Long-term effects on income and sickness benefits after work-focused cognitive-behavioural therapy and individual job support: a pragmatic, multicentre, randomised controlled trial

Øverland, Simon; Grasdal, Astrid; Rème, Silje Endresen

doi:10.1136/oemed-2018-105137

Cited by 21 publications

(32 citation statements)

References 23 publications

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“…Except for the unemployed, transition to regular work might not be a feasible or relevant treatment goal. That said, in a Norwegian trial of work-focussed CBT with individual job-support (AWaC), it was individuals on long-term benefits at baseline only that showed higher degree of work participation at follow-up [36]. Though the clinical populations in the PMCH and AWaC services are not entirely comparable, one may reason that those on long-term benefits are in particular need of, and may especially profit from, a more comprehensive follow-up regarding work than provided within the current frames of PMHC.…”

Section: Discussionmentioning

confidence: 99%

“…Secondly, while there are substantial evidence that psychological treatments, such as cognitive behavioural therapy (CBT), have good effect on symptom reduction and wellbeing [31,32] the degree to which such interventions have effect on functional and work outcomes remain unsettled [33,34]. There is notably growing evidence that incorporating an explicit work-focus in CBT treatments has a better effect on work outcomes than CBT alone [32,35,36]. The picture still is not clear-cut [37,38] and few studies have included longer-term follow-up [36].…”

Section: Introductionmentioning

confidence: 99%

“…There is notably growing evidence that incorporating an explicit work-focus in CBT treatments has a better effect on work outcomes than CBT alone [32,35,36]. The picture still is not clear-cut [37,38] and few studies have included longer-term follow-up [36].…”

Section: Introductionmentioning

confidence: 99%

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Prompt Mental Health Care (PMHC): work participation and functional status at 12 months post-treatment

Knapstad

Sæther

Hensing

et al. 2020

BMC Health Serv Res

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Background: Anxiety and depression are associated with substantial functional impairment. Prompt Mental Health Care (PMHC), the Norwegian adaptation of IAPT is currently piloted across Norway, as a means to improve access to evidence-based care for adults with anxiety disorders (including subthreshold cases) and minor to moderate depression. The aims of the current paper were to examine the change in work status and functional status from pre-to post-treatment and 12 months post-treatment among clients at the first 12 PMHC pilot sites, and whether degree of change differed across sociodemographic characteristics. Methods: A prospective cohort design was used, including working age clients receiving treatment between October 2014 and December 2016 (n = 1446, participation rate = 61%). Work status and functional status were selfreported, the latter by the Work and Social Adjustment Scale (WSAS). Changes in work status and WSAS score were examined through multilevel models based on maximum likelihood estimation. Likelihood ratio tests were performed to determine whether the interaction between time and the respective background variables were statistically significant. Results: A substantial increase in regular work participation was observed from pre-to post-treatment, which further had increased at 12 months post-treatment. The increase was driven by a corresponding reduction in proportion of clients working and receiving benefits (OR 0.38 [0.29-0.50] baseline to final treatment, OR = 0.19 [0.12-0.32] final treatment to 12-months post-treatment), while no statistically significant change was observed in proportion out of work. Large improvement (ES = − 0.89) in WSAS score was observed from pre-to post treatment. WSAS score at 12 months post-treatment remained at the post-treatment level. Conclusions: Previous research has shown substantial symptom improvement among clients receiving treatment in PMHC. The current findings indicate that PMHC might also be able to aid adults struggling with mild to moderate anxiety and depression in returning to usual level of functioning. The degree to which the observed improvements are attributable to the treatment need nonetheless to be confirmed in a trial including a control group and with more complete follow-up data from registries.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prompt Mental Health Care (PMHC): work participation and functional status at 12 months post-treatment

Knapstad

Sæther

Hensing

et al. 2020

BMC Health Serv Res

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“…Socio-demographic characteristics of foreign-born vary substantially, with important compositional differences across countries. Some are highly qualified, while others, in particular refugees, face difficulties in finding employment, which may be due to language barriers, no recognition of education degrees, discrimination and a lack of basic skills or relevant work experience (OECD/EU, 2018 [20]; OECD, 2018 [21]). Luxembourg and Switzerland stand out with almost half of the non-employed being foreign-born, mainly due to high population shares.…”

Section: Migrants Are On Average Slightly Overrepresented Among the Nmentioning

confidence: 99%

“…This may disproportionately hold back labour supply among second-earners since the economic need is necessarily more limited with another income in the household. 20 In Korea, increasing female participation rates by forcefully fighting labour market discrimination against women deserves more attention, notably by publishing an analysis of wage difference determinants to promote fairer wages for men and women (OECD, 2019 [31]; OECD, 2020 [32]). 21 Moreover, workplaces should be made more family-friendly by combating its long working-hour culture (Hijzen and Thewissen, 2020[33]).…”

Section: Groups Without Major Barriersmentioning

confidence: 99%

Identifying and addressing employment barriers in Belgium, Korea and Norway

Fernández¹,

Hijzen²,

Pacifico³

et al. 2020

OECD Social, Employment and Migration Working Papers

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This document, as well as any data and map included herein, are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. 2  DELSA/ELSA/WD/SEM(2020)14 IDENTIFYING AND ADDRESSING EMPLOYMENT BARRIERS IN BELGIUM, KOREA AND NORWAY Unclassified OECD Social, Employment and Migration Working Papers www.oecd.org/els/workingpapers OECD Working Papers should not be reported as representing the official views of the OECD or of its member countries. The opinions expressed and arguments employed are those of the author(s). Working Papers describe preliminary results or research in progress by the author(s) and are published to stimulate discussion on a broad range of issues on which the OECD works. Comments on Working Papers are welcomed, and may be sent to els.contact@oecd.org. This series is designed to make available to a wider readership selected labour market, social policy and migration studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language-English or French-with a summary in the other. This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.

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