Duchaine Caroline S, Aubé Karine, Gilbert-Ouimet Mahee, Bruno Pena Gralle Ana Paula, Vezina Michel, Ndjaboue Ruth, Massamba Victoria K, Trudel Xavier, Lesage Alain, Moore Lynne, Laurin Danielle, Brisson Chantal
Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec City, Québec, Canada.
BMJ Open. 2019 Nov 4;9(11):e033093. doi: 10.1136/bmjopen-2019-033093.
Depression is a common and disabling health problem that contributes to an important social and economic burden, particularly among the working age population. The deleterious effect of psychosocial work factors on depression has been documented. However, the most recent systematic reviews had restrictive eligibility criteria and, since their publications, several original studies have been published. The proposed systematic review aims to update, evaluate and synthesise the effect of psychosocial work factors from three recognised theoretical models, the demand-control-support, effort-reward imbalance and organisational justice models, on the risk of depression among workers.
A systematic literature search will be conducted in seven academic databases (Medline, Embase, CINAHL, Web of Science, PsycInfo, Sociological abstracts and IBSS) as well as three grey literature databases. The search strategy was first run on January 2017, updated in October 2017 and will be updated 6 months prior to submission for publication. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations, study selection will be carried out using a rigorous multistep screening process in duplicate by independent reviewers. Prospective studies evaluating the effect of at least one psychosocial work factor from the three theoretical models on depression or antidepressant medication use among working adults will be included. Extracted data will be used for evidence synthesis as well as to assess risk of bias and methodological quality. Meta-estimates will be provided after considering homogeneity and number of studies.
This study will only draw from published studies and grey literature available in electronic databases; ethics approval is not required. The results of this review will be published in a peer review journal and presented at relevant conferences. Given that psychosocial work factors are frequent and modifiable, the results can help reduce the social and economic burden of depression and support public policy-makers to improve occupational health standards.
CRD42018107666.
抑郁症是一种常见且使人致残的健康问题,会造成重大的社会和经济负担,在工作年龄人口中尤为如此。心理社会工作因素对抑郁症的有害影响已有文献记载。然而,最近的系统评价纳入标准较为严格,自其发表以来,又有多项原创研究问世。本拟进行的系统评价旨在更新、评估和综合来自三种公认理论模型(需求-控制-支持模型、努力-回报失衡模型和组织公正模型)的心理社会工作因素对劳动者患抑郁症风险的影响。
将在七个学术数据库(医学索引数据库、荷兰医学文摘数据库、护理学与健康领域数据库、科学引文索引数据库、心理学文摘数据库、社会学文摘数据库和国际社会科学文献索引数据库)以及三个灰色文献数据库中进行系统的文献检索。检索策略于2017年1月首次运行,2017年10月更新,并将在提交发表前6个月更新。按照系统评价和Meta分析的首选报告项目的建议,研究选择将由独立评审员通过严格的多步骤筛选过程进行重复操作。将纳入评估三种理论模型中至少一种心理社会工作因素对在职成年人抑郁症或抗抑郁药物使用影响的前瞻性研究。提取的数据将用于证据综合以及评估偏倚风险和方法学质量。在考虑研究的同质性和数量后将提供Meta估计值。
本研究仅采用电子数据库中已发表的研究和灰色文献;无需伦理批准。本评价的结果将发表在同行评审期刊上,并在相关会议上展示。鉴于心理社会工作因素很常见且可改变,研究结果有助于减轻抑郁症的社会和经济负担,并支持公共政策制定者提高职业健康标准。
CRD42018107666。