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.
CBT
Stress
adjustment disorder
depression
exhaustion disorder
return-to-work
Journal
Scandinavian journal of psychology
ISSN: 1467-9450
Titre abrégé: Scand J Psychol
Pays: England
ID NLM: 0404510
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
21
02
2019
accepted:
16
09
2019
pubmed:
7
11
2019
medline:
17
9
2020
entrez:
7
11
2019
Statut:
ppublish
Résumé
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.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
281-289Subventions
Organisme : This study was funded by Karolinska Institutet and by research grants from Stockholm County Council
Informations de copyright
© 2020 Scandinavian Psychological Associations and John Wiley & Sons Ltd.
Références
Ahola, K., Toppinen-Tanner, S. & Seppänen, J. (2017). Interventions to alleviate burnout symptoms and to support return to work among employees with burnout: Systematic review and meta-analysis. Burnout Research, 4, 1-11.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Arlington, VA: American Psychiatric Association.
Arends, I., Bruinvels, D. J., Rebergen, D. S., Nieuwenhuijsen, K., Madan, I., Neumeyer-Gromen, A., Verbeek, J. H. (2012). Interventions to facilitate return to work in adults with adjustment disorders. Cochrane Database of Systematic Reviews, 12, 1-114.
Attkison, C. C. & Greenfield, T. K. (1996). The client satisfaction questionnaire (CSQ) scales and the service satisfaction Scale-30 (SSS-30). In L. I. D. Sederer & B. Dickey (Eds.), Outcomes assessment in clinical practice (pp. 120-127). Baltimore, MD: Williams & Wilkins.
Brown, T. A., Di Nardo, P. A., Lehman, C. L. & Campbell, L. A. (2001). Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology, 110, 49-58.
Carter-Snell, C. & Hegadoren, K. (2003). Stress disorders and gender: Implications for theory and research. Canadian Journal of Nursing Research, 35, 34-55.
Casey, P. (2014). Adjustment disorder: New developments. Current Psychiatry Reports, 16, 014-451.
Clark, D. M., Ehlers, A., McManus, F., Hackmann, A., Fennell, M., Campbell, H.& Louis, B. (2003). Cognitive therapy versus fluoxetine in generalized social phobia: A randomized placebo-controlled trial. Journal of Consulting and Clinical Psychology, 71, 1058-1067.
Clark, D. M., Salkovskis, P. M., Hackmann, A., Middleton, H., Anastasiades, P. & Gelder, M. (1994). A comparison of cognitive therapy, applied relaxation and imipramine in the treatment of panic disorder. British Journal of Psychiatry, 164, 759-769.
Clays, E., Kittel, F., Godin, I., Bacquer, D. D. & Backer, G. D. (2009). Measures of work-family conflict predict sickness absence from work. Journal of Occupational and Environmental Medicine, 51, 879-886.
Cohen, S., Janicki-Deverts, D. & Miller, G. E. (2007). Psychological stress and disease. JAMA, 298, 1685-1687.
Cohen, S. & Williamsson, G. (1988). Perceived stress in a probability sample of the United States. Newbury Park, CA: Sage.
Di Nardo, P. A., Moras, K., Barlow, D. H., Rapee, R. M. & Brown, T. A. (1993). Reliability of DSM-III-R anxiety disorder categories: Using the anxiety disorders interview schedule-revised (ADIS-R). Archives of General Psychiatry, 50, 251-256.
Ehlers, A., Clark, D. M., Hackmann, A., McManus, F. & Fennell, M. (2005). Cognitive therapy for post-traumatic stress disorder: Development and evaluation. Behaviour Research and Therapy, 43, 413-431.
Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R. et al. (2012). Unified protocol for transdiagnostic treatment of emotional disorders: A randomized controlled trial. Behavior Therapy, 43, 666-678.
Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28, 857-870.
