@Article{信息:doi 10.2196 / / jmir。3539，作者=“Geraedts, Anna S and Kleiboer, Annet M and Twisk, Jos and Wiezer, Noortje M and van Mechelen, Willem and Cuijpers, Pim”，标题=“基于网络的抑郁症状员工自助干预的长期效果:随机对照试验”，期刊=“J Med Internet Res”，年=“2014”，月=“Jul”，日=“09”，卷=“16”，数=“7”，页=“e168”，关键词=“抑郁症”;雇员;职业干预;自助;预防;倦怠的;互联网”，摘要=“背景:抑郁症在工作人群中非常普遍，并且与过高的费用有关。对有抑郁症状的员工进行有效的工人导向干预的证据是有限的。在员工请病假之前，通过互联网对他们进行抑郁症治疗是有益的，而且可以节省成本。 Objective: In this study, we tested the effectiveness over the period of 1 year of a Web-based guided self-help intervention, called Happy@Work, for employees with depressive symptoms who were not on sick leave. Methods: A two-arm randomized controlled trial comparing a worker-directed, Web-based, guided self-help intervention to care as usual (CAU) was carried out. We recruited employees from 6 companies via the company's Intranet and by putting up posters. The inclusion criteria were elevated depressive symptoms as measured by a score ≥16 on the Center for Epidemiologic Studies Depression scale (CES-D) and not being on sick leave. The intervention contained 6 lessons and consisted of problem-solving treatment and cognitive therapy. Participants were asked to submit weekly assignments via the website after completion of a lesson and they received feedback from a coach via the website. Self-report questionnaires on depressive symptoms (CES-D; primary outcome), burnout (Maslach Burnout Inventory, MBI), work performance (Health and Work Performance Questionnaire, HPQ), duration of absenteeism, and anxiety (Hospital Anxiety and Depression Scale, HADS; secondary outcomes), were completed at baseline, posttreatment, and at 6-, and 12-month follow-up. Several subgroup and per-protocol analyses were performed. Results: A total of 231 employees were randomized to either the intervention group (n=116) or to CAU (n=115). Completion of assessments varied between 54{\%}-74{\%}. Improvement in depressive symptoms between baseline and posttreatment was shown in all participants and these effects sustained over time. However, there were no differences between the 2 groups (adjusted regression coefficient=0.46, 95{\%} CI --2.11 to 3.03, P=.72; Cohen's d=0.05). Differences between groups were also not significant for the secondary outcomes. No subgroups were identified to show differences between the groups, nor did we find a between-group effect in the per-protocol analyses. Conclusions: This study showed that a worker-directed, Web-based, guided self-help intervention was not more effective than CAU in reducing depressive symptoms among employees with depressive symptoms who were not on sick leave over the period of 1 year. An intervention for this specific target group might not be necessary because the recovery in the CAU group was comparable to the intervention group and sustained over a 12-month period. Trial Registration: Nederlands Trial Register (NTR): NTR2993; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2993 (Archived by WebCite at http://www.webcitation.org/6PL9pFC0n). ", issn="1438-8871", doi="10.2196/jmir.3539", url="//www.mybigtv.com/2014/7/e168/", url="https://doi.org/10.2196/jmir.3539", url="http://www.ncbi.nlm.nih.gov/pubmed/25008127" }