Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial

Stenlund, Thérese; Ahlgren, Christina; Lindahl, Bernt; Burell, Gunilla; Steinholtz, Katarina; Edlund, Curt; Nilsson, Leif; Knutsson, Anders; Birgander, Lisbeth Slunga

doi:10.1007/s12529-008-9011-7

Cited by 75 publications

(75 citation statements)

References 37 publications

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“…Moreover, only individual treatment programs were evaluated. After group cognitive-behavioural therapy combined with Qigong, compared to Qigong only, more than half the burnout patients on long-term sick leave in both programmes showed at least a partial RTW after one year, while 40% were still on full-time sick leave [4]. A stress management intervention compared to CAU, in women with work stress-related sick leave in a company health care unit, resulted in only 40% RTW for both groups, as long as 5 years after the intervention [18].…”

Section: Discussionmentioning

confidence: 99%

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Return to work after a workplace-oriented intervention for patients on sick-leave for burnout - a prospective controlled study

et al. 2010

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BackgroundIn the present study the effect of a workplace-oriented intervention for persons on long-term sick leave for clinical burnout, aimed at facilitating return to work (RTW) by job-person match through patient-supervisor communication, was evaluated. We hypothesised that the intervention group would show a more successful RTW than a control group.MethodsIn a prospective controlled study, subjects were identified by the regional social insurance office 2-6 months after the first day on sick leave. The intervention group (n = 74) was compared to a control group who had declined participation, being matched by length of sick leave (n = 74). The RTW was followed up, using sick-listing register data, until 1.5 years after the time of intervention.ResultsThere was a linear increase of RTW in the intervention group during the 1.5-year follow-up period, and 89% of subjects had returned to work to some extent at the end of the follow-up period. The increase in RTW in the control group came to a halt after six months, and only 73% had returned to work to some extent at the end of the 1.5-year follow-up.ConclusionsWe conclude that the present study demonstrated an improvement of long-term RTW after a workplace-oriented intervention for patients on long-term sick leave due to burnout.Trial registrationCurrent Controlled Trials NCT01039168.

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Section: Discussionmentioning

confidence: 99%

“…Only a few controlled studies evaluating treatment programs for persons on sick leave due to work stress-related mental illness have been published [3,4]. As a rule, the interventions studied were oriented towards the individual and were of the cognitive-behavioural therapy (CBT) type, aiming to improve stress management.…”

Section: Introductionmentioning

confidence: 99%

Return to work after a workplace-oriented intervention for patients on sick-leave for burnout - a prospective controlled study

et al. 2010

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“…They conclude that all stress-management interventions are effective even though cognitive-behavioural interventions are the most effective. A randomized clinical trial studying patients on long-term sick leave due to burnout compared a cognitively oriented behavioural rehabilitation in combination with qigong with rehabilitation that only consisted of qigong and found both interventions to be equally effective (19). Heiden et al (10) compared cognitive behavioural training, physical activity, and traditional care for people with stress-related disorders in a randomized controlled trial.…”

Section: Introductionmentioning

confidence: 99%

An exploratory study of the rehabilitation process of people with stress-related disorders

Eriksson

Karlström²,

Jonsson

et al. 2010

Scandinavian Journal of Occupational Therapy

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The aim was to describe how former clients with stress-related disorders and rehabilitation team members experience the rehabilitation process, and to describe how experiences from the rehabilitation have been integrated into the former clients' everyday lives. A qualitative grounded theory approach was used. The sample consisted of seven team members working at a vocational rehabilitation clinic and eight former clients who were interviewed. The participants were involved in four different rehabilitation programmes, all of which used cognitive approaches. In addition, two of the programmes offered activities in a therapeutic garden. The result highlighted experiences that might have contributed to changes in the former clients' self-image, development of conscious strategies for handling stressful situations, and changes in values attached to everyday occupations. In addition, two different modes of integrating experiences from rehabilitation into the former clients' everyday lives were identified: changing approaches to handling stressful situations in everyday life and changing occupational repertoire in everyday life. Important implications might be that activities which promote relaxation and enjoyment should be included in the rehabilitation of people with stress-related disorders since experiences from these activities seemed to facilitate occupational balance in everyday life.

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“…Two previous Swedish studies have shown that employees with CMDs may seek treatment on their own, especially if they are aware that they belong to the control group [46, 47]. To detect possible treatment bias of this sort, items on co-interventions have been included in the questionnaires to the employees.…”

Section: Discussionmentioning

confidence: 99%

Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: Design of a cluster randomized controlled trial of a problem-solving based intervention versus care-as-usual conducted at the Occupational Health Services

et al. 2017

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BackgroundCommon mental disorders (CMDs) are among the leading causes of sick leave in Sweden and other OECD countries. They result in suffering for the individual and considerable financial costs for the employer and for society at large. The occupational health service (OHS) can offer interventions in which both the individual and the work situation are taken into account. The aim of this paper is to describe the design of a study evaluating the effectiveness of an intervention given at the OHS to employees with CMDs or stress-related symptoms at work. In addition, intervention fidelity and its relation to the outcome will be assessed in a process analysis.MethodsThe study is designed as a cluster randomized trial in which the participating OHS consultants are randomized into either delivering the intervention or performing care as usual. Employees with CMDs or stress-related symptoms at work are recruited consecutively by the OHS consultants. The intervention aims to improve the match between the employee and the job situation. Interviews are held individually with the employee and the nearest supervisor, after which a joint meeting with both the employee and the supervisor takes place. A participatory approach is applied by which the supervisor and the employee are guided by the OHS consultant and encouraged to actively take part in problem solving concerning the work situation. Outcomes will be assessed at baseline and at six and 12 months. A long-term follow-up at 3 years will also be performed. The primary outcome is registered sickness absence during a 1-year period after study inclusion. Secondary outcomes are mental health and work ability. The intervention’s cost effectiveness, compared to treatment as usual, both for society and for the employer will be evaluated. A process evaluation by both the OHS consultants and the employee will be carried out.DiscussionThe study includes analyses of the effectiveness of the intervention (clinical and economic) as well as an analysis of its implementation at the participating OHSs. Possible methodological challenges such as selection bias and risk of contamination between OHS consultants delivering the experimental condition and consultants giving usual care are discussed.Trial registrationClinicalTrials NCT02563743 Sep 28 2015.

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Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial

Abstract: This study showed no differences in effect between CBR and Qigong compared with Qigong only in a per-protocol analysis. Both rehabilitation programs showed positive effect for patients with burnout.

Cited by 75 publications

References 37 publications

Return to work after a workplace-oriented intervention for patients on sick-leave for burnout - a prospective controlled study

Return to work after a workplace-oriented intervention for patients on sick-leave for burnout - a prospective controlled study

An exploratory study of the rehabilitation process of people with stress-related disorders

Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: Design of a cluster randomized controlled trial of a problem-solving based intervention versus care-as-usual conducted at the Occupational Health Services

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