Journal of Occupational Rehabilitation

, Volume 20, Issue 1, pp 1–13 | Cite as

Vocational Interventions for Unemployed: Effects on Work Participation and Mental Distress. A Systematic Review

  • Selwin S. Audhoe
  • Jan L. Hoving
  • Judith K. Sluiter
  • Monique H. W. Frings-Dresen
Article

Abstract

Introduction Unemployment is a growing problem worldwide. Unemployment or job loss is one of the most stressful of life events and can lead to diminished social status, disturbed social role patterns, financial debt, reduced self-esteem and feelings of guilt. The purpose of this review was to determine the effectiveness of vocational interventions on work participation and mental distress for unemployed adults and to provide an overview of the characteristics of these interventions. Methods Medline, EMBASE and PsycINFO were systematically searched for studies published between 1990 and August 2008. Intervention studies aimed at work participation and helping with mental distress for the unemployed were included. Methodological quality of the included studies was assessed. Results Six articles based on five intervention studies, of which two randomized controlled trials, fulfilled all inclusion criteria. The methodological quality of the studies ranged from good to poor. All five interventions applied group training techniques aimed at promoting re-employment and/or improving mental health. The duration of the interventions varied from 1 week to 6 months. The interventions focused on acquiring job-search skills, maintaining paid work, personal development and preparedness against setbacks during the job-search process. Only one intervention study (randomized controlled trial) reported a significant effect on re-employment. Conclusions Based on our review, we conclude that there is weak evidence to support the use of vocational interventions to improve work participation and limited evidence to reduce mental distress for the unemployed. We recommend further development and evaluation of return to work intervention strategies for unemployed individuals.

Keywords

Unemployment Participation Mental distress Re-employment Intervention Vocational rehabilitation 

