Work-focused therapy for common mental disorders: A naturalistic study comparing an intervention group with a waitlist control group.
Work
; 66(3): 657-667, 2020.
Article
en En
| MEDLINE
| ID: mdl-32623425
ABSTRACT
BACKGROUND:
Common mental disorders (CMD) are leading causes of sickness absence. Treatments for CMD that both reduce symptoms and support work participation urgently need to be developed.OBJECTIVE:
Determine the potential effects of work-focused therapy combining work interventions with either meta cognitive therapy or cognitive behavioural therapy (W-MCT/CBT) for patients with CMD on sick leave.METHODS:
Naturalistic study with a quasi-experimental approach. Pre- and post-scores (return to work, symptoms, return-to-work self-efficacy, clinical recovery from depression and anxiety) were compared between the intervention group (nâ=â87) who received immediate treatment over an average of 10.40 sessions (SDâ=â3.09) and the non-randomized waitlist control group (nâ=â95) that had waited an average of 11.18 weeks (SDâ=â2.29).RESULTS:
Significantly more patients returned fully to work in the intervention group (41.4%) than the control group (26.3%). Effect sizes for self-efficacy scores, depression and anxiety were large in the intervention group (dâ=â1.28, 1.01, 1.58), and significantly lower in the control group (dâ=â0.60, 0.14, 0.45). Significantly more patients in the treatment group than control group recovered from depression (54.1% vs. 12.8%) and anxiety (50.0% vs.10.6%).CONCLUSIONS:
W-MCT/CBT may be an effective intervention for patients on sick leave due to CMD.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Terapia Cognitivo-Conductual
/
Ausencia por Enfermedad
Tipo de estudio:
Clinical_trials
Límite:
Humans
Idioma:
En
Revista:
Work
Asunto de la revista:
MEDICINA OCUPACIONAL
Año:
2020
Tipo del documento:
Article
País de afiliación:
Noruega