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Universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses

The current umbrella review aimed to assess and summarise evidence on universal, selective and indicated interventions for mental health at the workplace. This umbrella review forms one of the evidence reviews which were commissioned by the WHO to develop global guidelines on mental health at work....

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Autores principales: Miguel, Clara, Amarnath, Arpana, Akhtar, Aemal, Malik, Aiysha, Baranyi, Gergő, Barbui, Corrado, Karyotaki, Eirini, Cuijpers, Pim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10086469/
https://www.ncbi.nlm.nih.gov/pubmed/36828633
http://dx.doi.org/10.1136/oemed-2022-108698
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author Miguel, Clara
Amarnath, Arpana
Akhtar, Aemal
Malik, Aiysha
Baranyi, Gergő
Barbui, Corrado
Karyotaki, Eirini
Cuijpers, Pim
author_facet Miguel, Clara
Amarnath, Arpana
Akhtar, Aemal
Malik, Aiysha
Baranyi, Gergő
Barbui, Corrado
Karyotaki, Eirini
Cuijpers, Pim
author_sort Miguel, Clara
collection PubMed
description The current umbrella review aimed to assess and summarise evidence on universal, selective and indicated interventions for mental health at the workplace. This umbrella review forms one of the evidence reviews which were commissioned by the WHO to develop global guidelines on mental health at work. We conducted systematic searches in five bibliographic databases (PubMed, Embase, PsycINFO, Cochrane and Global Medicus Index) and included meta-analyses of randomised trials examining psychosocial, physical activity and lifestyle interventions delivered to all general workers (universal interventions), at-risk workers (selective interventions) and workers already experiencing symptoms of mental disorders (indicated interventions). We included outcomes from seven domains: symptoms of mental health conditions, positive mental health, quality of life, work-related outcomes, substance use, suicide-related outcomes and potential adverse effects. We identified 16 meta-analyses producing 66 pooled effect sizes of the examined interventions, mostly on symptoms of mental health conditions (n=43 pooled effect sizes) (eg, burnout, insomnia, stress) and positive mental health (n=15) (eg, well-being). Most of the evidence on universal, selective and indicated interventions was focused on psychosocial interventions, showing small to moderate effects across the various outcomes. Certainty levels according to GRADE (Grading of Recommendations Assessment, Development and Evaluation) were low to very low in almost all of the examined outcomes. The results of existing meta-analyses are promising for the use of preventative and early treatment interventions in the workplace. However, the quality and certainty of the evidence were very modest, and further research on the effectiveness of these interventions is warranted.
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spelling pubmed-100864692023-04-12 Universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses Miguel, Clara Amarnath, Arpana Akhtar, Aemal Malik, Aiysha Baranyi, Gergő Barbui, Corrado Karyotaki, Eirini Cuijpers, Pim Occup Environ Med Systematic Review The current umbrella review aimed to assess and summarise evidence on universal, selective and indicated interventions for mental health at the workplace. This umbrella review forms one of the evidence reviews which were commissioned by the WHO to develop global guidelines on mental health at work. We conducted systematic searches in five bibliographic databases (PubMed, Embase, PsycINFO, Cochrane and Global Medicus Index) and included meta-analyses of randomised trials examining psychosocial, physical activity and lifestyle interventions delivered to all general workers (universal interventions), at-risk workers (selective interventions) and workers already experiencing symptoms of mental disorders (indicated interventions). We included outcomes from seven domains: symptoms of mental health conditions, positive mental health, quality of life, work-related outcomes, substance use, suicide-related outcomes and potential adverse effects. We identified 16 meta-analyses producing 66 pooled effect sizes of the examined interventions, mostly on symptoms of mental health conditions (n=43 pooled effect sizes) (eg, burnout, insomnia, stress) and positive mental health (n=15) (eg, well-being). Most of the evidence on universal, selective and indicated interventions was focused on psychosocial interventions, showing small to moderate effects across the various outcomes. Certainty levels according to GRADE (Grading of Recommendations Assessment, Development and Evaluation) were low to very low in almost all of the examined outcomes. The results of existing meta-analyses are promising for the use of preventative and early treatment interventions in the workplace. However, the quality and certainty of the evidence were very modest, and further research on the effectiveness of these interventions is warranted. BMJ Publishing Group 2023-04 2023-02-24 /pmc/articles/PMC10086469/ /pubmed/36828633 http://dx.doi.org/10.1136/oemed-2022-108698 Text en © World Health Organization 2023. Licensee BMJ. https://creativecommons.org/licenses/by/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (CC BY 3.0 IGO (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL. Disclaimer: The author is a staff member of the World Health Organization. The author alone is responsible for the views expressed in this publication and they do not necessarily represent the views, decisions or policies of the World Health Organization.
spellingShingle Systematic Review
Miguel, Clara
Amarnath, Arpana
Akhtar, Aemal
Malik, Aiysha
Baranyi, Gergő
Barbui, Corrado
Karyotaki, Eirini
Cuijpers, Pim
Universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses
title Universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses
title_full Universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses
title_fullStr Universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses
title_full_unstemmed Universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses
title_short Universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses
title_sort universal, selective and indicated interventions for supporting mental health at the workplace: an umbrella review of meta-analyses
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10086469/
https://www.ncbi.nlm.nih.gov/pubmed/36828633
http://dx.doi.org/10.1136/oemed-2022-108698
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