Managing employees’ depression from the employees’, co-workers’ and employers’ perspectives. An integrative review

Abstract

Purpose: To synthesize evidence on factors promoting or hindering work participation (WP) of employees with depression from the employees', co-workers' and employers' perspectives, as well as an additional focus on the influence of the employee's occupation. Methods: An integrative review was conducted. Pre-defined eligibility criteria guided study selection. Articles were critically appraised using tools developed by Joanna Briggs and Mixed Methods Appraisal Tool. Findings were analysed and synthesised using qualitative inductive content analysis. Results: Seventeen studies were included: 12 quantitative studies, three qualitative studies and two mixed methods studies. From these, 144 findings were extracted and combined into six categories from which two syntheses were developed. One synthesis demonstrated that employees, co-workers and employers hold different perspectives on rehabilitation stakeholders' responsibilities hindering WP. The other synthesis revealed that WP is influenced by interactions between individual and occupational factors. Conclusions: Sufficient treatment from health professionals promotes WP. Employees' fear of stigmatization hinders WP. Co-workers and employers find that open communication is important, however, employers are concerned about entering employees' private sphere. When managing employees with depression, employers intervene at the individual level. There is a need for structural interventions to promote WP among employees with depression. ä IMPLICATIONS FOR REHABILITATION The responsibilities of rehabilitation stakeholders should be clarified to promote collaboration. Structural workplace interventions should be initiated to supplement individual level interventions. Workplace interventions may focus on more open communication and awareness towards mental illness. Interactions between the occupational factors and individual factors should be carefully considered.

The moderating role of psychosocial working conditions on the long-term relationship between depressive symptoms and work ability among employees from the Baby Boom generation

“…Therefore, the use of other more differentiated scales for psychosocial working conditions might yield different results. Furthermore, workplace factors such as stigmatization of depressive disorders (Thisted et al 2018) or workplace bullying (Gragnano et al 2018) might be other more important determinants of the perception of work ability among employees with depressive symptoms.…”

Developing Normative Integration among Professionals in an Intersectoral Collaboration: A Multi-Method Investigation of an Integrated Intervention for People on Sick Leave Due to Common Mental Disorders

“…They often have different plans, success criteria and expectations for the individual on sick leave [8910], which can cause increased stress for the person on sick leave [11]. Lack of coordination between stakeholders is problematic for mentally ill persons [12] who frequently experience loss of control, decreased planning capabilities, and poor predictability regarding their recovery [13].…”

Requirements for an electronic handover system for interprofessional collaboration between psychotherapists and occupational health professionals – a qualitative study

“…CIM members are subject to confidentiality, which is, however, not equal to medical or therapeutic confidentiality. Nevertheless, a systematic review found that employees with CMD think that cooperation between stakeholders involved at the workplace and rehabilitation would promote work participation [ 45 ]. In addition, this review indicated that colleagues believe that it is the employer’s responsibility to contact the rehabilitation stakeholders to receive information on how to manage employees with CMD.…”