Psychological approach of occupational health service to sick leave due to mental problems: a systematic review and meta-analysis

Abstract

The combined study of sick-listed and non-sick-listed workers indicates occupational health services implement problem-solving treatment or CBT interventions, which can shorten total sick leave duration.

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

“…The findings show that there is a small but significant effect of psychological interventions on SA and RTW overall. This result is in line with other, similar reviews (Arends et al, 2012;Doki et al, 2014;Nigatu et al, 2016;Salomonsson et al, 2018). Thus, our findings support that psychological interventions might have an effect for patients on SA due to common mental disorders and musculoskeletal pain, however the small effect is not satisfactory.…”

“…Previous meta-analyses have not been unanimous but have pointed in different directions, possibly due to lack of power because of low numbers of included studies. Despite higher power in this meta-analysis, the effect sizes found are not larger than those found in previously (Arends et al, 2012;Cochrane et al, 2017;Doki, Sasahara, & Matsuzaki, 2014;Meijer, Sluiter, & Frings-Dresen, 2005;Nieuwenhuijsen et al, 2014;Nigatu et al, 2016;Salomonsson, Hedman-Lagerlof, & Ost, 2018). It should be noted that most trials did not specifically target RTW which can be one explanation for the small ESs.…”

Preventing sickness absence among employees with common mental disorders or stress-related symptoms at work: a cluster randomised controlled trial of a problem-solving-based intervention conducted by the Occupational Health Services

“…6 Several studies compared care as usual (CAU) with work-directed interventions for employees on sick leave due to CMD. [7][8][9][10][11][12] In some studies, partial return to work (RTW) was accelerated by the work-directed interventions compared with CAU. However, the results concerning full-time RTW did not show that work-directed intervention was better than CAU.…”

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

“…For depressed workers, adding CBT to primary or occupational care reduced SA compared to usual care (Nieuwenhuijsen et al 2014). Doki et al (2014) divided studies into two groups. The first group consisted of studies with participants on SA at the time of randomization and the second group of studies included participants at risk for SA.…”

“…There was no effect on RTW or SA duration for any of the groups compared to controls. However, when combining the two groups, there was a significant effect on SA duration (Doki et al 2014). The lack of effect for the two groups separately might indicate a power problem.…”