Centro Nacional de Salud Ocupacional y Protección del Ambiente para la Salud, Instituto Nacional de Salud, Lima, Peru.
PLoS One. 2022 Jul 28;17(7):e0272296. doi: 10.1371/journal.pone.0272296. eCollection 2022.
The COVID-19 pandemic has had a profound impact on both mental health and working conditions. Workplaces are conducive spaces for implementing strategies and interventions to promote mental health. In addition to this, they are preventing, identifying, and managing mental disorders effectively. Although international agencies have identified some guidelines for the management of mental health in the workplace in the context of the COVID-19 pandemic, a more precise characterization of both the components of the policies, their implementation, and evidence of the outcome is required to provide useful information for decision-makers.
This study aims to synthesize scientific information regarding national and local policies focusing on preventing or improving, directly or indirectly, mental health problems in the workplace during COVID-19 pandemic.
Our study is a scoping review. The Scopus, Web of Science, and Embase databases and PubMed search engine were used. Original and reviewed articles published from January 1, 2020 to October 14, 2021 were included in the research. Articles with abstract or full text in English, Spanish, German and Portuguese were also included. Our strategy is based on identifying policies (intervention) which focuses on directly or indirectly preventing or ameliorating mental health problems in the workplace during COVID-19 pandemic (participants).
A total of 6,522 records were identified, and only four studies were included in the scoping review, which were of low quality. That is, we found limited evidence evaluating mental health policies using primary or secondary data (empirical evaluation). Among the policies that have been identified are the increase of mental health resources, the promotion of mental health and self-care support programs, and the reduction of barriers to access to mental health treatment.
Our research finds that there is limited evidence available to evaluate national and local policies aimed at directly or indirectly preventing or ameliorating mental health problems at work during COVID-19 pandemic. This forces decision-makers to use different criteria to guide the allocation of resources and budgets. Therefore, there is a need for health intelligence teams in health systems to be able to assess the impact of policies as an important input for decision-makers.
新冠疫情对心理健康和工作条件都产生了深远的影响。工作场所是实施策略和干预措施以促进心理健康的有利空间。此外，工作场所还可以有效地预防、识别和管理精神障碍。尽管国际机构已经在新冠疫情背景下为工作场所的精神卫生管理确定了一些准则，但仍需要更准确地描述政策的组成部分、实施情况以及结果证据，以为决策者提供有用的信息。
本研究旨在综合与新冠疫情期间预防或改善工作场所精神健康问题直接或间接相关的国家和地方政策的科学信息。
我们的研究为范围界定综述。使用了 Scopus、Web of Science、Embase 数据库和 PubMed 搜索引擎。研究纳入了 2020 年 1 月 1 日至 2021 年 10 月 14 日发表的原始和综述文章。还纳入了摘要或全文为英文、西班牙语、德语和葡萄牙语的文章。我们的策略基于识别政策（干预措施），这些政策重点关注直接或间接预防或改善新冠疫情期间工作场所的精神健康问题（参与者）。
共确定了 6522 条记录，只有 4 项研究被纳入范围界定综述，这些研究质量较低。也就是说，我们发现评估使用初级或二级数据（实证评估）的精神卫生政策的证据有限。已确定的政策包括增加精神卫生资源、促进精神卫生和自我保健支持计划，以及减少获得精神卫生治疗的障碍。
我们的研究发现，评估旨在直接或间接预防或改善新冠疫情期间工作场所精神健康问题的国家和地方政策的证据有限。这使得决策者不得不使用不同的标准来指导资源和预算的分配。因此，卫生系统中的卫生情报小组需要能够评估政策的影响，作为决策者的重要投入。
