Effectiveness of psychological and educational interventions for the prevention of depression in the workplace: A systematic review and meta-analysis

Objectives Psychological and educational interventions for the prevention of depression have a small-to-moderate effect. However, little is known about their effectiveness in the workplace. We aimed to evaluate the effectiveness of such interventions through a systematic review and meta-analysis of...

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Detalles Bibliográficos
Autores: Bellón Saameño, Juan Ángel, Conejo Cerón, Sonia, Cortés Abela, C, Pena-Andreu, J.M., García-Rodríguez, A., Moreno Peral, Patricia
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad Loyola Andalucía
Repositorio:Brújula
OAI Identifier:oai:repositorio.uloyola.es:20.500.12412/1123
Acceso en línea:http://hdl.handle.net/20.500.12412/1123
Access Level:acceso abierto
Palabra clave:Depression
Depressive disorder
Depressive symptom
Educational intervention
Effectiveness
Mental health
Meta-analysis
Prevention
Primary prevention
Psychological intervention
Review
Systematic review
Workplace intervention
Descripción
Sumario:Objectives Psychological and educational interventions for the prevention of depression have a small-to-moderate effect. However, little is known about their effectiveness in the workplace. We aimed to evaluate the effectiveness of such interventions through a systematic review and meta-analysis of randomized controlled trials (RCT). Methods We searched PubMed, PsycINFO, EMBASE, CENTRAL, CIS-DOC and Open Grey for RCT. Search was supplemented with manual searches of reference lists of relevant meta-analyses and trials. We included RCT that assessed either the incidence of depression or the reduction of depressive symptoms, which excluded participants with baseline depression. Measurements were required to have been made using validated instruments and participants recruited in the workplace. Independent evaluators selected studies, evaluated risk bias (Cochrane Collaboration’s tool) and extracted from RCT. The combined OR was estimated using the fixed-effects model. Heterogeneity was measured by I2 and Cochrane’s Q. Results Of the 1963 abstracts reviewed, 69 were selected for review in fulltext. Only three RCT met our inclusion criteria, representing 1246 workers from three different countries and continents. The combined odds ratio was 0.25 [95% confidence interval (CI) 0.11–0.60, P=0.002]; I2=0% and Q=0.389 (P=0.823). The risk of bias was low in one RCT and moderate and high in the other two, respectively. Conclusion Psychological or educational interventions in the workplace may prevent depression, although the quality of evidence was low.