Evidence map›Paper›PMID 40324176›Full record

SynthesisJMIR public health and surveillance2025

Interventions to Foster Mental Health and Reintegration in Individuals Who Are Unemployed: Systematic Review.

Sophia Helen Adam, Florian Junne, Svenja Schlachter, Miriam Mehler, Harald Gündel, Nicolas Rüsch, Jörn von Wietersheim, Katrin Elisabeth Giel, Stephan Zipfel, Rebecca Erschens

Abstract readSystematic Review
In one paragraph

Synthesis in JMIR public health and surveillance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sophia Helen AdamDepartment of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tuebingen, Tuebigen, Germany.ORCID 0000-0003-4824-8163
Florian JunneDepartment of Psychosomatic Medicine and Psychotherapy, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.ORCID 0000-0002-3925-6949
Svenja SchlachterDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.ORCID 0000-0002-6289-6098
Miriam MehlerDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.ORCID 0009-0006-9574-9621
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.ORCID 0000-0001-7827-320X
Nicolas RüschDepartment of Psychiatry II, Ulm University and BKH Guenzburg, Ulm, Germany.ORCID 0000-0003-4543-1560
Jörn von WietersheimDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.ORCID 0000-0001-9536-4429
Katrin Elisabeth GielDepartment of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tuebingen, Tuebigen, Germany.ORCID 0000-0003-0938-4402
Stephan ZipfelDepartment of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tuebingen, Tuebigen, Germany.ORCID 0000-0003-1659-4440
Rebecca ErschensDepartment of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tuebingen, Tuebigen, Germany.ORCID 0000-0002-4433-9378

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnemployment is a risk factor for the development and perpetuation of psychological distress. Finding support for affected individuals can be particularly challenging, which causes a vicious cycle of psychological distress and unemployment.

objectiveThe aim of this systematic review is to assess and summarize existing evidence regarding interventions that address both mental health and re-employment, emphasizing accessibility through community or social care structures.

methodsA systematic literature search using PubMed and EBSCOhost and an additional search using reference list screening were conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. In order to identify interventions for the mental health and re-employment of individuals experiencing psychological distress and unemployment, an inclusion process according to the PICO (population, intervention, comparison, and outcome) scheme and the study design was applied. Title and abstract screening and full-text screening for eligibility were performed independently by 2 reviewers. Quality assessments using the Cochrane Risk of Bias Tools for randomized and nonrandomized trials were conducted by 2 independent reviewers.

resultsThe initial systematic search yielded 4442 results, and 15 articles were additionally identified via reference list screening. Eventually, 74 articles were subjected to a thorough evaluation process by 2 independent reviewers. The interrater reliability was determined to be good, with a Cohen κ score of 0.770. After a multistep extraction process, 17 studies remained for inclusion, with each focusing on the improvement of mental health, re-employment, or both outcomes. A heterogeneous pattern of results emerged, with most interventions showing improvement in either mental health or re-employment. Most studies were assessed as having a moderate (n=7) or high (n=9) risk of bias.

conclusionsThe results of the systematic research indicate that low-threshold services in close cooperation with institutions and exchange with other supportive stakeholders should be fostered. Derivable overarching themes and intervention content for integrative support measures can serve as guidelines for future interventions.

trial registrationPROSPERO CRD42022378490; https://www.crd.york.ac.uk/PROSPERO/view/CRD42022378490.

Indexed as

Mental HealthUnemploymentHumanscognitive behavioral therapydepressionjob lossmental healthre-employmentunemployment

Identifiers

PMID40324176
PMCPMC12089865

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.