8287661 Impact of self-management at the workplace in workers with mild-to-moderate depressive symptoms: a systematic review

Objective This systematic review aims to examine the effectiveness of self-management interventions and their components on mental, health-related, and work-related outcomes of workers with mild-to-moderate depressive symptoms across various work sectors and settings.Material and Methods Systematic review of randomized controlled trials of single and multiple component self-management interventions to assess their effects on depression, anxiety, health-related, and work-related outcomes among employees, conducted according to Cochrane guidelines. Work sectors included employees from the construction, public, and healthcare sectors, as well as employees from cross-sector settings and the information and technology industry. Intervention types were analysed across seven categories based on organisational and individual-level component descriptions. The seven categories included psychological interventions, mind-body therapy, lifestyle management, social environment, physical exercise, general education and information provision, and organisational and workplace modifications.Results A total of 32 single-component and 39 multi-component interventions were included out of 4450 records. Cognitive behavioral therapy components were found to be an essential component of effective multi-component interventions, followed by mind-body and lifestyle management components. Social environment, physical exercise, and general education components appear most useful as part of a multi-component intervention. Current research remains limited, offering little attention to the diversity of work sectors and the role of organisational or workplace modification components from the perspective of worker self-management.Conclusion Findings indicate that multi-component self-management interventions are more effective than single-component interventions. Future research should prioritize designing multi-component interventions that integrate effective components tailored to the self-management needs of employees across diverse work sectors.