Foa, E. B., Liebowitz, M. R., Kozak, M. J., Davies, S., Campeas, R., Franklin, M. E. et al. (2005). Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder. American Journal of Psychiatry, 162, 151-161.
Geurts, S. A. & Sonnentag, S. (2006). Recovery as an explanatory mechanism in the relation between acute stress reactions and chronic health impairment. Scandinavian Journal of Work, Environment and Health, 32, 482-492.
Glise, K., Ahlborg, G. Jr & Jonsdottir, I. H. (2012). Course of mental symptoms in patients with stress-related exhaustion: Does sex or age make a difference? BMC Psychiatry, 12, 12-18.
Grossi, G., Perski, A., Osika, W. & Savic, I. (2015). Stress-related exhaustion disorder-clinical manifestation of burnout? A review of assessment methods, sleep impairments, cognitive disturbances, and neuro-biological and physiological changes in clinical burnout. Scandinavian Journal of Psychology, 56, 626-636.
Hasselberg, K., Jonsdottir, I. H., Ellbin, S. & Skagert, K. (2014). Self-reported stressors among patients with exhaustion disorder: An exploratory study of patient records. BMC Psychiatry, 14, 14-66.
Henderson, M., Harvey, S. B., Overland, S., Mykletun, A. & Hotopf, M. (2011). Work and common psychiatric disorders. Journal of the Royal Society of Medicine, 104, 198-207.
Hoefsmit, N., Houkes, I. & Nijhuis, F. J. (2012). Intervention characteristics that facilitate return to work after sickness absence: A systematic literature review. Journal of Occupational Rehabilitation, 22, 462-477.
Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T. & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36, 427-440.
Kalia, M. (2002). Assessing the economic impact of stress-the modern day hidden epidemic. Metabolism, 51, 49-53.
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R. & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602.
Lagerveld, S. E., Brenninkmeijer, V., Blonk, R. W., Twisk, J. & Schaufeli, W. B. (2016). Predictive value of work-related self-efficacy change on RTW for employees with common mental disorders. Occupational and Environmental Medicine, 74, 381-383.
Lejuez, C. W., Hopko, D. R., Acierno, R., Daughters, S. B. & Pagoto, S. L. (2011). Ten year revision of the brief behavioral activation treatment for depression: revised treatment manual. Behavior Modification, 35, 111-161.
Lidwall, U. & Olsson-Bohlin, C.. (2016). Mental illness, short analysis. (2). Sick leave for reactions to severe stress increases most. Retrieved from http://www.forsakringskassan.se/wps/wcm/connect/41903408-e87d-4e5e-8f7f-90275dafe6ad/korta_analyser_2016_2.pdf?MOD=AJPERES&CVID=
Lindsäter, E., Axelsson, E., Salomonsson, S., Santoft, F., Ejeby, K., Ljótsson, B. et al. (2018). Internet-based cognitive behavioral therapy for chronic stress: A randomized controlled trial. Psychotherapy and Psychosomatics, 87, 296-305.
Lisspers, J., Almén, N. & Sundin, Ö. (2014). The effects of a recovery-focused program for stress management in women: An exploratory study. Health, 6, 2825-2836.
McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiological Reviews, 87, 873-904.
Melamed, S., Kushnir, T. & Shirom, A. (1992). Burnout and risk factors for cardiovascular diseases. Behavioral Medicine, 18, 53-60.
Morin, C. M. (1993). Insomnia: Psychological assessment and management. New York: The Guilford Press.
National Collaborating Centre for Mental Health (2009). Depression: the treatment and management of depression in adults: NICE clinical guideline 90. London: National Institute for Health and Clinical Excellence.
Nieuwenhuijsen, K., Faber, B., Verbeek, J. H., Neumeyer-Gromen, A., Hees, H. L., Verhoeven, A. C. et al. (2014). Interventions to improve return to work in depressed people. Cochraine Review, 3, 1-109..
