At Work and Coping - Effect Study of Workcoping for Patients With Anxiety and Depression

Conditions

Anxiety, Depression

Keywords

Anxiety, Depression, Vocational Rehabilitation, Common Mental Disorders, Mental Health Problems, Work Related Therapy

Brief summary

Mental disorders, mainly various anxiety and depressive disorders, are an increasing reason for sick leave and disability pension. Cognitive behaviour therapy (CBT) has been shown to have an effect on anxiety and depression, but the investigators know little about this in relation to employment. Close follow-up in ordinary employment increase employment participation for serious mental illness, but this is not yet investigated to the same degree for lighter mental disorders. Center for Work-Coping (No: Senter for Jobbmestring - SJM) combines Cognitive behaviour therapy (CBT) and individual placement and support (IPS) and facilitation of work for people with anxiety and depression who are in danger of falling out of work. The purpose of this project is to evaluate the effectiveness of the model in SJM. The effect will be evaluated through a randomized controlled trial (RCT) in which participants will be randomized to SJM or regular follow-up by The Norwegian Labour and Welfare Administration (NAV) or by their regular general practitioners (GP) and self-help resources. The main outcome measures are work participation with changes in mental health as a secondary outcome.

Løvvik C, Øverland S, Nielsen MB, Jacobsen HB, Reme SE.

2021-10-112 citations

10.1007/s00420-021-01764-1

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

Simon Øverland, Astrid Grasdal, Silje Endresen Rème

Occupational and Environmental Medicine2018-07-2126 citations

10.1136/oemed-2018-105137

Work-focused cognitive–behavioural therapy and individual job support to increase work participation in common mental disorders: a randomised controlled multicentre trial

Silje Endresen Rème, Astrid Grasdal, Camilla Løvvik, Stein Atle Lie, Simon Øverland

Occupational and Environmental Medicine2015-08-06134 citations

10.1136/oemed-2014-102700

Expectations and illness perceptions as predictors of benefit recipiency among workers with common mental disorders: secondary analysis from a randomised controlled trial

Camilla Løvvik, William S. Shaw, Simon Øverland, Silje Endresen Rème

BMJ Open2014-03-0143 citations

10.1136/bmjopen-2013-004321

Interventions

BEHAVIORALWorkcoping and IPS

Maximum 15 sessions of CBT-based counseling with workcoping as primary focus in addition to work support according to the IPS-model (individual placement and support)

BEHAVIORALOrdinary care by GP or NAV

Ordinary care by the participants physician or the local Labour and Welfare Administration

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 60 Years

Healthy volunteers

Yes

Inclusion criteria

* Problems coping with work due to psychological illness (anxiety and depression) * Reasonable closeness to work (possible to return within a year)

Exclusion criteria

* Other reasons as primary cause of work problems * Serous psychiatric disorders * Suicide risk * Pregnancy * Ongoing psychological treatment (therapy) * Ongoing substance abuse

Design outcomes

Primary

Measure	Time frame	Description
Sick leave data	One year	The primary outcome of the study is return to work measured through register data.

Secondary

Measure	Time frame	Description
Psychopathology	6 and 12 months of follow up	Secondary outcomes are reductions in psychopathology measured through validated questionnaires (e.g. HADS).

Countries

Norway

Outcome results

None listed