Nowrouzi-Kia Behdin, Garrido Pablo, Gohar Basem, Yazdani Amin, Chattu Vijay Kumar, Bani-Fatemi Ali, Howe Aaron, Duncan Andrea, Riquelme Maria Paz, Abdullah Faizah, Jaswal Sharan, Lo Joyce, Fayyaz Yusra, Alam Bushra
Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, Canada.
Krembil Research Institute, University Health Network, 60 Leonard Ave, Toronto, ON M5T 0S8, Canada.
Healthcare (Basel). 2023 May 12;11(10):1403. doi: 10.3390/healthcare11101403.
The workplace is a vital setting to support positive mental health. Mental health conditions in the workforce contribute to decreased work engagement and participation. There is existing literature on return-to-work (RTW) interventions for individuals with work-related mental health conditions, however, there lacks consensus on their effectiveness. Therefore, the primary aim of this systematic review was to synthesize the literature and evaluate the effectiveness of return-to-work interventions on return-to-work rates, quality of life, and psychological wellbeing for individuals with work-related mental health conditions. Selected articles were organized and identified using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and the Population/Intervention/Comparison/Outcome (PICO) framework. Quality assessment of the included studies was completed using the Critical Appraisal Skills Programme randomized controlled trials checklist and the Joanna Briggs Institute quasi-experimental studies checklist. A random effects meta-analysis model was performed using DerSimonian-Laird weighting to calculate standard mean difference and risk ratios to assess the impact of RTW interventions on return-to-work rates, absenteeism, stress symptoms, depression symptoms, and quality of life. A total of 28 out of 26,153 articles met the inclusion criteria. Diagnoses for participants in the studies ranged from work-related stress to work-related PTSD following exposure to a psychologically traumatizing event in the workplace. No significant differences were found for the meta-analyses examining return-to-work rates, absenteeism, depression, stress, and quality of life. The most effective interventions were found to be a multi-domain intervention (67% of participants RTW full time) and a health-focused intervention (85% RTW rate). Future research may consider establishing effective interventions to develop programs or policies supporting the RTW of employees and promote mental well-being among employees experiencing work-related mental health conditions.
工作场所是支持积极心理健康的重要环境。劳动力中的心理健康状况会导致工作投入和参与度下降。关于患有与工作相关心理健康问题的个人的重返工作岗位（RTW）干预措施，已有相关文献，但对于其有效性尚未达成共识。因此，本系统评价的主要目的是综合文献，评估重返工作岗位干预措施对患有与工作相关心理健康问题的个人的重返工作岗位率、生活质量和心理健康的有效性。使用系统评价和Meta分析的首选报告项目（PRISMA）指南以及人群/干预措施/对照/结局（PICO）框架来组织和识别所选文章。使用批判性评估技能计划随机对照试验清单和乔安娜·布里格斯研究所准实验研究清单对纳入研究进行质量评估。使用DerSimonian-Laird加权法进行随机效应Meta分析模型，以计算标准化平均差和风险比，以评估重返工作岗位干预措施对重返工作岗位率、缺勤率、压力症状、抑郁症状和生活质量的影响。在26153篇文章中，共有28篇符合纳入标准。研究参与者的诊断范围从与工作相关的压力到在工作场所接触心理创伤事件后与工作相关的创伤后应激障碍。在对重返工作岗位率、缺勤率、抑郁、压力和生活质量进行的Meta分析中未发现显著差异。发现最有效的干预措施是多领域干预（67%的参与者全职重返工作岗位）和以健康为重点的干预（85%的重返工作岗位率）。未来的研究可以考虑制定有效的干预措施，以制定支持员工重返工作岗位的计划或政策，并促进患有与工作相关心理健康问题的员工的心理健康。
