Guideline-Based Care of Common Mental Disorders by Occupational Physicians (CO-OP study): A Randomized Controlled Trial

被引：54
|
作者：
Rebergen, D. S. [1 ]
Bruinvels, D. J. [1 ]
Bezemer, P. D. [2 ]
van der Beek, A. J. [1 ]
van Mechelen, W. [1 ]
机构：
[1] Vrije Univ Amsterdam, Med Ctr, EMGO Inst, Dept Publ & Occupat Hlth, NL-1007 MB Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, Med Ctr, EMGO Inst, Dept Clin Epidemiol & Biostat, NL-1007 MB Amsterdam, Netherlands
来源：
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2009年 / 51卷 / 03期
关键词：
ADJUSTMENT DISORDERS; SICKNESS ABSENCE; HEALTH PROBLEMS; WORK; INTERVENTION; DEPRESSION; RETURN; REHABILITATION; PERFORMANCE; EMPLOYEES;
D O I：
10.1097/JOM.0b013e3181990d32
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Objective: To evaluate the effectiveness of guideline-based care (GBC) of workers with mental health problems, which promotes counseling by the occupational physician (OP) facilitating return to wont (RTW). Methods: In a randomized controlled trial, with police workers on sick leave due to mental health problems (n = 240), trained OPs delivered GBC in the intervention group. Time to RTW and recurrences during 1-year follow-up, analyzed, using Cox proportional hazards models, were compared with usual care (UC) with easy access to a psychologist. Results: GBC by OPs did not result in earlier RTW than UC. Subgroup analysis showed a small effect in favor of GBC for workers with administrative functions and/or "minor" stress-related symptoms. Conclusions: GBC did not differ in RTW compared with UC, but may be beneficial for the majority of workers with minor stress-related disorders. (J Occup Environ Med. 2009,51:305-312)
引用
收藏
页码：305 / 312
页数：8
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