Workplace interventions to reduce depression and anxiety in small and medium-sized enterprises: A systematic review

Hogg, Bridget; Medina, Joan Carles; Gardoki-Souto, Itxaso; Serbanescu, Ilinca; Moreno Alcázar, Ana; Cerga Pashoja, Arlinda; Coppens, Evelien; Ditta Tóth, Mónika; Fanaj, Naim; Greiner, Birgit A.; Holland, Carolyn; Kõlves, Kairi; Maxwell, Margaret; Qirjako, Gentiana; Winter, Lars de; Hegerl, Ulrich; Pérez Solá, Victor; Arensman, Ella; Amann, Benedikt Lorenz

Workplace interventions to reduce depression and anxiety in small and medium-sized enterprises: A systematic review

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dc.contributor.author Hogg, Bridget
dc.contributor.author Medina, Joan Carles
dc.contributor.author Gardoki-Souto, Itxaso
dc.contributor.author Serbanescu, Ilinca
dc.contributor.author Moreno Alcázar, Ana
dc.contributor.author Cerga Pashoja, Arlinda
dc.contributor.author Coppens, Evelien
dc.contributor.author Ditta Tóth, Mónika
dc.contributor.author Fanaj, Naim
dc.contributor.author Greiner, Birgit A.
dc.contributor.author Holland, Carolyn
dc.contributor.author Kõlves, Kairi
dc.contributor.author Maxwell, Margaret
dc.contributor.author Qirjako, Gentiana
dc.contributor.author Winter, Lars de
dc.contributor.author Hegerl, Ulrich
dc.contributor.author Pérez Solá, Victor
dc.contributor.author Arensman, Ella
dc.contributor.author Amann, Benedikt Lorenz
dc.date.accessioned 2022-03-02T07:35:00Z
dc.date.available 2022-03-02T07:35:00Z
dc.date.issued 2021
dc.description.abstract Background: Depression and anxiety are the most prevalent mental health difficulties in the workplace, costing the global economy $1 trillion each year. Evidence indicates that symptoms may be reduced by interventions in the workplace. This paper is the first to systematically review psychosocial interventions for depression, anxiety, and suicidal ideation and behaviours in small-to medium-size enterprises (SMEs). Methods: A systematic search following PRISMA guidelines, registered in PROSPERO (CRD42020156275), was conducted for psychosocial interventions targeting depression, anxiety, and suicidal ideation/behaviour in SMEs. The PubMed, PsycINFO, Scopus, and two specific occupational health databases were searched, as well as four databases for grey literature, without time limit until 2nd December 2019. Results: In total, 1283 records were identified, 70 were retained for full-text screening, and seven met the inclusion criteria: three randomised controlled trials (RCTs), three before and after designs and one non-randomised trial, comprising 5111 participants. Study quality was low to moderate according to the Quality Assessment Tool for Quantitative Studies. Five studies showed a reduction in depression and anxiety symptoms using techniques based on cognitive behavioural therapy (CBT), two reported no significant change. Limitations: Low number and high heterogeneity of interventions and outcomes, high attrition and lack of rigorous RCTs. Conclusions: Preliminary evidence indicates CBT-based interventions can be effective in targeting symptoms of depression and anxiety in SME employees. There may be unique challenges to implementing programmes in SMEs. Further research is needed in this important area.
dc.format.mimetype application/pdf
dc.identifier.citation Hogg B, Medina JC, Gardoki-Souto I, Serbanescu I, Moreno-Alcázar A, Cerga-Pashoja A, Coppens E, Tóth MD, Fanaj N, Greiner BA, Holland C, Kõlves K, Maxwell M, Qirjako G, de Winter L, Hegerl U, Pérez-Sola V, Arensman E, Amann BL. Workplace interventions to reduce depression and anxiety in small and medium-sized enterprises: A systematic review. J Affect Disord. 2021 Jul 1;290:378-86. DOI: 10.1016/j.jad.2021.04.071
dc.identifier.doi http://dx.doi.org/10.1016/j.jad.2021.04.071
dc.identifier.issn 0165-0327
dc.identifier.uri http://hdl.handle.net/10230/52603
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof J Affect Disord. 2021 Jul 1;290:378-86
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.subject.keyword Anxiety
dc.subject.keyword Depression
dc.subject.keyword Psychosocial
dc.subject.keyword Small- and medium-sized enterprises
dc.subject.keyword Suicide
dc.title Workplace interventions to reduce depression and anxiety in small and medium-sized enterprises: A systematic review
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

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