nach oben

Journal of Occupational Rehabilitation

Erschienen in:

20.06.2019

Effectiveness of Briefer Coping-Focused Psychotherapy for Common Mental Complaints on Work-Participation and Mental Health: A Pragmatic Randomized Trial with 2-Year Follow-Up

verfasst von: M. E. A. Wormgoor, A. Indahl, E. Andersen, J. Egeland

Erschienen in: Journal of Occupational Rehabilitation | Ausgabe 1/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose The aim of this study was to assess short and long-term effectiveness of brief coping-focused psychotherapy (Brief-PsT) compared with short-term psychotherapy (Short-PsT) on work-participation (WP) and mental health. Both treatments were preceded by group education. Methods All participants were on, or at risk of, sick leave due to common mental complaints. Patients were selected for inclusion in this study based on levels of self-reported symptoms (‘some’ or ‘seriously affected’) of anxiety and depression. They were randomized to Brief-PsT (n = 141) or Short-PsT with a more extended focus (n = 143). Primary outcome was the transition of WP-state from baseline to 3 months follow-up. In addition, WP at 12 and 24 months follow-up were assessed. The secondary outcome, clinical recovery rate (CR-rate) was obtained from the Beck Depression and Beck Anxiety Inventories, at 2-year follow-up. In addition, self-reported mental health symptom severity, self-efficacy, subjective health complaints and life satisfaction were assessed. Results At 3 months follow-up, the increase in WP was significantly greater in Brief-PsT than in Short-PsT (p = 0.039). At 3 months, 60% in Brief-PsT and 51% in Short-PsT was at work, partial or full. Thereafter, these differences diminished, 84% and 80% were at work at 2-year follow up. The 2-year follow-up of the secondary outcome measurements was completed by 53% in Brief-PsT and 57% in Short PsT. CR-rate was significantly greater in Brief-PsT compared with the Short-PsT (69% vs. 51%, p = 0.024). Furthermore, there was a greater reduction in the number of subjective health complaints in Brief-PsT (4.0 vs. 1.9 p = 0.012). All other measurements favoured Brief-PsT as well, but did not reach statistical significance. Conclusions Brief coping-focused psychotherapy added to group education for persons with depression or anxiety complaints seemed more effective in enhancing early work participation compared with additional short-term psychotherapy of standard duration with more extended focus. Clinical recovery rate and decline of comorbid subjective health complaints at 2-year follow-up were also in favour of the brief coping-focused program.

Roelen CA, Hoedeman R, van Rhenen W, Groothoff JW, van der Klink JJ, Bultmann U. Mental health symptoms as prognostic risk markers of all-cause and psychiatric sickness absence in office workers. Eur J Public Health. 2014;24(1):101–105.PubMed

Hensing G, Andersson L, Brage S. Increase in sickness absence with psychiatric diagnosis in Norway: a general population-based epidemiologic study of age, gender and regional distribution. BMC Medicine. 2006;4:19.PubMedPubMedCentral

van der Noordt M, Ijzelenberg H, Droomers M, Proper KI. Health effects of employment: a systematic review of prospective studies. Occup Environ Med. 2014;71(10):730–736.PubMed

Waddell G, Burton AK, Great Britain. Department for Work and Pensions. Is work good for your health and well-being?. London: The Stationery Office; 2006.

Modini M, Joyce S, Mykletun A, Christensen H, Bryant RA, Mitchell PB, et al. The mental health benefits of employment: results of a systematic meta-review. Australas Psychiatry. 2016;24(4):331–336.PubMed

Layard R, Clark DM. Why more psychological therapy would cost nothing. Front Psychol. 2015;6:1713.PubMedPubMedCentral

Alonso S, Marco JH, Andani J. Reducing the time until psychotherapy initiation reduces sick leave duration in participants diagnosed with anxiety and mood disorders. Clin Psychol Psychother. 2018;25(1):138–143.PubMed

Blank L, Peters J, Pickvance S, Wilford J, Macdonald E. A systematic review of the factors which predict return to work for people suffering episodes of poor mental health. J Occup Rehabil. 2008;18(1):27–34.PubMed

Brouwers EP, Terluin B, Tiemens BG, Verhaak PF. Predicting return to work in employees sick-listed due to minor mental disorders. J Occup Rehabil. 2009;19(4):323–332.PubMedPubMedCentral

10.

Churchill R, Hunot V, Corney R, Knapp M, McGuire H, Tylee A, et al. A systematic review of controlled trials of the effectiveness and cost-effectiveness of brief psychological treatments for depression. Health Technol Assess. 2001;5(35):1–173.PubMed

11.

