Effects of cognitive behavioural therapy and return‐to‐work intervention for patients on sick leave due to stress‐related disorders: Results from a randomized trial
Abstract
The aim of this study was to evaluate specific effects for patients with adjustment or exhaustion disorder, the Stress subgroup (n = 152), regarding symptom severity and sick leave after CBT, a return‐to‐work intervention (RTW‐I), and a combination of them (COMBO), using data from a randomized trial. In the original study, primary care patients on sick leave (N = 211) were randomized to CBT (n = 64), RTW‐I (n = 67), or COMBO (n = 80). Blinded Clinician Severity Rating (CSR) of symptoms and sick leave registry data were primary outcomes. Subgroup analyses showed that for the Stress subgroup, CBT led to greater reduction of symptoms than RTW‐I posttreatment, but COMBO did not differ from CBT or RTW‐I. Regarding sick leave, there was no difference between treatments in the Stress subgroup. An exploratory analysis of the treatment effects in a subgroup of patients with depression, anxiety or insomnia indicates that RTW‐I reduced sick leave faster than CBT. We conclude that CBT may be promising as an effective treatment of stress and exhaustion disorder.
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The lack of theory-driven evidence-based treatments for stress-related conditions such as ENTS, compared to anxiety and mood disorders, has previously been highlighted.
“The lack of theory-driven evidence-based treatments for stress-related conditions such as ENTS, compared to anxiety and mood disorders, has previously been highlighted [79].”
From Psychological Treatment of Exhaustion Due to Persistent Non-Traumatic Stress: A Scoping Review. (2024) · cites this paper as [79]
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- Authors
- Salomonsson, S., Santoft, F., Lindsäter, E., Ejeby, K., Ingvar, M., Ljótsson, B., Öst, L., Lekander, M., & Hedman‐Lagerlöf, E.
- Affiliations
- Karolinska Institutet (SE)
- Stockholm University (SE)
- Corresponding author
- Salomonsson, Sigrid
- ORCID
- Venue
- Scandinavian Journal of Psychology
- Publisher
- Wiley
- Published
- 2019-11-06
- Volume
- 61
- Issue
- 2
- Pages
- 281-289
- ISSN
- 0036-5564 (ISSN-L)
- 1467-9450
- OpenAlex
- W2987051906
- Cited by
- 35
- References
- 54
- Citations by year
- 2025: 5 · 2024: 1 · 2023: 13 · 2022: 7 · 2021: 8 · 2020: 1
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- This study was funded by Karolinska Institutet and by research grants from Stockholm County Council
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, return to work interventions, sick leave, stress-related disorders, adjustment disorder, exhaustion disorder, symptom severity, primary care, depression, anxiety, insomnia, combination therapy
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Male, Middle Aged, Cognitive Behavioral Therapy, Treatment Outcome, Sick Leave, Young Adult, Return to Work
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