Literature DB >> 28756415

Cognitive-behavioural therapy and return-to-work intervention for patients on sick leave due to common mental disorders: a randomised controlled trial.

Sigrid Salomonsson1, Fredrik Santoft1, Elin Lindsäter1, Kersti Ejeby2, Brjánn Ljótsson1, Lars-Göran Öst1,3, Martin Ingvar4,5, Mats Lekander4,5,6, Erik Hedman-Lagerlöf1,4,5.   

Abstract

OBJECTIVES: Common mental disorders (CMDs) cause great individual suffering and long-term sick leave. Cognitive-behavioural therapy (CBT) effectively treats CMDs, but sick leave is not reduced to the same extent as psychiatric symptoms. Research results regarding return-to-work interventions (RTW-Is) and their effect on sick leave are inconclusive. The aim of this study was to evaluate CBT, a RTW-I and combined CBT and RTW-I (COMBO) for primary care patients on sick leave due to CMDs.
METHODS: Patients with CMDs (n=211) were randomised to CBT (n=64), RTW-I (n=67) or COMBO (n=80). Sick-leave registry data after 1 year and blinded Clinician's Severity Rating (CSR) of symptoms post-treatment and at follow-ups after 6 and 12 months were primary outcomes.
RESULTS: There was no significant difference between treatments in days on sick leave 1 year after treatment start (mean difference in sick-leave days range=9-27). CBT led to larger reduction of symptoms post-treatment (CSR; Cohen's d=0.4 (95% CI 0.1 to 0.8)) than RTW-I, whereas COMBO did not differ from CBT or RTW-I. At follow-up, after 1 year, there was no difference between groups. All treatments were associated with large pre-treatment to post-treatment improvements, and results were maintained at 1-year follow-up.
CONCLUSION: No treatment was superior to the other regarding reducing sick leave. All treatments effectively reduced symptoms, CBT in a faster pace than RTW-I, but at 1-year follow-up, all groups had similar symptom levels. Further research is needed regarding how CBT and RTW-I can be combined more efficiently to produce a larger effect on sick leave while maintaining effective symptom reduction. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Entities:  

Keywords:  cognitive behavioural therapy; common mental disorders; return-to-work

Mesh：

Year:  2017        PMID： 28756415     DOI： 10.1136/oemed-2017-104342

Source DB:  PubMed          Journal:  Occup Environ Med        ISSN： 1351-0711            Impact factor:   4.402


  14 in total

1.  Experiences of patients with common mental disorders concerning team-based primary care and a person-centered dialogue meeting: An intervention to promote return to work.

Authors:  Ausra Saxvik; Karin Törnbom; Eva-Lisa Petersson; Dominique Hange; Shabnam Nejati; Cecilia Björkelund; Irene Svenningsson
Journal:  PLoS One       Date:  2022-07-08       Impact factor: 3.752

2.  Predicting the Effectiveness of Work-Focused CBT for Common Mental Disorders: The Influence of Baseline Self-Efficacy, Depression and Anxiety.

Authors:  Veerle Brenninkmeijer; Suzanne E Lagerveld; Roland W B Blonk; Wilmar B Schaufeli; Leoniek D N V Wijngaards-de Meij
Journal:  J Occup Rehabil       Date:  2019-03

3.  Improvement in social anxiety following a return-to-work intervention for patients with depression.

Authors:  Yoko Okamoto; Rieko Takanashi; Chihiro Sutoh; Yuki Domon; Mayuko Yamada; Yoko Baba; Chiaki Aya; Naoto Yamanouchi; Hajime Sasaki; Eiji Shimizu
Journal:  Medicine (Baltimore)       Date:  2022-02-18       Impact factor: 1.817

4.  Health-related quality of life and associated factors in patients with myocardial infarction after returning to work: a cross-sectional study.

Authors:  Ruofei Du; Panpan Wang; Lixia Ma; Leon M Larcher; Tao Wang; Changying Chen
Journal:  Health Qual Life Outcomes       Date:  2020-06-17       Impact factor: 3.186

5.  Involving the employer to enhance return to work among patients with stress-related mental disorders - study protocol of a cluster randomized controlled trial in Swedish primary health care.

Authors:  Lisa Björk; Kristina Glise; Anders Pousette; Monica Bertilsson; Kristina Holmgren
Journal:  BMC Public Health       Date:  2018-07-06       Impact factor: 3.295

6.  Prompt Mental Health Care (PMHC): work participation and functional status at 12 months post-treatment.

Authors:  Marit Knapstad; Solbjørg Makalani Myrtveit Sæther; Gunnel Hensing; Otto Robert Frans Smith
Journal:  BMC Health Serv Res       Date:  2020-02-04       Impact factor: 2.655

7.  Interventions to improve return to work in depressed people.

Authors:  Karen Nieuwenhuijsen; Jos H Verbeek; Angela Neumeyer-Gromen; Arco C Verhoeven; Ute Bültmann; Babs Faber
Journal:  Cochrane Database Syst Rev       Date:  2020-10-13

8.  Cost-Effectiveness of Therapist-Guided Internet-Based Cognitive Behavioral Therapy for Stress-Related Disorders: Secondary Analysis of a Randomized Controlled Trial.

Authors:  Elin Lindsäter; Erland Axelsson; Sigrid Salomonsson; Fredrik Santoft; Brjánn Ljótsson; Torbjörn Åkerstedt; Mats Lekander; Erik Hedman-Lagerlöf
Journal:  J Med Internet Res       Date:  2019-09-13       Impact factor: 5.428

9.  A return to work program improves parasympathetic activity and psychiatric symptoms in workers on sick leave due to depression.

Authors:  Saki Hattori; Ikuko Kishida; Akira Suda; Chiaki Kawanishi; Masatoshi Miyauchi; Yohko Shiraishi; Mami Fujibayashi; Natsuki Tsujita; Chie Ishii; Toshio Moritani; Yusuke Saigusa; Yoshio Hirayasu
Journal:  Heliyon       Date:  2019-07-26

10.  Metacognitive Beliefs as Predictors of Return to Work After Intensive Return-to-Work Rehabilitation in Patients With Chronic Pain, Chronic Fatigue and Common Psychological Disorders: Results From a Prospective Trial.

Authors:  Henrik B Jacobsen; Mari Glette; Karen W Hara; Tore C Stiles
Journal:  Front Psychol       Date:  2020-02-06
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