Journal of psychiatric research · 2025
Effectiveness of vocational rehabilitation interventions on depression and work-related outcomes among adults with affective disorders: a systematic review and meta-analysis.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод пока не подготовлен
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Chan Yi Xuan, Yoong Si Qi, Teo Jolene Zi Tong, Jiang Ying
Аннотация
INTRODUCTION: Achieving and sustaining employment is a critical concern for individuals with mental health disorders, and vocational rehabilitation (VR) may be beneficial. However, existing reviews focus on a wide range of mental illnesses.
AIM: This systematic review and meta-analysis evaluated the effectiveness of VR for individuals with affective disorders in improving depressive symptoms, competitive employment, absence duration, and quality of life compared to usual care.
METHODS: Randomized controlled trials which recruited adults aged 18-65 with depressive disorders or bipolar disorders were included. A random-effects meta-analysis was conducted where applicable.
DATA SOURCES: Ten databases were systematically searched from inception to November 2023. Grey literature was searched on ProQuest and Google Scholar. The search was updated on March 22, 2024.
RESULTS: Thirteen articles describing nine studies (n = 1869 participants) were included; no study involved individuals with bipolar disorders. VR reduced depressive symptoms post-intervention and at short-term follow-up compared to usual care but not at long-term follow-up. Competitive employment, absence duration, and quality of life showed no significant differences.
CONCLUSION: Moderate-quality evidence supports VR's effectiveness in reducing depressive symptoms. Future research should focus on VR for bipolar disorders and incorporate workplace support to improve vocational and quality-of-life outcomes.
AIM: This systematic review and meta-analysis evaluated the effectiveness of VR for individuals with affective disorders in improving depressive symptoms, competitive employment, absence duration, and quality of life compared to usual care.
METHODS: Randomized controlled trials which recruited adults aged 18-65 with depressive disorders or bipolar disorders were included. A random-effects meta-analysis was conducted where applicable.
DATA SOURCES: Ten databases were systematically searched from inception to November 2023. Grey literature was searched on ProQuest and Google Scholar. The search was updated on March 22, 2024.
RESULTS: Thirteen articles describing nine studies (n = 1869 participants) were included; no study involved individuals with bipolar disorders. VR reduced depressive symptoms post-intervention and at short-term follow-up compared to usual care but not at long-term follow-up. Competitive employment, absence duration, and quality of life showed no significant differences.
CONCLUSION: Moderate-quality evidence supports VR's effectiveness in reducing depressive symptoms. Future research should focus on VR for bipolar disorders and incorporate workplace support to improve vocational and quality-of-life outcomes.