de síntomas ansioso/depresivos, los resultados han variado entre un máximo del 78% de recuperación a un mínimo del 22 % dependiendo del tipo de psicoterapia empleada. En cuanto al ámbito laboral, se ha observado una disminución del absentismo con máxima del 53%. Conclusiones: El uso de diferentes tipos de psicoterapia en los pacientes con trastorno depresivo y/o ansiedad, reducen las ausencias por enfermedad en los trabajadores.

          Translated abstract

          ABSTRACT Objective: To synthesize the evidence found on the effectiveness of different types of psychotherapy aimed to reduce sickness absence in workers with depressive and/or anxiety disorder. Material and Method: A systematic review was performed using the electronic data base from MEDLINE (PubMed), EMBASE, The Cochrane Library, Scopus and Web of Science Results: 3121 patients were included. The diagnosis is made mostly based on the DSM-IV or ICD 10. In terms for the reduction of anxious/depressive symptoms after therapy, the results have varied between a maximum of 78% recovery to a minimum of 22% depending on the type of psychotherapy used. In relation to the workplace, it has been measured by the decrease in absenteeism, with a maximum reduction of 53%. Conclusions: The use of different types of psychotherapy in patients with depressive and/or anxiety disorders reduces absences due to illness in workers.

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          Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas

          The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews. Full English text available from:www.revespcardiol.org/en.
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            Improving Employee Well-Being and Effectiveness: Systematic Review and Meta-Analysis of Web-Based Psychological Interventions Delivered in the Workplace

            Background Stress, depression, and anxiety among working populations can result in reduced work performance and increased absenteeism. Although there is evidence that these common mental health problems are preventable and treatable in the workplace, uptake of psychological treatments among the working population is low. One way to address this may be the delivery of occupational digital mental health interventions. While there is convincing evidence for delivering digital psychological interventions within a health and community context, there is no systematic review or meta-analysis of these interventions in an occupational setting. Objective The aim of this study was to identify the effectiveness of occupational digital mental health interventions in enhancing employee psychological well-being and increasing work effectiveness and to identify intervention features associated with the highest rates of engagement and adherence. Methods A systematic review of the literature was conducted using Cochrane guidelines. Papers published from January 2000 to May 2016 were searched in the PsychINFO, MEDLINE, PubMed, Science Direct, and the Cochrane databases, as well as the databases of the researchers and relevant websites. Unpublished data was sought using the Conference Proceedings Citation Index and the Clinical Trials and International Standard Randomized Controlled Trial Number (ISRCTN) research registers. A meta-analysis was conducted by applying a random-effects model to assess the pooled effect size for psychological well-being and the work effectiveness outcomes. A positive deviance approach was used to identify those intervention features associated with the highest rates of engagement and adherence. Results In total, 21 randomized controlled trials (RCTs) met the search criteria. Occupational digital mental health interventions had a statistically significant effect post intervention on both psychological well-being (g=0.37, 95% CI 0.23-0.50) and work effectiveness (g=0.25, 95% CI 0.09-0.41) compared with the control condition. No statistically significant differences were found on either outcome between studies using cognitive behavioral therapy (CBT) approaches (as defined by the authors) compared with other psychological approaches, offering guidance compared with self-guidance, or recruiting from a targeted workplace population compared with a universal workplace population. In-depth analysis of the interventions identified by the positive deviance approach suggests that interventions that offer guidance are delivered over a shorter time frame (6 to 7 weeks), utilize secondary modalities for delivering the interventions and engaging users (ie, emails and text messages [short message service, SMS]), and use elements of persuasive technology (ie, self-monitoring and tailoring), which may achieve greater engagement and adherence. Conclusions This review provides evidence that occupational digital mental health interventions can improve workers’ psychological well-being and increase work effectiveness. It identifies intervention characteristics that may increase engagement. Recommendations are made for future research, practice, and intervention development.
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              The CONSORT statement

              Randomized control trials (RCT's) are the gold standard in evaluating and efficiently translating research data into clinical practice. The CONSORT statement was conceptualized in order to help ascertain standardization and reproducibility of RCT's. The articles publishing the CONSORT 2010 statement along with their bibliographies were identified and thoroughly reviewed. The CONSORT statement is made up of a 25-item checklist that provides the author with a solid backbone around which to construct and present an RCT. It sets standards on the trial's design, analysis, and interpretation of the results.
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                Author and article information

                Journal
                medtra
                Revista de la Asociación Española de Especialistas en Medicina del Trabajo
                Rev Asoc Esp Espec Med Trab
                Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
                1132-6255
                3020-1160
                2022
                : 31
                : 4
                : 428-440
                Affiliations
                [3] León Castilla y León orgnameHospital Universitario de León España
                [2] Vigo orgnameComplejo Hospitalario Universitario de Vigo Spain
                [1] Salamanca Castilla y León orgnameHospital Universitario de Salamanca España
                [4] Valladolid Castilla y León orgnameHospital Universitario Rio Ortega de Valladolid España
                Article
                S3020-11602022000400011 S3020-1160(22)03100400011
                0b944b9a-509e-4cb4-a608-9f50a3e53d6d

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                : 19 December 2022
                : 25 May 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 33, Pages: 13
                Product

                SciELO Spain

                Categories
                Revisiones

                Workers,Depresión,Psicoterapia,Ausentismo,Salud laboral,Terapia,Trabajadores,Depression,Pyschotherapy,Absenteeism,Occupational Health,Therapy

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