Rückkehr ins Erwerbsleben: Ein Arbeitsplatz-bezogenes Modul zur Integration in die kognitiv-behaviorale Therapie bei psychischen Erkrankungen

Winter, Lotta; Kraft, Julia; Boss, Katharina; Kahl, Kai G.

doi:10.1055/s-0035-1545312

Cited by 6 publications

(2 citation statements)

References 29 publications

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“…The "return-to-work" (RTW) module used in this study was developed by Lagerveld and colleagues (from Netherlands) to be integrated in standard CBT. This RTW module was translated into German language and published recently (18).…”

Section: Introductionmentioning

confidence: 99%

Integration of a Return-to-Work Module in Cognitive Behavioral Therapy in Patients With Major Depressive Disorder and Long-Term Sick Leave—A Feasibility Study

et al. 2020

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Objective: Major depressive disorder (MDD) has a negative impact on individuals ability to work, and is often associated with long phases of sick leave. Consequently, interventions facilitating return to work in patients with MDD gained increased attention during last decades. We here report results of a feasibility study where a "return-to-work" (RTW) module published by Lagerveld and colleagues in the Netherlands was integrated in cognitive behavioral therapy in depressed patients with long-term sick leaves in Germany. Our study aimed to answer the following questions: Is RTW accepted by patients and therapists? Do RTW interventions lead to return-to-work? Do depressive symptoms improve? Methods: Twenty patients with MDD (15 female; mean age, 45 ± 9 years) were included. Patients received cognitive-behavioral therapy with an integrated, standardized return-towork module (W-CBT). Psychometric measurements included Beck Depression Inventory (BDI-2) and work ability index (WAI). Further, time until return-to-work was measured, and acceptability of W-CBT was assessed using visual analog scales and open questions. Results: Mean sick leave days in depressed patients were 127 ± 97, and 75% of patients were sick leave for more than 6 weeks. After treatment, 11/20 patients had returned to their former occupation (55%), 5/20 were in occupational re-deployment or started a new job (25%), and 3/20 patients were still on sick leave (2/20; 10%) or received a pension (1/20; 5%). One patient dropped out. BDI-2 sum score improved from 23 ± 8 to 8 ± 5 (p < 0.001), and WAI improved from 28 ± 6 to 39 ± 7 (p < 0.001). Acceptability of W-CBT in patients and therapists was high. Conclusion: We here demonstrate feasibility and acceptability of an RTW module integrated in standard cognitive behavioral therapy. W-CBT leads to improvement of work ability, paralleled by improvement of depressive symptoms. Despite the limitations of this uncontrolled study, the results propose that W-CBT may be feasible in the treatment of depressed patients with long sick leaves and justify a controlled trial evaluating the efficacy of W-CBT.

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Section: Introductionmentioning

confidence: 99%

Integration of a Return-to-Work Module in Cognitive Behavioral Therapy in Patients With Major Depressive Disorder and Long-Term Sick Leave—A Feasibility Study

et al. 2020

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“…This is even more important for mental disorders as their occurrence earlier in the life-span increases the associated costs ( 18 ). Programs that promote reactivation are well investigated and mainly include therapeutic interventions focused on work-related strategies ( 11 , 19 – 21 ). The evidence for subject-related variables, however, is heterogeneous ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Identifying Individuals at High Risk for Permanent Disability From Depression and Anxiety

Behrens-Wittenberg

Wedegaertner

2020

Front. Psychiatry

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Mental illnesses, among which depression and anxiety are most common, are the leading cause for permanent disability. It is of interest to know what case characteristics determine if a person returns to the work force in spite of mental illness to tailor specific interventions. So far, there has been little research into this field. In the present study a sample of 202 workers who had permanent disability due to depression/anxiety were followed-up on. 22% started some kind of work during follow-up in a period of 30 to 75 months. Logistic regression analyses showed that quick progression into disability, short period of disability, younger age, adequacy of income replacement through insurance benefits and no previous disability predicted return to work. These findings also allow to identify individuals at high risk for progression into permanent disability that can benefit from supporting interventions.

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Interventions to improve return to work in depressed people

Nieuwenhuijsen

Verbeek

Neumeyer‐Gromen

et al. 2020

Cochrane Database of Systematic Reviews

127

156

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Rückkehr ins Erwerbsleben: Ein Arbeitsplatz-bezogenes Modul zur Integration in die kognitiv-behaviorale Therapie bei psychischen Erkrankungen

Cited by 6 publications

References 29 publications

Integration of a Return-to-Work Module in Cognitive Behavioral Therapy in Patients With Major Depressive Disorder and Long-Term Sick Leave—A Feasibility Study

Integration of a Return-to-Work Module in Cognitive Behavioral Therapy in Patients With Major Depressive Disorder and Long-Term Sick Leave—A Feasibility Study

Identifying Individuals at High Risk for Permanent Disability From Depression and Anxiety

Interventions to improve return to work in depressed people

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