TY - JOUR AU - Geraedts, Anna S AU - Kleiboer, Annet M AU - Wiezer, Noortje M AU - van Mechelen, Willem AU - Cuijpers, Pim PY - 2014 DA - 2014年05月06日TI -基于web的指导自助干预对有抑郁症状的员工的短期影响:随机对照试验JO - J Med Internet Res SP - e121 VL - 16 IS - 5 KW -抑郁症，员工，职业治疗，互联网，预防AB -背景:抑郁症在工作人群中非常普遍，并与过高的成本有关。针对有抑郁症状的员工进行有效的员工导向干预的证据有限。在病假前，通过互联网对有抑郁症状的员工进行治疗是有益的，而且可以节省成本。目的:在本研究中，我们为有抑郁症状的员工开发并测试了基于网络的自助指导课程的有效性。我们报告干预的治疗后效果。方法:本研究是一项两组随机对照试验，比较基于网络的指导自助课程和照旧护理(CAU)。我们通过公司内部网和海报从6个不同的公司招聘员工。主要纳入标准为流行病学研究中心抑郁量表(CES-D)评分≥16分的抑郁症状升高。干预(Happy@Work)是基于解决问题的治疗和认知疗法，包括每周6节课。 Participants were asked to submit their weekly assignment via the website after completion. They subsequently received feedback from a coach via the website. Self-report questionnaires on depressive symptoms (CES-D; primary outcome), anxiety measured by the Hospital Anxiety and Depression Scale (HADS), burnout measured by the Maslach Burnout Inventory (MBI), and work performance measured by the Health and Work Performance Questionnaire (HPQ; secondary outcomes) were completed at baseline and at posttreatment. Results: A total of 231 employees were randomized to either the intervention group (n=116) or CAU (n=115).The posttreatment assessment was completed by 171 (74.0%) participants. Both the intervention and the CAU group showed significant improvements in the primary outcome of depressive symptoms, but no differences between the conditions was found (d=0.16, 95% CI –0.10 to 0.41, P=.29). Significant but small effects in favor of the intervention group were found for anxiety symptoms (d=0.16, 95% CI –0.09 to 0.42, P=.04) and exhaustion (d=0.17, 95% CI –0.09 to 0.43, P=.02). Conclusions: This study showed that a Web-based guided self-help course for employees with depressive symptoms was not more effective in reducing depressive symptoms among employees than CAU. Large improvements in depressive symptoms in the CAU group were unforeseen and potential explanations are discussed. SN - 1438-8871 UR - //www.mybigtv.com/2014/5/e121/ UR - https://doi.org/10.2196/jmir.3185 UR - http://www.ncbi.nlm.nih.gov/pubmed/24800966 DO - 10.2196/jmir.3185 ID - info:doi/10.2196/jmir.3185 ER -