TY  - JOUR
A1  - Hogg, Bridget
A1  - Medina, Joan Carles
A1  - Gardoki-Souto, Itxaso
A1  - Serbanescu, Ilinca
A1  - Moreno-Alcázar, Ana
A1  - Cerga Pashoja, Arlinda
A1  - Coppens, Evelien
A1  - Tóth, Mónika Ditta
A1  - Fanaj, Naim
A1  - Greiner, Birgit
A1  - Holland, Carolyn
A1  - Kõlves, Kairi
A1  - Maxwell, Margaret
A1  - Qirjako, Gentiana
A1  - De Winter, Lars
A1  - Hegerl, Ulrich
A1  - Pérez-Sola, Victor
A1  - Arensman, Ella
A1  - Amann, Benedikt Lorenz
T1  - Workplace interventions to reduce depression and anxiety in small and medium-sized enterprises: a systematic review
T2  - Journal of affective disorders
N2  - 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.
KW  - Psychosocial
KW  - Depression
KW  - Anxiety
KW  - Suicide
KW  - Small- and medium-sized enterprises
Y1  - 2021
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/63097
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-630970
SN  - 1573-2517
N1  - Funding was received from the European Union's Horizon 2020 research and innovation programme under grant agreement no. 848,137. The funder of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report.
VL  - 290
SP  - 378
EP  - 386
PB  - Elsevier Science
CY  - Amsterdam [u.a.]
ER  -