Nigatu, Y. T., Liu, Y., Uppal, M., McKinney, S., Rao, S., Gillis, K. & Wang, J. (2016). Interventions for enhancing return to work in individuals with a common mental illness: Systematic review and meta-analysis of randomized controlled trials. Psychological Medicine, 46, 3263-3274.
Organisation for Economic Co-operation and Development [OECD] (2010). Sickness, disability and work: Breaking the barriers. Paris: OECD Publishing.
Organisation for Economic Co-operation and Development [OECD] (2012). Sick on the job? Paris: OECD Publishing.
Öst, L.-G. (1987). Applied relaxation: Description of a coping technique and review of controlled studies. Behaviour Research and Therapy, 25, 397-409.
Perski, O., Grossi, G., Perski, A. & Niemi, M. (2017). A systematic review and meta-analysis of tertiary interventions in clinical burnout. Scandinavian Journal of Psychology, 58, 551-561.
Persson Asplund, R., Dagöö, J., Fjellström, I., Niemi, L., Hansson, K., Zeraati, F. et al. (2017). Internet-based stress management for distressed managers: Results from a randomised controlled trial. Occupational and Environmental Medicine, 30, 2017-104458.
Richardson, K. M. & Rothstein, H. R. (2008). Effects of occupational stress management intervention programs: A meta-analysis. Journal of Occupational Health Psychology, 13, 69-93.
Salomonsson, S., Hedman-Lagerlöf, E. & Öst, L. G. (2018a). Sickness absence: A systematic review and meta-analysis of psychological treatments for individuals on sick leave due to common mental disorders. Psychological Medicine, 48, 1954-1965.
Salomonsson, S., Santoft, F., Lindsäter, E., Ejeby, K., Ljótsson, B., Öst, L. G. et al. (2017). Cognitive-behavioural therapy and return-to-work intervention for patients on sick leave due to common mental disorders: A randomised controlled trial. Occupational and Environmental Medicine, 74, 905-912.
Salomonsson, S., Santoft, F., Lindsäter, E., Ejeby, K., Ljótsson, B., Öst, L. G. et al. (2018b). Stepped care in primary care - guided self-help and face-to-face cognitive behavioural therapy for common mental disorders: A randomized controlled trial. Psychological Medicine, 48, 1644-1654.
Schaufeli, W. & Enzmann, D. (1998). The burnout companion to study and practice: A critical analysis. London: CRC Press.
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E. et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 20, 22-33.
Svanborg, P. & Åsberg, M. (1994). A new self-rating scale for depression and anxiety states based on the Comprehensive Psychopathological Rating Scale. Acta Psychiatrica Scandinavica, 89, 21-28.
Swedish Council on Technology Assessment in Health Care [SBU] (2003). Sjukskrivning - orsaker, konsekvenser och praxis. En systematisk litteraturöversikt (Vol. 167). Göteborg: SBU - Statens beredning för medicinsk utvärdering.
Swedish National Board of Health and Welfare. (2003). Utmattningssyndrom. Stressrelaterad psykisk ohälsa. Stockholm: National Board of Health and Welfare.
Swedish National Board of Health and Welfare. (2016). Försakringsmedicinskt beslutsstöd. Retrieved from http://www.socialstyrelsen.se/riktlinjer/forsakringsmedicinsktbeslutsstod/omforsakringsmedicinsktbeslutsstod.
The National Board of Health and Welfare (2003). Utmattningssyndrom. Stressrelaterad psykisk ohälsa. [Exhaustion Disorder. Stress-related mental illness]. Stockholm: National Board of Health and Welfare.
The Swedish Social Insurance Agency. (2014). Social Insurance Report 2014:4. Stockholm: The Swedish Social Insurance Agency.
van der Klink, J. J., Blonk, R. W., Schene, A. H. & van Dijk, F. J. (2003). Reducing long term sickness absence by an activating intervention in adjustment disorders: a cluster randomised controlled design. Occupational and Environmental Medicine, 60, 429-437.
Zigmond, A. S. & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370.