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

Karlson, Björn; Jönsson, Peter; Österberg, Kai

doi:10.1186/1471-2458-14-821

Cited by 33 publications

(27 citation statements)

References 15 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results showed a more favorable RTW in the intervention group compared to care as usual (Karlson et al, 2010). These results were stable 30 months after conclusion, but only in the younger half of the study sample (Karlson, Jonsson, & Osterberg, 2014).…”

Section: Workplace Interventionsmentioning

confidence: 76%

Cost-Effectiveness of Acceptance and Commitment Therapy and a Workplace Intervention for Employees on Sickness Absence due to Mental Disorders

Finnes

Enebrink

Sampaio

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

View full text Add to dashboard Cite

show abstract

Section: Workplace Interventionsmentioning

confidence: 76%

Cost-Effectiveness of Acceptance and Commitment Therapy and a Workplace Intervention for Employees on Sickness Absence due to Mental Disorders

Finnes

Enebrink

Sampaio

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

View full text Add to dashboard Cite

show abstract

“…One study of individuals participating in a workplace intervention aimed at increasing RTW after taking sick-leave as a result of burnout showed that the intervention was only effective for younger workers (under 45.5 years of age) [45]. Another intervention aimed at improving RTW following low back pain was only effective for older workers [46].…”

Section: Resultsmentioning

confidence: 99%

Sustaining Work Participation Across the Life Course

et al. 2016

View full text Add to dashboard Cite

Introduction Many disability prevention strategies are focused on acute injuries and brief illness episodes, but there will be growing challenges for employers to manage circumstances of recurrent, chronic, or fluctuating symptoms in an aging workforce. The goal of this article is to summarize existing peer-review research in this area, compare this with employer discourse in the grey literature, and recommend future research priorities. Methods The authors participated in a year-long sponsored collaboration that ultimately led to an invited 3-day conference, “Improving Research of Employer Practices to Prevent Disability”, held October 14–16, 2015, in Hopkinton, Massachusetts, USA. The collaboration included a topical review of the scientific and industry literature, group discussion to identify key areas and challenges, drafting of initial documents, and feedback from peer researchers and a special panel of experts with employer experience. Results Cancer and mental illness were chosen as examples of chronic or recurring conditions that might challenge conventional workplace return-to-work practices. Workplace problems identified in the literature included fatigue, emotional exhaustion, poor supervisor and co-worker support, stigma, discrimination, and difficulties finding appropriate accommodations. Workplace intervention research is generally lacking, but there is preliminary support for improving workplace self-management strategies, collaborative problem-solving, and providing checklists and other tools for job accommodation, ideas echoed in the literature directed toward employers. Research might be improved by following workers from an earlier stage of developing workplace concerns. Conclusions Future research of work disability should focus on earlier identification of at-risk workers with chronic conditions, the use of more innovative and flexible accommodation strategies matched to specific functional losses, stronger integration of the workplace into on-going rehabilitation efforts, and a better understanding of stigma and other social factors at work.

show abstract

“…At follow-up after 1.5 years RTW was increased in the intervention group compared with controls (78). However, in a follow-up after 2.5 years the difference in RTW remained only in subjects younger than 46 years (79). In an RCT by Willert et al (80) patients with stress-related disease (n = 102) were randomized to a stress management intervention or waitlist.…”

Section: Workplace Interventionsmentioning

confidence: 99%

Role of rehabilitation in chronic stress-induced exhaustion disorder: A narrative review

Wallensten¹,

Åsberg²,

Wiklander³

et al. 2019

J Rehabil Med

View full text Add to dashboard Cite

LAY ABSTRACTThere has been an increase in cases of sick leave due to stress in several European countries in recent decades. Chronic stress-induced exhaustion disorder is linked with physiological and neurobiological changes, which may add to cognitive problems and long-term exhaustion. This narrative review summarizes the published evidence about the effectiveness of different interventions for the rehabilitation of patients with chronic stress-induced exhaustion disorder. Cognitive behavioural interventions and multimodal interventions reduce symptoms. Workplace interventions often improve return to work. Better sleep is associated with improvement of symptoms and return to work. Interventions for improving sleep might therefore be important. For improving cognitive function, which is a main complaint among patients with chronic stress-induced exhaustion disorder, aerobic and cognitive training may have some effect. Most interventions for the rehabilitation of chronic stress-induced exhaustion disorder have only marginal effects. Therefore, it is important to prevent the onset of this disorder. Objective: An increase in numbers of cases of sick leave due to stress have been reported from several European countries during recent decades. Chronic stress-induced exhaustion disorder is associated with physiological and neurobiological perturbations that may contribute to cognitive problems and longterm exhaustion. Rehabilitation of patients with chronic stress-induced exhaustion disorder is therefore challenging. This narrative review summarizes the evidence regarding the effectiveness of different interventions for the rehabilitation of patients with chronic stress-induced exhaustion disorder. Methods: Both structured and unstructured searches of research studies and reports were performed in order to find knowledge sources. The structured search had 2 predefined inclusion criteria: (i) chronic stress-induced exhaustion/clinical burnout/severe burnout/stress-induced exhaustion; and (ii) rehabilitation with improvement of symptoms and/or return to work as outcomes. Results: Cognitive behavioural interventions and multimodal interventions seem to reduce symptoms. Workplace interventions, either work-focused cognitive behavioural or workplace dialogue, seem to improve return to work. Sleep is important for both symptom improvement and return to work, and interventions for improving sleep might therefore be important. For improvement of cognitive function, which is a main complaint among patients with chronic stress-induced exhaustion disorder, aerobic and cognitive training may have some effect. Conclusion: In summary, the few studies of highquality that examine interventions for rehabilitation of chronic stress-induced exhaustion disorder show only marginal effects. Thus, it is important to prevent the onset of chronic stress-induced exhaustion disorder.

show abstract

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

Cited by 33 publications

References 15 publications

Cost-Effectiveness of Acceptance and Commitment Therapy and a Workplace Intervention for Employees on Sickness Absence due to Mental Disorders

Cost-Effectiveness of Acceptance and Commitment Therapy and a Workplace Intervention for Employees on Sickness Absence due to Mental Disorders

Sustaining Work Participation Across the Life Course

Role of rehabilitation in chronic stress-induced exhaustion disorder: A narrative review

Contact Info

Product

Resources

About