TY -的盟Geraedts安娜年代盟——Kleiboer Annet M盟——Twisk乔斯盟——Wiezer Noortje M AU - van梅赫伦威廉盟——Cuijpers Pim PY - 2014 DA - 2014/07/09 TI -长期结果的一个基于web的自助引导干预与抑郁症状为员工:随机对照试验乔- J地中海互联网Res SP - e168六世- 16 - 7 KW -抑郁KW -员工KW -职业干预KW -自助KW -预防KW -倦怠KW -互联网AB -背景:抑郁症在工作人群中非常普遍，并与过高的费用有关。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。目的:在这项研究中，我们测试了一种基于网络的自助干预方法的有效性，该方法被称为Happy@Work，用于未请病假的有抑郁症状的员工。方法:进行了一项两组随机对照试验，比较了工人指导的、基于网络的、引导的自助干预和照护(CAU)。我们通过公司的内部网和张贴海报的方式从6家公司招聘员工。纳入标准为抑郁症状升高(流行病学研究中心抑郁量表(CES-D)得分≥16分)和未请病假。干预包括6节课，包括问题解决治疗和认知治疗。参与者被要求在课程结束后通过网站提交每周作业，并通过网站收到教练的反馈。 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). SN - 1438-8871 UR - //www.mybigtv.com/2014/7/e168/ UR - https://doi.org/10.2196/jmir.3539 UR - http://www.ncbi.nlm.nih.gov/pubmed/25008127 DO - 10.2196/jmir.3539 ID - info:doi/10.2196/jmir.3539 ER -