Effects of rehabilitation programmes for patients on long-term sick leave for burnout: A 3-year follow-up of the REST study

Stenlund, Thérese; Nordin, Maria; Järvholm, Lisbeth Slunga

doi:10.2340/16501977-1003

Cited by 51 publications

(46 citation statements)

References 24 publications

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“…The findings from the two other Swedish studies with long-term follow-ups showed improvements in RTW rates, though not as function of intervention [5, 15]. It should be kept in mind that Grossi’s and Santell’s [5] study was very small (n = 12 per group), which limits the ability to detect such differences.…”

Section: Discussionmentioning

confidence: 91%

“…It should be kept in mind that Grossi’s and Santell’s [5] study was very small (n = 12 per group), which limits the ability to detect such differences. Stenlund’s [15] study had a response rate of 65% compared to their 1-year follow-up, which due to possible systematic differences between drop-outs and participants may introduce some uncertainty as regards interpreting the results, as discussed by the authors. Van Oostrom et al [9] conducted a randomized control trial study of an intervention model that seems to share some characteristics with our model.…”

Section: Discussionmentioning

confidence: 99%

“…After the 3-year follow-up, RTW rates from the original 1-year follow-up improved from about 60% to about 75% in both groups. However, those who had received the combined treatment had reduced burnout symptoms, were taking less anti-depressive medication, and had increased their use of cognitive tools learned in the program [15]. In another study, a small group from a comparable patient category, who had received individual-oriented rehabilitation, showed a similar increase to 40% gainful employment in the intervention group as well as in the control group at a 5-year follow-up [5].…”

Section: Introductionmentioning

confidence: 99%

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Long-term stability of return to work after a workplace-oriented intervention for patients on sick leave for burnout

2014

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BackgroundThe period from the mid-1990s to the mid-2000s saw a rapid increase in long-term sick leave in Sweden, primarily due to mental illness and often related to job burnout. This led to an urge for effective treatment programs that could prevent the often long sick leaves. In 2010 we presented a newly developed work-place intervention method, showing that 89% of the intervention group had returned to work at a 1.5 year follow-up, compared to 73% of the control group. The main aim of this study was to assess the long-term stability of these promising results.MethodsSick leave registry data from the Regional Social Insurance Office were analyzed for an additional year (50 weeks) beyond the original 1.5 year period (80 weeks). Data from 68 matched pairs of intervention participants (IP) and controls were available. The proportions of participants being on full-time sick leave versus having returned to work to any extent were computed for every 10th week. Generalized estimating equations were used with GROUP (IP versus controls) as between-subjects factor, WEEKS and AGE as covariates, and return-to-work (RTW) as dependent variable. Significant differences (Wald χ2 with α ≤ .05) was followed up with polynomial contrasts. Individual relapses to higher degrees of sick leave (e.g. from 50% to 100%) and whether partial RTW led to later full-time RTW, were also analyzed.ResultsThe omnibus test over all 130 weeks showed a GROUP*WEEKS interaction effect (p = .02), indicating differential group developments in RTW, though similarly high at week 130 in both groups with 82.4% of the IP and 77.9% of the controls having RTW (p = .22; χ2-test). A significant interaction with age led to separate analyses of the younger and older subgroups, indicating a stable pattern of superior RTW only among younger IP (week 130: 88.6% vs. 69.7%, p = .054; χ2-test). There was no group difference in relapses into increased degree of sick leave. Part-time sick leave did not predict a later stable full-time RTW.ConclusionsThe previously reported improvement in RTW with the newly developed workplace-oriented intervention showed a long-term stability only among younger participants.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-term stability of return to work after a workplace-oriented intervention for patients on sick leave for burnout

2014

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“…A follow up period of one year may be too short to evaluate the long term effect of the rehabilitative intervention, especially in case of relative stabile strait like alexithymia. More time would be needed to implement cognitive tools and to establish new behaviors [54]. The EERIP took 6 months and included 31 active days.…”

Section: Limitationsmentioning

confidence: 99%

The Effect of an Early Rehabilitation on Alexithymia among First Ever Depressive Occupational Health Care Clients

2014

J Depress Anxiety

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Objectives: Depression is a common psychiatric disorder. Alexithymia and depression are highly associated. We explored the impact of an early vocationally orientated, eclectic rehabilitative intervention on alexithymia among clients with first ever diagnosed depressive episode. Methods:Clients from occupational health care units were screened for depression with the Beck Depression Inventory (BDI) and diagnosed with the Structured Clinical Interview for DSM-IV. The participants were randomized into intervention and control groups. The intervention group received eclectic early rehabilitative intervention and the control group was treated as usual. The intervention (N=134) and control groups (N=100) were compared using the Toronto Alexithymia Scale (TAS-20) at the baseline and after one year follow-up. Results:The prevalence of alexithymia decreased both in the intervention group (from 20.1% to 18.9%) and in the control group (from 16.0% to 7.1%). The prevalence of alexithymia was significantly lower at the follow up in the control group than in the intervention group (p=0.010). The changes in the mean scores of the four alexithymia variables between the groups were not statistically significant after adjusting for confounding factors. Conclusions:The findings were against our hypothesis that alexithymia would diminish in the intervention group more than in the control group. There are several explanations for this unexpected result. We believe that the reasons were that the intervention was too short and that the group-shaped method was too demanding for the subjects with alexithymia.

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“…Subsequent evaluation tools were adapted for general use, leading to the Malach-Pines Burnout Measure Scale, short version (BMS-10), 10 in which the number of items was reduced from 22 down to 10. There is no standard treatment for burnout. Different forms of psychological intervention are usually attempted; 11,12 with verbal exchange playing an important role. Medical treatment for burnout largely centres on the administration of anxiolytic and/ or antidepressant agents, which are not necessarily effective.…”

Section: Introductionmentioning

confidence: 99%

Burnout: Evaluation of the efficacy and tolerability of TARGET 1® for professional fatigue syndrome (burnout)

et al. 2014

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Effects of rehabilitation programmes for patients on long-term sick leave for burnout: A 3-year follow-up of the REST study

Cited by 51 publications

References 24 publications

Long-term stability of return to work after a workplace-oriented intervention for patients on sick leave for burnout

Long-term stability of return to work after a workplace-oriented intervention for patients on sick leave for burnout

The Effect of an Early Rehabilitation on Alexithymia among First Ever Depressive Occupational Health Care Clients

Burnout: Evaluation of the efficacy and tolerability of TARGET 1® for professional fatigue syndrome (burnout)

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