Work and everyday activities: Experiences from two interventions addressing people with common mental disorders

Jansson, Inger; Perseius, Kent-Inge; Gunnarsson, A. Birgitta; Björklund, Anita

doi:10.3109/11038128.2014.894572

Cited by 14 publications

(29 citation statements)

References 42 publications

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“…One explanation could, therefore, be that our study lacked an intervention with direct focus on the workplace. Further, Jansson et al showed that both problem-based self-care in a group and CBT had a positive impact on the patients’ ability to work 27. Imamura et al have shown a small effect of ICBT in increasing the work engagement in the general population 28.…”

Section: Discussionmentioning

confidence: 99%

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

Hange¹,

Ariai²,

Kivi³

et al. 2017

IJGM

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ObjectivesThe aim of this randomized controlled trial (RCT) was to investigate the effects of internet-based cognitive behavior therapy (ICBT) treatment for depression compared to treatment-as-usual (TAU) on improving work ability and quality of life in patients with mild-to-moderate depression. We also examined whether patients treated with ICBT returned to work more rapidly, that is, had fewer days of sick leave, than patients treated with TAU.DesignThis study is based on material from the PRIM-NET RCT that took place between 2010 and 2013.SettingPrimary care centers in Region Vastra Gotaland, Sweden, population about 1.6 million.PatientsA total of 77 patients with depression randomized to either ICBT (46 patients) or TAU (31 patients). Mean age of participants was 35.8 years, and 67.5% were women.Main outcome measuresWork ability was measured with the Work Ability Index, depressive symptoms with Montgomery Asberg Depression Rating Scale – self-rating version (MADRS-S), quality of life with EuroQoL-5D (EQ-5D), and number of sick leave days.ResultsBoth groups showed an association between improved work ability and reduction of depressive symptoms and between improved work ability and better quality of life. ICBT could not be shown to improve work ability more than TAU among patients with mild-to-moderate depression. There were no differences between the groups concerning number of patients with sick leave or number of sick leave days.ConclusionOur study indicates that a high level of work ability has an association with high health-related quality of life in patients with mild-to-moderate depression, whether they are treated with ICBT or TAU. ICBT has previously been found to be cost-effective and can be seen as a good alternative to TAU. In addition to the ICBT, an intervention oriented toward the work place might improve work ability and reduce the number of sick leave days among patients with depression.

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Section: Discussionmentioning

confidence: 99%

“…An important factor that was not currently measured is the patient’s own expectations of RTW after sick leave, which can be predictive of his/her actual return to work 27,44…”

Section: Discussionmentioning

confidence: 99%

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

Hange¹,

Ariai²,

Kivi³

et al. 2017

IJGM

View full text Add to dashboard Cite

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“…a period of paid sick leave from work, often together with drug treatment without any active treatments enhancing the individual's own efforts for recovery [10,11].…”

Section: Mhp From the Perspective Of Health Carementioning

confidence: 99%

Employers’ views of the impact of mental health problems on the ability to work

Jansson

Gunnarsson

2018

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BACKGROUND: Mental health problems (MHP) are common in working life and can be hard to respond to for employers. Therefore, knowledge of employers' perceptions of employees with MHP is important to support coping efforts of persons and their work environments. OBJECTIVE: Identify and characterise employers' perceptions of the impact of MHP on work ability. METHODS: Twelve employers with experience of employees with MHP were interviewed. Data were analysed with a phenomenographic method. RESULTS: The first main category, "Experiences of employees with MHP", included experiences of diffuse and unexpressed signs of the onset of MHP and frustration among employers and work-mates which was difficult to verbalise. MHP could also be turned off, thus having no impact on work ability. The second main category, "Strategies to handle effects of MHP in the workplace", included the importance of continual responsiveness and communication, and of fluctuating adaptations. The informants expressed diversity in the workplace as a strategy. CONCLUSIONS: Employers have experiences of, as well as strategies for, how to handle MHP at times when they impact with the ability to work. However, neither experiences nor strategies were explicitly pronounced and verbalised which makes it a challenge to develop strategies and guidelines in workplaces.

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“…Hence, when the sick-listed workers in the current study perceived RTW adjustments as positive and useful, it is based on insights and reflections from the sick-listed worker, that were elicited, reflected, and summarized by the MI caseworker. Merely discussing their situation with MI caseworkers may also result in increased awareness of the sick-listed worker's own capacity, which, arguably, is a component of selfefficacy [44]. Norlund et al [45] state that self-efficacy, the belief in ones' ability to achieve a given goal or task, affects thought patterns that could be barriers to returning to work.…”

Section: Discussionmentioning

confidence: 99%

Sick-listed workers’ experiences with motivational interviewing in the return to work process: a qualitative interview study

et al. 2020

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Background: When returning to work after being on long-term sick leave, individuals may experience varying levels of motivation and self-efficacy. Motivational interviewing (MI) is a counseling style that aims to increase motivation towards change, and it may be useful in the return to work (RTW) process. The aim of this study was to explore sick-listed workers' experiences with MI in the RTW process. Methods: This qualitative study was part of a randomized controlled trial evaluating the effects of MI on the RTW process, and it was administered by caseworkers at the Norwegian Labor and Welfare Administration. Sixteen sicklisted individuals, aged 33-60, participated in semi-structured interviews. All had a sick leave status of 50-100% for at least 8 weeks when interviewed and all had completed 2 MI sessions. The data was analyzed with systematic text condensation. Results: Participants' experiences of the MI sessions were categorized into three themes: (1) relationship with the MI caseworker, (2) normalizing sick leave, and (3) adjusting RTW strategies. The MI sessions were experienced as a positive encounter due to the supportive relationship that was built between the MI caseworker and the sick-listed worker. Being sick listed led to feelings of guilt and stigmatization, but acceptance and support from the MI caseworkers helped normalize the situation for the sick-listed workers. Furthermore, MI sessions allowed for personalized feedback and discussions on adjustments to their RTW strategies. Conclusion: Sick-listed workers experienced MI as positive due to the good relationship that developed with the MI caseworker, how this normalized sick leave, and the help they received with adjusting their RTW strategies. Professionals working with individuals attempting to RTW may benefit from using MI as a method for helping sick-listed workers to RTW. Trial registration: ClinicalTrials.gov: NCT03212118 (registered July 11, 2017).

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Work and everyday activities: Experiences from two interventions addressing people with common mental disorders

Cited by 14 publications

References 42 publications

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

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

Employers’ views of the impact of mental health problems on the ability to work

Sick-listed workers’ experiences with motivational interviewing in the return to work process: a qualitative interview study

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Work and everyday activities: Experiences from two interventions addressing people with common mental disorders

Cited by 14 publications

References 42 publications

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

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

Employers’ views of the impact of mental health problems on the ability to work

Sick-listed workers’ experiences with motivational interviewing in the return to work process: a qualitative interview study

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

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