Effects of cognitive behavioural therapy and return-to-work intervention for patients on sick leave due to stress-related disorders: Results from a randomized trial.

Tytuł:: Effects of cognitive behavioural therapy and return-to-work intervention for patients on sick leave due to stress-related disorders: Results from a randomized trial.
Autorzy:: Salomonsson S; Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Santoft F; Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.
Lindsäter E; Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.
Ejeby K; Department of Neurobiology, Division of Family medicine, Care Sciences and Society (NVS), H1, Karolinska Institutet, Stockholm, Sweden.
Ingvar M; Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm, Sweden.
Ljótsson B; Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.; Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.
Öst LG; Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.; Department of Psychology, Stockholm University, Stockholm, Sweden.
Lekander M; Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm, Sweden.; Stress Research Institute, Stockholm University, Stockholm, Sweden.
Hedman-Lagerlöf E; Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.; Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm, Sweden.
Źródło:: Scandinavian journal of psychology [Scand J Psychol] 2020 Apr; Vol. 61 (2), pp. 281-289. Date of Electronic Publication: 2019 Nov 06.
Typ publikacji:: Journal Article; Randomized Controlled Trial
Język:: English
Imprint Name(s):: Publication: Oxford : Blackwell
Original Publication: Oslo : Scandinavian University Press
MeSH Terms:: Cognitive Behavioral Therapy*
Return to Work*
Sick Leave*
Mental Disorders/*therapy
Adult ; Female ; Humans ; Male ; Mental Disorders/psychology ; Middle Aged ; Treatment Outcome ; Young Adult
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Grant Information:: This study was funded by Karolinska Institutet and by research grants from Stockholm County Council
Contributed Indexing:: Keywords: CBT; Stress; adjustment disorder; depression; exhaustion disorder; return-to-work
Entry Date(s):: Date Created: 20191107 Date Completed: 20200916 Latest Revision: 20200916
Update Code:: 20240104
DOI:: 10.1111/sjop.12590
PMID:: 31691305
: Czasopismo naukowe

Pełny tekst

The aim of this study was to evaluate specific effects for patients with adjustment or exhaustion disorder, the Stress subgroup (n = 152), regarding symptom severity and sick leave after CBT, a return-to-work intervention (RTW-I), and a combination of them (COMBO), using data from a randomized trial. In the original study, primary care patients on sick leave (N = 211) were randomized to CBT (n = 64), RTW-I (n = 67), or COMBO (n = 80). Blinded Clinician Severity Rating (CSR) of symptoms and sick leave registry data were primary outcomes. Subgroup analyses showed that for the Stress subgroup, CBT led to greater reduction of symptoms than RTW-I posttreatment, but COMBO did not differ from CBT or RTW-I. Regarding sick leave, there was no difference between treatments in the Stress subgroup. An exploratory analysis of the treatment effects in a subgroup of patients with depression, anxiety or insomnia indicates that RTW-I reduced sick leave faster than CBT. We conclude that CBT may be promising as an effective treatment of stress and exhaustion disorder.
(© 2020 Scandinavian Psychological Associations and John Wiley & Sons Ltd.)

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