Allwang Christine, Marten-Mittag Birgitt, Dinkel Andreas, Mauss Daniel, Lahmann Claas
Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Munich, Germany.
Medical Faculty Mannheim, Mannheim Institute of Public Health, Social and Preventive Medicine, Heidelberg University, Heidelberg, Germany.
Front Psychiatry. 2020 Sep 8;11:00867. doi: 10.3389/fpsyt.2020.00867. eCollection 2020.
Employees' mental health impairments are a leading reason for sickness-leave and early retirement. This is why a large number of different intervention programmes have evolved in recent years with the aim of counteracting this development. Our study evaluates a short-term cognitive-behavioral psychotherapeutic intervention off the workplace. We investigated improvement of mental and physical health in psychologically strained employees of a white collar company. Depressive symptoms (PHQ-9), anxiety symptoms (GAD-7), somatic symptoms (PHQ-15), and perceived stress (PSQ-20) were assessed at the beginning and after the intervention. Patient satisfaction (recommendation - likeliness) was also measured after the intervention. In a second step, we have looked at potential determinants of therapy outcome. Changes in the symptom measures were assessed using t-tests, MANOVA, and Chi²-tests. Cohen's d was computed as effect size measure. One-hundred twenty-seven participants completed the assessment before, and 66 participants post intervention. Mean age of the participants was 44.6 (SD = 9.8) years, 54% were men. 89.7% of the patients attended one to five sessions. Depressive, anxiety, somatic symptoms, and perceived stress significantly declined from baseline to end of intervention. Effect sizes ranged from d = 0.49 (perceived stress) to d = 0.72 (depressive symptoms). Moreover, 93% of the patients stated that they were satisfied with the intervention and would recommend it to a friend. Previous uptake of psychiatric/psychotherapeutic treatment moderated the effect of the intervention on depressive symptoms, i.e., patients without previous experience showed a stronger reduction in symptoms of depression. The results tentatively suggest that the intervention is effective in reducing a broad range of psychological symptoms. Future research could investigate preferences and different outcomes of on-site and off-site work place interventions.
员工的心理健康问题是病假和提前退休的主要原因。这就是为什么近年来出现了大量不同的干预项目，旨在应对这一趋势。我们的研究评估了一种在工作场所以外进行的短期认知行为心理治疗干预。我们调查了一家白领公司中心理压力较大的员工的身心健康改善情况。在干预开始时和结束后，评估了抑郁症状（PHQ-9）、焦虑症状（GAD-7）、躯体症状（PHQ-15）和感知压力（PSQ-20）。干预结束后还测量了患者满意度（推荐可能性）。第二步，我们研究了治疗结果的潜在决定因素。使用t检验、多变量方差分析和卡方检验评估症状测量的变化。计算科恩d值作为效应量指标。127名参与者在干预前完成了评估，66名参与者在干预后完成了评估。参与者的平均年龄为44.6岁（标准差=9.8），54%为男性。89.7%的患者参加了一至五次治疗。从基线到干预结束，抑郁、焦虑、躯体症状和感知压力显著下降。效应量范围从d=0.49（感知压力）到d=0.72（抑郁症状）。此外，93%的患者表示对干预满意，并会向朋友推荐。先前接受过精神科/心理治疗对干预对抑郁症状的效果有调节作用，即没有先前经验的患者抑郁症状减轻更明显。结果初步表明，该干预在减轻广泛的心理症状方面是有效的。未来的研究可以调查现场和非现场工作场所干预的偏好和不同结果。