Nieuwsma JA, Trivedi RB, McDuffie J, Kronish I, Benjamin D, Williams JW. Brief psychotherapy for depression: a systematic review and meta-analysis. Int J Psychiatry Med. 2012;43(2):129–151.PubMedPubMedCentral

12.

Cape J, Whittington C, Buszewicz M, Wallace P, Underwood L. Brief psychological therapies for anxiety and depression in primary care: meta-analysis and meta-regression. BMC Medicine. 2010;8:38.PubMedPubMedCentral

13.

Parikh SV, Quilty LC, Ravitz P, Rosenbluth M, Pavlova B, Grigoriadis S, et al. Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 clinical guidelines for the management of adults with major depressive disorder: section 2. Psychological treatments. Can J Psychiatry. 2016;61(9):524–539.PubMedPubMedCentral

14.

Gyani A, Shafran R, Layard R, Clark DM. Enhancing recovery rates: lessons from year one of IAPT. Behav Res Ther. 2013;51(9):597–606.PubMedPubMedCentral

15.

Moll LT, Jensen OK, Schiottz-Christensen B, Stapelfeldt CM, Christiansen DH, Nielsen CV, et al. Return to work in employees on sick leave due to neck or shoulder pain: a randomized clinical trial comparing multidisciplinary and brief intervention with one-year register-based follow-up. J Occup Rehabil. 2018;28(2):346–356.PubMed

16.

Hunsley J, Elliott K, Therrien Z. The efficacy and effectiveness of psychological treatments. Ottawa: Canadian Psychological Association; 2013.

17.

Shapiro DA, Barkham M, Rees A, Hardy GE, Reynolds S, Startup M. Effects of treatment duration and severity of depression on the effectiveness of cognitive-behavioral and psychodynamic-interpersonal psychotherapy. J Consult Clin Psychol. 1994;62(3):522–534.PubMed

18.

Bair MJ, Robinson RL, Katon W, Kroenke K. Depression and pain comorbidity: a literature review. Arch Intern Med. 2003;163(20):2433–2445.

19.

Bair MJ, Robinson RL, Eckert GJ, Stang PE, Croghan TW, Kroenke K. Impact of pain on depression treatment response in primary care. Psychosom Med. 2004;66(1):17–22.PubMed

20.

Shapiro DA, Rees A, Barkham M, Hardy G, Reynolds S, Startup M. Effects of treatment duration and severity of depression on the maintenance of gains after cognitive-behavioral and psychodynamic-interpersonal psychotherapy. J Consult Clin Psychol. 1995;63(3):378–387.PubMed

21.

Karjalainen K, Malmivaara A, Pohjolainen T, Hurri H, Mutanen P, Rissanen A. Mini-intervention for subacute low back pain: a randomized controlled trial. Spine. 2003;28:533–541.PubMed

22.

Harris A, Moe TF, Eriksen HR, Tangen T, Lie SA, Tveito TH, et al. Brief intervention, physical exercise and cognitive behavioural group therapy for patients with chronic low back pain (The CINS trial). Eur J Pain. 2017;21(8):1397–1407.PubMed

23.

Reme SE, Tveito TH, Harris A, Lie SA, Grasdal A, Indahl A, et al. Cognitive interventions and nutritional supplements (the CINS trial): a randomized controlled, multicenter trial comparing a brief intervention with additional cognitive behavioral therapy, seal oil, and soy oil for sick-listed low back pain patients. Spine (Phila Pa 1976). 2016;41(20):1557–1564.

24.

Jensen C, Jensen OK, Nielsen CV. Sustainability of return to work in sick-listed employees with low-back pain. Two-year follow-up in a randomized clinical trial comparing multidisciplinary and brief intervention. BMC Musculoskelet Disord. 2012;13:156.PubMedPubMedCentral

25.

Sørensen PH, Bendix T, Manniche C, Korsholm L, Lemvigh D, Indahl A. An educational approach based on a non-injury model compared with individual symptom-based physical training in chronic LBP. A pragmatic, randomised trial with a one-year follow-up. BMC Musculoskelet Disord. 2010;11:212.PubMedPubMedCentral

26.

Trepper TS, Papay HE. Psychotherapy abbreviation: a practical guide. Routledge: Taylor and Francis; 2016.

27.

Eriksen HR, Ihlebaek C, Ursin H. A scoring system for subjective health complaints (SHC). Scand J Public Health. 1999;27(1):63–72.PubMed

28.

Reme SE, Lie SA, Eriksen HR. Are 2 questions enough to screen for depression and anxiety in patients with chronic low back pain? Spine (Phila Pa 1976). 2014;39(7):E455–E462.

29.

Beck AT, Steer RA. Internal consistencies of the original and revised Beck Depression Inventory. J Clin Psychol. 1984;40(6):1365–1367.PubMed

30.

Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893–897.PubMed

31.

Derogati L, Lipman RS, Rickels K, Uhlenhut E, Covi L. Hopkins Symptom Checklist (Hscl)—self-report symptom inventory. Behav Sci. 1974;19(1):1–15.

32.

Beck AT, Steer RA. Manual for the Beck Anxiety Inventory. San Antonio: Psychological Corporation; 1996.

33.

Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthr Care Res. 2011;63(Suppl 11):S467–S472.

34.

Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Weinman J, Wright S, Johnston M, editors. Measures in health psychology: a user’s portfolio causal and control beliefs. Windsor: NFER-NELSON; 1995.

35.

Fugl-Meyer AR, Bränholm IB, Fugl-Meyer KS. Happiness and domain-specific life satisfaction in adult northern Swedes. Clin Rehabil. 1991;5:25–33.

36.

Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013;4(863):12.

37.

Joseph R, Sim J, Ogollah R, Lewis M. A systematic review finds variable use of the intention-to-treat principle in musculoskeletal randomized controlled trials with missing data. J Clin Epidemiol. 2015;68(1):15–24.PubMed

38.

Baldwin ML, Johnson WG, Butler RJ. The error of using returns-to-work to measure the outcomes of health care. Am J Ind Med. 1996;29(6):632–641.PubMed

39.

Hellstrom L, Madsen T, Nordentoft M, Bech P, Eplov LF. Trajectories of return to work among people on sick leave with mood or anxiety disorders: secondary analysis from a randomized controlled trial. J Occup Rehabil. 2018;28(4):666–677.PubMed

40.

Oyeflaten I, Lie SA, Ihlebaek CM, Eriksen HR. Multiple transitions in sick leave, disability benefits, and return to work. A 4-year follow-up of patients participating in a work-related rehabilitation program. BMC Public Health. 2012;12:748.PubMedPubMedCentral

41.

Nieuwenhuijsen K, Faber B, Verbeek JH, Neumeyer-Gromen A, Hees HL, Verhoeven AC, et al. Interventions to improve return to work in depressed people. Cochrane Database Syst Rev. 2014;12:CD006237.

42.

Nigatu YT, Liu Y, Uppal M, McKinney S, Rao S, Gillis K, et al. Interventions for enhancing return to work in individuals with a common mental illness: systematic review and meta-analysis of randomized controlled trials. Psychol Med. 2016;46(16):3263–3274.PubMed

43.

van Vilsteren M, van Oostrom SH, ve Vet HC, Franche RL, Boot CR, Anema JR. Workplace interventions to prevent work disability in workers on sick leave. Cochrane Database Syst Rev. 2015;10:CD006955.

44.

Finnes A, Enebrink P, Ghaderi A, Dahl J, Nager A, Ost LG. 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. Int Arch Occup Environ Health. 2019;92(3):273–293.PubMed

45.

Smith OR, Alves DE, Knapstad M. Prompt mental health care: evaluation of the first 12 pilot sites in Norway. Oslo, Norway: Norwegian Institute of Public Health; 2016 (In Norwegian).

46.

Chan SW, Adams M. Service use, drop-out rate and clinical outcomes: a comparison between high and low intensity treatments in an IAPT service. Behav Cogn Psychother. 2014;42(6):747–759.PubMed

47.

Aasdahl L, Pape K, Vasseljen O, Johnsen R, Gismervik S, Halsteinli V, et al. Effect of inpatient multicomponent occupational rehabilitation versus less comprehensive outpatient rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders: a randomized clinical trial. J Occup Rehabil. 2018;28(1):170–179.PubMed

48.

Jarvholm B. How should methods for return to work be evaluated? Scand J Work Environ Health. 2012;38(2):89–91.PubMed

49.

Koopmans PC, Bultmann U, Roelen CA, Hoedeman R, van der Klink JJ, Groothoff JW. Recurrence of sickness absence due to common mental disorders. Int Arch Occup Environ Health. 2011;84(2):193–201.PubMed

50.

Cuijpers P, Huibers M, Ebert DD, Koole SL, Andersson G. How much psychotherapy is needed to treat depression? A metaregression analysis. J Affect Disord. 2013;149(1–3):1–13.PubMed

51.

Loerinc AG, Meuret AE, Twohig MP, Rosenfield D, Bluett EJ, Craske MG. Response rates for CBT for anxiety disorders: need for standardized criteria. Clin Psychol Rev. 2015;42:72–82.PubMed

52.

Stulz N, Lutz W, Kopta SM, Minami T, Saunders SM. Dose-effect relationship in routine outpatient psychotherapy: Does treatment duration matter? J Couns Psychol. 2013;60(4):593–600.PubMed

53.

