The impact of psychosocial safety climate on the intervention effect of psychotherapeutic consultation at work in Germany – secondary analysis of a randomized controlled trial
Bibliographic record
Abstract
BACKGROUND: Psychotherapeutic consultation at work (PT-A) aims to reach employees at risk of or suffering from common mental disorders early by offering low-threshold consultation that combines person-related and work-related modules. In addition to this individual-level approach, it is suggested that the psychosocial safety climate (PSC) in an organization precedes psychosocial working conditions and impacts employees' psychological health. The PSC reflects employees' perceptions regarding the extent to which psychological health and safety are prioritized by the management. However, little is known about the role of PSC on the intervention effect in participants receiving PT-A. Therefore, this study aims to investigate whether PSC moderates the effect of PT-A on self-reported depressive symptoms, anxiety, and general health status. METHODS: As a secondary analysis, this study analyzed data on participants (n = 549) from a multicenter randomized controlled trial in Germany evaluating the effectiveness of PT-A. Participants completed a baseline questionnaire (T0) and follow-up questionnaires nine months (T1) and 15 months later (T2). They provided information on general health status (one item of the 12-items Veterans RAND health survey), depressive symptoms (Patient-Health-Questionnaire-9), anxiety symptoms (Generalized Anxiety Disorder Scale-2) and the four-item PSC questionnaire. To investigate the role of PSC for the intervention effect, an interaction term (PSC*treatment group) was included in multiple linear regression analyses estimating (mental) health indicators at either T1 (n = 411) or T2 (n = 362). Analyses were adjusted for sex, age and occupational level. RESULTS: Participants in the intervention group reported a significant symptom reduction nine and 15 months after PT-A. In terms of direct effects, PSC was negatively associated with anxiety symptoms at T1 (B = 0.16, p = .04). PSC did not moderate the intervention effect on depressive symptoms, anxiety symptoms or general health status. CONCLUSIONS: Findings indicated a significant symptom reduction after PT-A, and showed that PSC does not play a role in the extent of symptom reduction among employees in Germany. However, PSC may need to be improved in German workplaces and its effect on individual-level symptoms regarding common mental disorders (CMD) should be further investigated. TRIAL REGISTRATION: The RCT was registered at the German Clinical Trial Register on 01.03.2021 (DRKS00023049) https//drks.de/search/en/trial/DRKS00023049.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.016 | 0.021 |
| Meta-epidemiology (narrow) | 0.003 | 0.001 |
| Meta-epidemiology (broad) | 0.007 | 0.009 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.010 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".