References

  1. 1.
    Ensminger ME, Celentano DD. Unemployment and psychiatric distress: social resources and coping. Soc Sci Med. 1988;27(3):239–47.CrossRefPubMedGoogle Scholar
  2. 2.
    Dressler WW. Unemployment and depressive symptoms in a southern black community. J Nerv Ment Dis. 1986;174:639–45.CrossRefPubMedGoogle Scholar
  3. 3.
    Iversen L, Sabroe S. Psychological well-being among unemployed and employed people after a company closedown: a longitudinal study. J Soc Issues. 1988;44:141–52.CrossRefGoogle Scholar
  4. 4.
    Claussen B. Health and re-employment in a five-year follow-up of long-term unemployed. Scan J Public Health. 1999;2:94–100.Google Scholar
  5. 5.
    Vinokur A, Caplan RD, Williams CC. Effects of recent and past stress on mental health: coping with unemployment among Vietnam veterans and nonveterans. J Appl Soc Psych. 1987;17:710–30.CrossRefGoogle Scholar
  6. 6.
    Lindström M. Psychosocial work conditions, unemployment and self-reported psychological health: a population-based study. Occup Med. 2005;55:568–71.CrossRefGoogle Scholar
  7. 7.
    Brown DW, Balluz LS, Ford ES, Giles WH, Strine TW, Moriarty DG, et al. Associations between short- and long term unemployment and frequent mental distress among a national sample of men and women. J Occup Environ Med. 2003;45(11):1159–66.CrossRefPubMedGoogle Scholar
  8. 8.
    Theodossiou I. The effects of low-pay and unemployment on psychological well-being: a logistic regression approach. J Health Econ. 1998;17(1):85–104.CrossRefPubMedGoogle Scholar
  9. 9.
    van der Klink JJL, Blonk RWB, Schene AH, van Dijk FJH. Reducing long term sickness absence by an activating intervention in adjustment disorders: a cluster randomized controlled design. Occup Environ Med. 2003;60:429–37.CrossRefPubMedGoogle Scholar
  10. 10.
    Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidiomol Commun Health. 1998;52:377–84.CrossRefGoogle Scholar
  11. 11.
    Foley NC, Teasell RW, Bhogal SK, Speechly MR. Stroke rehabilitation evidence-based review: methodology. Top Stroke Rehabil. 2003;10(1):1–7.Google Scholar
  12. 12.
    van Tulder M, Furlan A, Bombardier C, Bouter L. Updated method guidelines for systematic reviews in the Cochrane collaboration back review group. Spine. 2003;28(12):1290–9.CrossRefPubMedGoogle Scholar
  13. 13.
    de Croon EM, Sluiter JK, Nijssen TF, Dijkmans BAC, Lankhorst GJ, Frings-Dresen MHW. Predictive factors of work disability in rheumatoid arthritis: a systematic literature review. Ann Rheum Dis. 2004;63:1362–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Vinokur AD, Price RH, Schul Y. Impact of the JOBS intervention on unemployed workers varying in risk for depression. Am J Community Psychol. 1995;23(1):39–74.CrossRefPubMedGoogle Scholar
  15. 15.
    Vinokur AD, Schul Y, Vuori J, Price RH. Two years after a job loss: long-term impact of the JOBS program on reemployment and mental health. J Occup Health Psychol. 2000;5(1):32–47.CrossRefPubMedGoogle Scholar
  16. 16.
    Vuori J, Silvonen J, Vinokur AD, Price RH. The Työhön job search program in Finland: benefits for the unemployed with risk of depression or discouragement. J Occup Health Psychol. 2002;7(1):5–19.CrossRefPubMedGoogle Scholar
  17. 17.
    Creed PA, Hicks RE, Machin MA. Behavioural plasticity and mental health outcomes for long-term unemployed attending occupational training programmes. J Occup Org Psychol. 1998;71:171–91.Google Scholar
  18. 18.
    Vuori J, Price RH, Mutanen P, Malmberg-Heimonen I. Effective group training techniques in job-search training. J Occup Health Psychol. 2005;10(3):261–75.CrossRefPubMedGoogle Scholar
  19. 19.
    Vuori J, Vesalainen J. Labour market interventions as predictors of re-employment, job seeking activity and psychological distress among unemployed. J Occup Org Psychol. 1999;72:523–38.CrossRefGoogle Scholar
  20. 20.
    Patton W, Donohue R. Coping with long-term unemployment. J Community App Soc Psychol. 1998;8:331–43.CrossRefGoogle Scholar
  21. 21.
    Petrie KJ, Cameron LD, Ellis CJ, Buick D, Weinman J. Changing illness perception after myocardial infarction: an early intervention randomized controlled trial. Psychosom Med. 2002;64:580–6.PubMedGoogle Scholar
  22. 22.
    Blankenstein AH. Somatising patients in general practice. Reattribution, a promising approach. Thesis. Amsterdam: Vrije Universiteit; 2001. p. 129.Google Scholar
  23. 23.
    van den Hout JH, Vlaeyen JW, Heuts PH, Zijlema JH, Wijnen JA. Secundary prevention of work-related disability in nonspecific low back pain: does problem-solving therapy help? A randomized clinical trial. Clin J Pain. 2003;19:87–96.CrossRefPubMedGoogle Scholar
  24. 24.
    Nieuwenhuijsen K, Verbeek JH, de Boer AG, Blonk RW, van Dijk FJ. Predicting the duration of sickness absence for patients with common mental disorders in occupational health care. Scan J Work Environ Health. 2006;32:67–74.Google Scholar
  25. 25.
    Perk J, Alexanderson K. Swedish Council on Technology Assessment in Health Care (SBU). Chapter 8. Sick leave due to coronary artery disease or stroke. Scand J Public Health. 2004;Suppl 63:181–206.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Selwin S. Audhoe
    • 1
  • Jan L. Hoving
    • 1
  • Judith K. Sluiter
    • 2
  • Monique H. W. Frings-Dresen
    • 1
    • 2
  1. 1.Coronel Institute of Occupational Health, Research Center for Insurance MedicineAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands
  2. 2.Coronel Institute of Occupational HealthAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands

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