Barkham M, Rees A, Stiles WB, Shapiro DA, Hardy GE, Reynolds S. Dose-effect relations in time-limited psychotherapy for depression. J Consult Clin Psychol. 1996;64(5):927–935.PubMed

54.

Reynolds S, Stiles WB, Barkham M, Shapiro DA. Acceleration of changes in session impact during contrasting time-limited psychotherapies. J Consult Clin Psychol. 1996;64(3):577–586.PubMed

55.

Eckert PA. Acceleration of change: catalysts in brief therapy. Clin Psychol Rev. 1993;13(3):241–253.

56.

Dekker J, Molenaar PJ, Kool S, Van Aalst G, Peen J, de Jonghe F. Dose-effect relations in time-limited combined psycho-pharmacological treatment for depression. Psychol Med. 2005;35(1):47–58.PubMed

57.

Wright T, Simpson-Young V, Lennings C. Therapeutic process in the context of third party determined time limits. Clin Psychol. 2012;16(2):82–92.

58.

Springer KS, Levy HC, Tolin DF. Remission in CBT for adult anxiety disorders: a meta-analysis. Clin Psychol Rev. 2018;61:1–8.PubMed

59.

Hansen NB, Lambert MJ. An evaluation of the dose-response relationship in naturalistic treatment settings using survival analysis. Ment Health Serv Res. 2003;5(1):1–12.PubMed

60.

Marks DF. IAPT under the microscope. J Health Psychol. 2018;23(9):1131–1135.PubMed

61.

Hollon SD, Stewart MO, Strunk D. Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety. Annu Rev Psychol. 2006;57:285–315.PubMed

62.

Vittengl JR, Clark LA, Dunn TW, Jarrett RB. Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy’s effects. J Consult Clin Psychol. 2007;75(3):475–488.PubMedPubMedCentral

63.

Amos R, Morris L, Mansell W, Edge D. Clients’ experiences of one-to-one low-intensity interventions for common mental health problems: an interpretative phenomenological analysis. Psychol Psychother. 2018. https://doi.org/10.1111/papt.12200.CrossRefPubMedPubMedCentral

64.

Verkuil B, Brosschot JF, Meerman EE, Thayer JF. Effects of momentary assessed stressful events and worry episodes on somatic health complaints. Psychol Health. 2012;27(2):141–158.PubMed

65.

Johnsen TL, Indahl A, Eriksen HR, Ihlebaek C, Tveito TH. Work and mental complaints: are response outcome expectancies more important than work conditions and number of subjective health complaints? J Occup Rehabil. 2017;27(2):218–227.PubMed

66.

Eriksen HR, Ursin H. Subjective health complaints: is coping more important than control? Work Stress. 1999;13(3):238–252.

67.

McCracken LM, Eccleston C. Coping or acceptance: what to do about chronic pain? Pain. 2003;105(1–2):197–204.PubMed

68.

Stenberg U, Haaland-Overby M, Fredriksen K, Westermann KF, Kvisvik T. A scoping review of the literature on benefits and challenges of participating in patient education programs aimed at promoting self-management for people living with chronic illness. Patient Educ Couns. 2016;99(11):1759–1771.PubMed

69.

Stenberg U, Vagan A, Flink M, Lynggaard V, Fredriksen K, Westermann KF, et al. Health economic evaluations of patient education interventions a scoping review of the literature. Patient Educ Couns. 2018;101(6):1006–1035.PubMed

70.

White IR, Carpenter J, Horton NJ. Including all individuals is not enough: lessons for intention-to-treat analysis. Clin Trials. 2012;9(4):396–407.PubMedPubMedCentral

Titel: Effectiveness of Briefer Coping-Focused Psychotherapy for Common Mental Complaints on Work-Participation and Mental Health: A Pragmatic Randomized Trial with 2-Year Follow-Up
verfasst von: M. E. A. Wormgoor
A. Indahl
E. Andersen
J. Egeland
Publikationsdatum: 20.06.2019
Verlag: Springer US
Erschienen in: Journal of Occupational Rehabilitation / Ausgabe 1/2020
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-019-09841-6

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2020

Supporting the Return to Work After Cancer in Romania: Exploring Employers’ Perspectives

“I Would be More of a Liability than an Asset”: Navigating the Workplace as a Younger Person with Arthritis

Work Experiences During and After Treatment Among Self-Employed People with Cancer

Return to Work and Ripple Effects on Family of Precariously Employed Injured Workers

Reductions in Fatigue Predict Occupational Re-engagement in Individuals with Work-Related Musculoskeletal Disorders

The Impact of Vocational Interventions on Vocational Outcomes, Quality of Life, and Community Integration in Adults with Childhood Onset Disabilities: A Systematic Review