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常见精神障碍与工作。

Common mental disorders and work.

机构信息

Retired Occupational Physician, London.

出版信息

Br Med Bull. 2018 Jun 1;126(1):113-121. doi: 10.1093/bmb/ldy014.

Abstract

BACKGROUND

Governments and employers' organizations have sustained focus on common mental disorders (CMD), how they impact a person's ability to gain or continue work, the costs of sickness absence, presenteeism and job loss, and the positive impact of work on wellbeing.

SOURCES OF DATA

Scientific literature, mainly systematic reviews and grey literature, i.e. publications not accessible through medical databases.

AREAS OF AGREEMENT

CMD are a major cause of disability, unemployment and dependency on welfare benefits. Good and healthy work is important for maintaining mental health and for promoting recovery from mental disorders.

AREAS OF CONTROVERSY

Evidence is limited with respect to the effectiveness of workplace interventions to prevent CMD and especially with respect to work outcomes and work reintegration of those who have been off sick.

GROWING POINTS

There is growing interest in, and an increasing number of, best practice guidelines for employers, that could be improved and shared more actively.

AREAS TIMELY FOR DEVELOPING RESEARCH

There is need for high-quality studies of interventions that examine work outcomes in patients who have been unable to obtain or continue work because of CMD.

摘要

背景

政府和雇主组织一直关注常见精神障碍(CMD),关注其对个人工作能力的影响,包括工作获取和维持能力、病假、缺勤和失业的成本,以及工作对幸福感的积极影响。

资料来源

主要为系统评价和灰色文献等科学文献,即无法通过医学数据库获取的出版物。

共识领域

CMD 是导致残疾、失业和依赖福利的主要原因。良好和健康的工作对于维持心理健康和促进精神障碍康复非常重要。

争议领域

关于工作场所干预措施预防 CMD 的有效性,尤其是关于那些因病缺勤的人的工作结果和重返工作岗位的证据有限。

新的关注点

雇主的最佳实践指南越来越受到关注,数量也在增加,这些指南可以得到改进并更积极地分享。

需要开展研究的领域

需要高质量的研究来干预那些因 CMD 而无法获得或继续工作的患者的工作结果。

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