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首页> 外文期刊>Occupational and environmental medicine >Resource-enhancing group intervention against depression at workplace: Who benefits? A randomised controlled study with a 7-month follow-up
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Resource-enhancing group intervention against depression at workplace: Who benefits? A randomised controlled study with a 7-month follow-up

机译：针对工作场所抑郁症的资源增强型小组干预：谁能受益？一项随机对照研究，随访7个月

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Objectives: The aim of the present study was to investigate whether participation in a structured resource-enhancing group intervention at work would act as primary prevention against depression. The authors analysed whether the intervention resulted in universal, selected or indicated prevention. Methods: A total of 566 persons participated in a prospective, within-organisation, randomly assigned field experimental study, which consisted of 34 workshops in 17 organisations. The participants filled in a questionnaire, were randomly assigned to either intervention (n=296) or comparison (n=324) groups and returned another questionnaire 7 months later. The intervention, lasting four half-day sessions, was delivered by trainers from occupational health services and human resources. The aim of the structured programme was to enhance participants' career management preparedness by strengthening self-efficacy and inoculation against setbacks. The comparison group received a literature package. The authors measured depressive symptoms using the short version of the Beck Depression Inventory. A high number of depressive symptoms (over 9 points) were used as a proxy for depression. Results: At follow-up, the odds of depression were lower in the intervention group (OR=0.40, 95% CI 0.19 to 0.85) than in the comparison group when adjusted for baseline depressive symptoms, job strain and sociodemographics. In addition, the odds of depression among those with job strain (OR=0.15, 95% CI 0.03-0.81) at baseline were lower after the intervention. The intervention had no statistically significant effect on those with depressive symptoms (over 4 points) at baseline. Conclusion: The resource-enhancing group intervention appeared to be successful as universal and selective prevention of potential depression.
机译：目的：本研究的目的是调查参加工作中的结构化资源增强小组干预是否可以作为预防抑郁的主要预防措施。作者分析了干预措施是否导致普遍，选择或明确的预防。方法：共有566人参加了组织内，前瞻性随机分配的前瞻性实验研究，该研究由17个组织的34个研讨会组成。填写问卷的参与者被随机分配至干预组（n = 296）或比较组（n = 324），并在7个月后返回另一份问卷。该干预为期四个半天，由职业卫生服务和人力资源的培训人员提供。结构化计划的目的是通过增强自我效能感和接种挫折来增强参与者的职业管理准备。比较组收到了资料包。作者使用贝克抑郁量表的简短版本测量了抑郁症状。大量的抑郁症状（超过9分）被用作抑郁症的代表。结果：随访时，调整基线抑郁症状，工作压力和社会人口统计学因素后，干预组的抑郁几率较低（OR = 0.40，95％CI 0.19至0.85）。此外，干预后在基线时有工作压力（OR = 0.15，95％CI 0.03-0.81）的人发生抑郁的几率较低。对于基线时有抑郁症状（超过4分）的患者，干预措施无统计学意义。结论：增强资源的团体干预似乎是成功的普遍和选择性预防潜在抑郁症的方法。

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