Return to work after work-related stress: a randomized controlled trial of a work-focused cognitive
                    behavioral intervention

Dalgaard, Vita Ligaya; Aschbacher, Kirstin; Andersen, Johan Hviid; Glasscock, David; Willert, Morten Vejs; Carstensen, Ole; Biering, Karin

doi:10.5271/sjweh.3655

Cited by 42 publications

(39 citation statements)

References 25 publications

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“…In all groups psychological complaints improved, but there were no treatment effects on the outcomes perceived stress, general mental health, sleep quality and cognitive failures. At followup at 16 weeks there was no significant difference in RTW, but at 44 weeks the intervention group had significantly faster lasting RTW compared with the control group receiving clinical examination (31,32).…”

Section: Psychological And/or Stress-reducing Interventions + Workplamentioning

confidence: 77%

Role of rehabilitation in chronic stress-induced exhaustion disorder: A narrative review

Wallensten¹,

Åsberg²,

Wiklander³

et al. 2019

J Rehabil Med

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LAY ABSTRACTThere has been an increase in cases of sick leave due to stress in several European countries in recent decades. Chronic stress-induced exhaustion disorder is linked with physiological and neurobiological changes, which may add to cognitive problems and long-term exhaustion. This narrative review summarizes the published evidence about the effectiveness of different interventions for the rehabilitation of patients with chronic stress-induced exhaustion disorder. Cognitive behavioural interventions and multimodal interventions reduce symptoms. Workplace interventions often improve return to work. Better sleep is associated with improvement of symptoms and return to work. Interventions for improving sleep might therefore be important. For improving cognitive function, which is a main complaint among patients with chronic stress-induced exhaustion disorder, aerobic and cognitive training may have some effect. Most interventions for the rehabilitation of chronic stress-induced exhaustion disorder have only marginal effects. Therefore, it is important to prevent the onset of this disorder. Objective: An increase in numbers of cases of sick leave due to stress have been reported from several European countries during recent decades. Chronic stress-induced exhaustion disorder is associated with physiological and neurobiological perturbations that may contribute to cognitive problems and longterm exhaustion. Rehabilitation of patients with chronic stress-induced exhaustion disorder is therefore challenging. This narrative review summarizes the evidence regarding the effectiveness of different interventions for the rehabilitation of patients with chronic stress-induced exhaustion disorder. Methods: Both structured and unstructured searches of research studies and reports were performed in order to find knowledge sources. The structured search had 2 predefined inclusion criteria: (i) chronic stress-induced exhaustion/clinical burnout/severe burnout/stress-induced exhaustion; and (ii) rehabilitation with improvement of symptoms and/or return to work as outcomes. Results: Cognitive behavioural interventions and multimodal interventions seem to reduce symptoms. Workplace interventions, either work-focused cognitive behavioural or workplace dialogue, seem to improve return to work. Sleep is important for both symptom improvement and return to work, and interventions for improving sleep might therefore be important. For improvement of cognitive function, which is a main complaint among patients with chronic stress-induced exhaustion disorder, aerobic and cognitive training may have some effect. Conclusion: In summary, the few studies of highquality that examine interventions for rehabilitation of chronic stress-induced exhaustion disorder show only marginal effects. Thus, it is important to prevent the onset of chronic stress-induced exhaustion disorder.

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Section: Psychological And/or Stress-reducing Interventions + Workplamentioning

confidence: 77%

Role of rehabilitation in chronic stress-induced exhaustion disorder: A narrative review

Wallensten¹,

Åsberg²,

Wiklander³

et al. 2019

J Rehabil Med

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“…[ 25 ] Sasha, Maria, and Ailsa [ 26 ] indicated that modified CBT yielded reductions in anxiety, obsessive-compulsive disorder (OCD), and depression. Dalgaard et al [ 27 ] found a significant effect of a stress-management intervention (CBT) on a lasting return to work among patients with work-related stress complaints. Dalgaard et al [ 28 ] found significant group effects of Work-focused cognitive behavioral intervention on perceived stress and memory when compared to the control group.…”

Section: Introductionmentioning

confidence: 99%

Impacts of cognitive behavior therapy on occupational stress among science and social science education facilitators in open and distance learning centers and its implications for community development

Ugwuanyi

Okeke

Agboeze³

et al. 2020

Medicine

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Background: Extensive review of literature showed that no available study in Nigeria has explored the impact of cognitive behavior therapy (CBT) on the management of occupational stress among open and distance learning (ODL) centers science and social science education facilitators. Thus, this study determined the impacts of CBT on the management of occupational stress among science and social science education facilitators in ODL centers in South-South Nigeria. Methods: A randomized controlled trial experimental design was adopted for the study with a sample size of 68 science and social science education facilitators in ODL centers in South-South states, Nigeria. Perceived stress scale (PSS) and Occupational stress index (OSI) were used for data collection. Using Cronbach alpha method, internal consistency reliability indices of 0.81 and 0.85 for PSS and OSI respectively were obtained in the Nigerian context. A 12-week cognitive behavior therapy intervention was conducted after which the participants in both the intervention group and the non-intervention group were administered posttest, while a follow-up assessment was administered after 2 months. Data collected were analyzed using mixed-design repeated-measures analysis of variance for the within-groups and between-groups effects. Results: It was found that CBT intervention led to a significant decrease in the occupational stress among science and social science education facilitators in ODL in the South-South region of Nigeria. Conclusion: Cognitive behavior therapy is effective in the management of occupational stress among science and social science education facilitators in distance learning centers.

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“…Scand J Work Environ Health. 2019;45 (2): 211-212. doi:10.5271/sjweh.3805 This book focusses on one of today's biggest social and labor market challenges: how to deal with the rising cost of illness and disability benefits across advanced economies.…”

Section: Book Reviewmentioning

confidence: 99%

“…For example, two recent studies in the Scandinavian Journal of Work, Environment and Health showed that integrating workplaces into prevention programs show promising results regarding effectiveness in preventing or reducing health problems and time to return-to-work in both workers with musculoskeletal disorders (1) as well as mental conditions (2). Moreover, the study of Viikari-Juntura et al (3) showed the effectiveness of the introduction of a Finnish legislation on of the use of part-time sick leave at the early stage of work disability on both return to work and work participation.…”

Section: Book Reviewmentioning

confidence: 99%

Book review

Brouwer¹,

Boot

2019

Scand J Work Environ Health

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Return to work after work-related stress: a randomized controlled trial of a work-focused cognitive behavioral intervention

Cited by 42 publications

References 25 publications

Role of rehabilitation in chronic stress-induced exhaustion disorder: A narrative review

Role of rehabilitation in chronic stress-induced exhaustion disorder: A narrative review

Impacts of cognitive behavior therapy on occupational stress among science and social science education facilitators in open and distance learning centers and its implications for community development

Book review

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