scholarly journals Interventions for common mental disorders in the occupational health service: a systematic review with a narrative synthesis

Author(s):  
Iben Axén ◽  
Elisabeth Björk Brämberg ◽  
Marjan Vaez ◽  
Andreas Lundin ◽  
Gunnar Bergström
Author(s):  
Jaakko Harkko ◽  
Hilla Nordquist ◽  
Olli Pietiläinen ◽  
Kustaa Piha ◽  
Minna Mänty ◽  
...  

Abstract Objectives We examined whether frequent short-term sickness absence (FSTSA) and primary care use in occupational health service (OHS) were associated with medically-certified long-term sickness absence (LTSA) due to mental disorders among young employees. Methods We used record-linkage data covering the young employees (< 35 years) of the City of Helsinki, Finland (n = 8,282) from 2010 to 2014. The outcome was LTSA due to mental disorders. Cox regression models were fitted. Results FSTSAs were associated with subsequent LTSA. Also OHS use predicted LTSA due to mental disorders; however, this association was not found for those with prior FSTSA. Conclusions Both FSTSA and primary care use indicate subsequent LTSA independently, and together these indicators identify a larger proportion of individuals at risk of LTSA due to mental disorders.


Author(s):  
Nick Firth ◽  
Michael Barkham ◽  
Jaime Delgadillo ◽  
Kai Allery ◽  
Jonathan Woodward ◽  
...  

AbstractDropout during psychological intervention is a significant problem. Previous evidence for associations with socioeconomic deprivation is mixed. This study aimed to review the evidence for associations between deprivation and dropout from contemporary adult psychological interventions for common mental disorders (CMDs). Systematic review, narrative synthesis and random effects meta-analysis of peer-reviewed English language journal articles published June 2010–June 2020 was conducted. Data sources included medline, PsycInfo, databases indexed by web of science, ProQuest social science database and sociology collection, and the Cochrane Library, supplemented by forward and backward citation searching. Five studies were eligible for inclusion (mean N = 170, 68% female, 60% White Caucasian, 32% dropout rate, predominantly cognitive behaviour therapy/cognitive processing therapy). Narrative synthesis indicated an overall non-significant effect of deprivation on dropout. Meta-analytic significance of controlled (k = 3) and uncontrolled (k = 4) effects depended on the measure of deprivation included for those studies using more than one measure (controlled OR 1.21–1.32, p = 0.019–0.172, uncontrolled OR 1.28–1.76, p = 0.024–0.423). The low number of included studies meant sub-group comparisons were limited, despite some tentative indications of potential differential effects. A comparator set of excluded studies showed similar uncertainty. There was limited evidence that did not overall suggest a clear significant effect of deprivation on dropout from contemporary individual CMD interventions. However, more contemporary research is needed, as effects may vary according to clinical and methodological factors, and for dropout versus non-initiation.


Author(s):  
Jaakko Harkko ◽  
Hilla Sumanen ◽  
Olli Pietiläinen ◽  
Kustaa Piha ◽  
Minna Mänty ◽  
...  

Occupational health service (OHS) is the main provider of primary care services for the working population in Finland. We investigated whether socioeconomic differences in the utilization of OHS predict sickness absence (SA) due to mental disorders. We used register linkage data covering the employees of the City of Helsinki aged 18–34 years (N = 6545) and 35–54 years (N = 15,296) from 2009 to 2014. The outcome was medically certified long-term (over 11 days) SA due to mental disorders. Cox regression analyses were performed to obtain hazard ratios (HR) and their 95% confidence intervals (CIs). Employees with low socioeconomic position (SEP) used OHS more frequently. The number of OHS visits independently predicted SA due to mental disorders. HRs were 1.59 (95% CI 1.35, 1.86) for those with frequent visits and 1.73 (95% CI 1.30, 2.29) for those with a clustered visit pattern among 18–34 year old employees; and 1.46 (95% CI 1.18, 1.81) and 1.41 (95% CI 1.14, 1.74) among 35–54 year old employees, respectively. In both age groups, lower education and routine non-manual worker position indicated the highest probability of SA. Low SEP predicts both high OHS utilization and subsequent SA due to mental disorders. Medical records may be used to accurately predict future SA, and the results indicate that preventive measures should be targeted particularly to younger employees with lower SEP.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Tessa Roberts ◽  
Georgina Miguel Esponda ◽  
Dzmitry Krupchanka ◽  
Rahul Shidhaye ◽  
Vikram Patel ◽  
...  

2019 ◽  
Vol 4 (2) ◽  
pp. 262
Author(s):  
Fertin Mulyanasari ◽  
Sigit Mulyono

<p><em>Waste pickers are a group of workers who are at risk of accidents and work-related diseases because they are exposed to sources of disease from rubbish piles. Various diseases and work accidents occur in waste pickers in various countries. To describe occupational health and safety problems that occur in waste pickers as well as efforts that can be made to improve occupational health and safety of waste pickers. Literature search through online databases on ScienceDirect, Wiley Online, and ProQuest with the keywords used "occupational health service", "occupational health nursing", "waste picker", and "scavenger" obtained a total of 3,624 articles, carried out reviews resulting in 17 selected articles. Health problems and workplace accidents of waste pickers range from respiratory problems, musculoskeletal problems, communicable and non communicable diseases, mental health problems and other problems to impacting their families and causing death. Policies are needed to regulate the health and work safety of waste pickers as well as to improve knowledge of occupational health and safety, providing Persolan Protective Equipment (PPE) and improving waste picker obedience to use PPE by health care program. </em></p><p> </p><p><em>Pengumpul sampah merupakan kelompok pekerja yang berisiko terhadap kecelakaan dan penyakit akibat kerja karena terpapar sumber penyakit dari tumpukan sampah. Berbagai penyakit dan kecelakaan kerja terjadi pada pengumpul sampah diberbagai negara.</em><em> </em><em>U</em><em>ntuk </em><em>mendeskripsikan masalah kesehatan dan keselamatan kerja yang terjadi pada pengumpul sampah serta upaya yang dapat dilakukan untuk meningkatkan kesehatan dan keselamatan kerja pengumpul sampah. Pe</em><em>ncarian </em><em>literatur </em><em>melalui online database </em><em> pada ScienceDirect,  Wiley Online, dan ProQuest dengan kata kunci yang digunakan yaitu “occupational health service”, “occupational health nursing”, “waste picker”, dan “scavenger” didapatkan total 3.624 artikel, dilakukan review sehingga dihasilkan 17 artikel terpilih. Masalah kesehatan dan kecelakaan kerja pengumpul sampah beragam mulai dari masalah pernapasan, masalah muskuloskeletal, penyakit menular dan tidak menular, masalah mental dan masalah lainnya hingga berdampak pada keluarga mereka dan menyebabkan kemantian. Diperlukan kebijakan yang mengatur kesehatan dan keselamatan kerja pengumpul sampah serta peningkatan pengetahuan kesehatan dan keselamatan kerja, pengadaan alat pelindung diri dan meningkatkan kepatuhan penggunaan alat pelindung diri oleh pengumpul sampah melalui peran pelayanan kesehatan.</em></p>


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