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员工对工作场所心理治疗咨询组织方面的偏好——按职业领域、公司规模、需求水平和主管职能划分的横断面研究。

Employees' preferences on organisational aspects of psychotherapeutic consultation at work by occupational area, company size, requirement levels and supervisor function - a cross-sectional study in Germany.

机构信息

Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Medical Faculty, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.

出版信息

BMC Public Health. 2023 Feb 16;23(1):347. doi: 10.1186/s12889-023-15255-0.

Abstract

BACKGROUND

Common mental disorders affect a significant proportion of the population worldwide at any given time. Psychotherapeutic consultation at work offers employees with mental distress short-term and low-threshold access to psychotherapeutic treatment. However, this offer is only accepted by one to two percent of the employees to whom it is offered. Taking into account employees ' preferences regarding organisational aspects might increase the use of psychotherapeutic consultation at work. This study therefore aimed to identify preferences on organisational aspects of psychotherapeutic consultation at work among employees of diverse occupational areas, company sizes, supervisor functions and job requirement levels.

METHODS

A total of 755 employees were recruited via advertisements on social media (Instagram, Facebook and LinkedIn). Participants rated on a 5-point Likert scale their agreement to different implementation options of psychotherapeutic consultation at work: type (in-person/video/telephone), location (on/outside company premises), time (within/outside working hours), scope (diagnostic/diagnostic + treatment) and purpose (private/occupational). Additionally, the maximum accepted distance to the location of consultation was assessed. Various analyses of variances (ANOVA) were conducted to determine differences in agreement to implementation options within each organisational aspect and to analyse differences between occupational areas, company sizes, requirement levels and between employees with and without supervisor function.

RESULTS

Participants indicated a preference for in-person psychotherapeutic consultation that takes places outside company premises and outside working hours. Furthermore, they preferred offers including diagnostic and treatment sessions compared to offers including diagnostic sessions only. Even though participants agreed that consultation should be offered for all purposes, agreement for occupational issues was stronger than for private issues. For some implementation options, the level of agreement varied according to occupational field, company size, supervisor function and level of requirement. However, these differences did not affect the key findings mentioned above.

CONCLUSION

Those findings give practical indications on the organisational design of psychotherapeutic consultation at work. The results suggest that in-person consultation outside company premises and working hours combining diagnostic and treatment sessions will be accepted by employees regardless of their occupational area, company size, supervisor function and requirement level.

摘要

背景

常见精神障碍在全球任何特定时间都会影响相当大比例的人群。工作场所的心理治疗咨询为有精神困扰的员工提供了短期和低门槛的心理治疗途径。然而,只有 1%到 2%的被提供该服务的员工会接受。考虑到员工对组织方面的偏好可能会增加工作场所心理治疗咨询的使用。因此,本研究旨在确定不同职业领域、公司规模、主管职能和工作要求水平的员工对工作场所心理治疗咨询的组织方面的偏好。

方法

通过在社交媒体(Instagram、Facebook 和 LinkedIn)上发布广告,共招募了 755 名员工。参与者在 5 点李克特量表上对不同的工作场所心理治疗咨询实施选项表示同意程度:类型(面对面/视频/电话)、地点(公司内部/外部)、时间(工作时间内/外)、范围(诊断/诊断+治疗)和目的(私人/职业)。此外,还评估了对咨询地点的最大可接受距离。进行了各种方差分析(ANOVA),以确定在每个组织方面内对实施选项的同意程度差异,并分析职业领域、公司规模、要求水平以及有和没有主管职能的员工之间的差异。

结果

参与者表示倾向于在公司外部和工作时间外进行面对面的心理治疗咨询。此外,他们更喜欢提供诊断和治疗课程的服务,而不是仅提供诊断课程的服务。尽管参与者同意咨询应提供给所有目的,但对职业问题的认同比私人问题更强。对于一些实施选项,同意程度因职业领域、公司规模、主管职能和要求水平而有所不同。然而,这些差异并没有影响到上述关键发现。

结论

这些发现为工作场所心理治疗咨询的组织设计提供了实际指导。结果表明,无论员工的职业领域、公司规模、主管职能和要求水平如何,在公司外部和工作时间外进行面对面的咨询,结合诊断和治疗课程,将被员工接受。

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