The impact of internet-based cognitive behavior therapy on work ability in patients with depression &amp;ndash; a randomized controlled study

Hange, Dominique; Ariai, Nashmil; Kivi, Marie; Eriksson, Maria; Nejati, Shabnam; Petersson, Eva‐Lisa

doi:10.2147/ijgm.s129710

Cited by 16 publications

(21 citation statements)

References 41 publications

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“…In this respect, comparing the effect of the intervention with those of the previous studies (see "Introduction"), again we hold that the present finding is clinically relevant. Thus, the present finding is in accord with previous results (33)(34)(35). We believe that the beneficial influence of W-IPT cannot be explained merely as an effect of time as they outperformed the outcome of the TAU condition.…”

Section: Discussionsupporting

confidence: 93%

“…The following three hypotheses and one research question were formulated and each of these is considered in turn. First, following Knekt et al (33), Hange et al (34), and Hallgren et al (35), we expect that, compared to the TAU condition, the workplace-related dimensions of (a) the ability to work and (b) the self-efficacy in returning to work increased over time. The second hypothesis was in the context of empirical evidence (12,31,36,37).…”

Section: Introductionmentioning

confidence: 93%

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Workplace-Related Interpersonal Group Psychotherapy to Improve Life at Work in Individuals With Major Depressive Disorders: A Randomized Interventional Pilot Study

et al. 2020

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Objectives: Individuals suffering from major depressive disorder (MDD) often report workplace-related stress as the major cause of their disorder. Accordingly, workplacerelated stress was established as a fifth psychosocial problem area of Interpersonal Psychotherapy (workplace-related Interpersonal Psychotherapy, W-IPT). The aim of the study was to investigate the influence of W-IPT on depressive symptoms and on workplace-related issues in individuals with MDD compared to a treatment-as-usual (TAU) condition. Methods: A total of 27 individuals with MDD (mean age = 43 years, 48% males) were randomly assigned either to eight weekly group sessions of W-IPT or to the TAU condition. At baseline, 8 weeks later at the end of the intervention, and 20 weeks later at follow-up, the Hamilton Rating Scale for Depression was conducted. In addition, the participants completed the Beck Depression Inventory, the Work Ability Index (WAI), the Return to Work Attitude (RTW-SE), and the Insomnia Severity Index (ISI). Results: Symptoms of depression in experts' ratings as well as in self-rated ratings decreased over time, but more so in the W-IPT condition compared to the TAU condition [experts rating: large effect size (d = 1.25) and self-assessment: large effect sizes (d = 0.94)]. The subjective ability to work (WAI) [medium effect size (d = 0.68)], self-efficacy to returning to work RTW-SE [medium effect size (d = 0.57)], and subjective symptoms of insomnia (ISI) [large effect size (d = 1.15)] increased over time, but again more so in the W-IPT condition compared to the TAU condition. The effects of the intervention remained stable from the end of the intervention to follow-up. Conclusions: The pattern of results of this pilot study suggests that a newly established fifth IPT focus on workplace-related stress appeared to be particularly efficient in

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 93%

Workplace-Related Interpersonal Group Psychotherapy to Improve Life at Work in Individuals With Major Depressive Disorders: A Randomized Interventional Pilot Study

et al. 2020

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“…Work ability increased over time, both in the group with antidepressants and in the group without antidepressants, which has also been seen in other patients with similar diagnoses but other types of treatment in primary care [ 31 ].…”

Section: Discussionmentioning

confidence: 74%

Associations between antidepressant therapy, work ability, and sick leave for patients with common mental disorders within a two-year perspective – A longitudinal observational cohort study in Swedish primary care

Hange

Ariai

Björkelund

et al. 2021

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Background An increasing number of patients are on sick leave because of common mental disorders (CMD), with or without antidepressant therapy. There is a lack of long-term follow-up studies in the primary care context, where most of the patients are treated. The importance of identifying potential factors associated with work ability for CMD patients is increasingly in focus. Objective To investigate the associations between using antidepressants, sick leave duration, reported work ability and psychological symptoms among patients with CMD during a two-year observation period in the primary care context. Methods Longitudinal observational cohort study at 28 Primary Care Centers in Region Västra Götaland, Sweden, including 182 patients with an employment and on sick leave for CMD. The following outcomes were assessed: work ability measured with WAI, depressive symptoms with MADRS-S, anxiety symptoms with BAI, fatigue symptoms with KEDS, quality of life with EQ-5D, and days of sick leave. The data were compared between the groups that used and did not use antidepressants, during the 24-months observation period. Results Work ability and health-related quality of life increased over time in both groups. A steeper decrease of depressive symptoms, anxiety symptoms as well as an increased health-related quality of life at 3, 6 and 12 months was found in the group without antidepressants, although both groups levelled off at 24 months. In both groups, a higher work ability at baseline was associated with less two-year sick leave. Conclusion Our study indicates that a high work ability at baseline has a strong association with a lower total net and gross sick leave duration during the entire two-year follow-up period for patients with CMD in primary health care, irrespective of use of antidepressants. Using WAI in primary health care could therefore be helpful in predicting return to work. Use of antidepressants during the CMD episode could indicate initially a more pronounced overall symptom pattern, motivating introduction of antidepressants, rather than prolonging the sick leave period.

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“…Depression and anxiety are associated with more sick-days at the workplace, earlier retirement, and less productivity compared to individuals without diagnosed depression and anxiety (41)(42)(43)(44). Some studies have been published highlighting psychotherapeutic approaches to improve return-to-work in patients with depression and anxiety, either using face-to-face psychotherapy or internet based devices (45,46). In our study, a preventive exercise approach was used in non-clinical, but psychologically burdened subjects who were diagnosed with metabolic syndrome.…”

Section: Discussionmentioning

confidence: 99%

Employers With Metabolic Syndrome and Increased Depression/Anxiety Severity Profit Most From Structured Exercise Intervention for Work Ability and Quality of Life.

et al. 2020

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Background: Major depressive disorder and anxiety disorders are associated with less productivity, earlier retirement, and more sick-days at the workplace. These associations also exist for patients with metabolic syndrome. For both, exercise is a generally recommended part of multimodal treatments. However, for individuals with metabolic syndrome, in which depression and anxiety is more prevalent and severe, evidence for the efficacy of exercise interventions is limited. Methods: Company employees with diagnosed metabolic syndrome (n=314, age: 48 ± 8 yrs) were randomized to a 6-month exercise intervention (150 min per week) or wait-list control. Participants received individual recommendations for exercise activities by personal meetings, telephone, or via a smartphone app. Physical activities were supervised and adapted using activity monitor data transferred to a central database. Work ability (work ability index), depression severity and anxiety severity [hospital anxiety and depression scale (HADS)], and health-related quality of live [short form 36 (SF-36)] were assessed.

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The impact of internet-based cognitive behavior therapy on work ability in patients with depression – a randomized controlled study

Cited by 16 publications

References 41 publications

Workplace-Related Interpersonal Group Psychotherapy to Improve Life at Work in Individuals With Major Depressive Disorders: A Randomized Interventional Pilot Study

Workplace-Related Interpersonal Group Psychotherapy to Improve Life at Work in Individuals With Major Depressive Disorders: A Randomized Interventional Pilot Study

Associations between antidepressant therapy, work ability, and sick leave for patients with common mental disorders within a two-year perspective – A longitudinal observational cohort study in Swedish primary care

Employers With Metabolic Syndrome and Increased Depression/Anxiety Severity Profit Most From Structured Exercise Intervention for Work Ability and Quality of Life.

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