Effectiveness of two vocational rehabilitation programmes in women with long-term sick leave due to pain syndrome or mental illness: 1-year follow-up of a randomized controlled trial

Abstract

Multidisciplinary assessments and individual rehabilitation interventions may improve the chance of return-to-work in women with long-term sick leave due to pain condition or mental illness.

Reducing the time until psychotherapy initiation reduces sick leave duration in participants diagnosed with anxiety and mood disorders

“…Therefore, more research with mental disorders is needed to clarify this relationship. Finally, the duration of psychotherapy had a low and negative association with time until returning to work after psychotherapy ended, and this result is consistent with another study where individual rehabilitation interventions improved the chance of return-to-work in women with long-term sick leave due to mental illness (e.g., Lytsy, Carlsson, & Anderzén, 2017).…”

Psychological treatments for return to work in individuals on sickness absence due to common mental disorders or musculoskeletal disorders: a systematic review and meta-analysis of randomized-controlled trials

“…The mean age in the studies was 42.2 years (range 35.8–48.5). When two outliers were deleted (Schiltenwolf et al 2006; Lytsy et al 2017), the mean age was 42.4. Only 19 of the 30 studies had information on duration of SA at pre-treatment and the mean was 39 weeks (median 10, range 2–388).…”

“…Only 19 of the 30 studies had information on duration of SA at pre-treatment and the mean was 39 weeks (median 10, range 2–388). With one outlier deleted (Lytsy et al 2017), the mean was 20 weeks. The mean attrition rate was 12.6% (median 10, range 0–38.5).…”

Cost-Effectiveness of Acceptance and Commitment Therapy and a Workplace Intervention for Employees on Sickness Absence due to Mental Disorders

“…Reviews evaluating studies comparing ACT to waitlist control, placebo and TAU have reported moderate to large average effect sizes across a broad range of problems such as chronic pain, anxiety disorders, depression, work related stress, substance abuse, posttraumatic stress disorder (A-Tjak et al, 2015;McCracken & Vowles, 2014;Ost, 2008Ost, , 2014. ACT has to some extent been evaluated in relation to SA (Aasdahl et al, 2018;Dahl, Wilson, & Nilsson, 2004;Folke, Parling, & Melin, 2012;Lytsy, Carlsson, & Anderzen, 2017). In the RCT by Dahl and colleagues (2004), a decrease in SA due to pain and stress problems was found in the ACT group compared to the group receiving treatment as usual (TAU).…”

“…The ACT-protocol used in this study was created based on experiences from a previous trial with ACT for women on long-term SA (Lytsy et al, 2017). The protocol consisted of six sessions, conducted during a period of maximum three months.…”