Interventions to Improve Return to Work in Depressed People
Description of Resource:
Work disability, such as sickness absence, is common in people with depression. This systematic review aimed to evaluate the effectiveness of interventions aimed at reducing work disability in employees with depression. It identified 23 studies involving 5,996 participants. The studies looked at the effects on sick leave of work-directed interventions (e.g., occupational therapy) and clinical interventions (e.g., primary care, psychological treatment, antidepressants, and exercise). It found moderate quality evidence that adding a work-directed intervention to a clinical intervention reduced the number of days on sick leave compared to a clinical intervention alone, and that enhancing primary or occupational care with cognitive behavioral therapy reduced sick leave compared to usual care. More studies are needed on work-directed interventions. Clinical intervention studies should also include work outcomes to increase our knowledge on reducing sickness absence in people who are depressed.