Mental Disorder
Conditions
Keywords
Return to Work, Brief Intervention
Brief summary
This study is a pragmatic randomized controlled trial (RCT) evaluating the effect of brief versus short psychotherapy in subjects with substantial mental complaints.
Detailed description
Running evaluations of the brief intervention (BI) at our outpatient clinic preceding to this study had given us the impression that the patients obtained a more active coping style towards their health problems with consequential enhanced work participation (WP). These evaluations, in addition to our experiences in BI for low back pain (LBP) has generated the current hypothesis of this study towards WP. Yet, the sustainability of WP and long-term effects on mental health remained questionable. In this pragmatic RCT the objective was to compare brief psychotherapy with focus on normalization and coping (Brief-PsT) with short-term psychotherapy of standard duration with more extended focus (Short-PsT), as otherwise used at the Mental Health services. The primary aim of this study was to assess differences in effect on WP and the secondary aim was to assess differences in clinical response. The investigators hypothesized that in the short term, Brief-PsT could facilitate or sustain WP in a superior fashion to Short-PsT in persons who are on, or at risk of sick leave due to mental health problems. Although the investigators expected a substantial long-term rate of clinical recovery and reduction in mental health-related symptoms in both groups, the investigators had no specific hypothesis regarding the extent and direction of possible group differences in these clinical measurements.
Interventions
BEHAVIORALPsychotherapy
Sponsors
The Hospital of Vestfold
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Outcome assessor of primary outcome (sickness benefit) is masked for intervention allocation. Other outcome measures are assessed by patient questionnaires.
Intervention model description
Pragmatic randomized controled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 67 Years
Healthy volunteers
No
Inclusion criteria
* 'mental complaints' was the main reason for referral to the outpatient clinic * employed and on or at risk of sick leave
Exclusion criteria
* acute or severe pathology that required greater input than the clinic could offer, * Sick-leave had \> 9 months during the preceding 2 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Return to Work (RTW) to 3 months follow-up | baseline - 3 months | Transitions from baseline to 3 months follow-up in Work Participation degree |
| Change in Return to Work (RTW) to 1 year follow-up | baseline - 1 year | Transitions from baseline to 1 year follow-up in Work Participation degree |
| Change in Return to Work (RTW) to 2 year follow-up | baseline - 2 year | Transitions from baseline to 2 year follow-up in Work Participation degree |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical recovery | 2 years | A minimal score on both Beck Inventories (BDI ≤ 13 and BAI ≤ 9) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy (GSES) | baseline - 2 year follow-up | Score 1-4 , lower scores means worse outcome |
| Lfe satisfaction (LISAT) | baseline - 2 year follow-up | Score 1-6, lower scores means worse outcome |
| Beck Depression Index - II (BDI) | baseline, 2 year follow-up | Score 0-63, higher scores mean worse outcome |
| Fear avoidance beliefs -work (FABQ-work) | baseline - 2 year follow-up | Score 0-7, higher scores mean worse outcome |
| Global Perceived Effect | 2 year follow-up | Score 0-7, lower scores means worse outcome |
| Illness perception (bIPC) | baseline - 2 year follow-up | Score 1-10, higher scores mean worse outcome |
| Beck Anxiety Index (BAI) | baseline, 2 year follow-up | Score 0-63, higher scores mean worse outcome |
| Hopkins Symptoms Checklist-10 | baseline, 2 year follow-up | Score 1-4, higher scores mean worse outcome |
| Subjective health complaints (SHC) | baseline, 2 year follow-up | Score 0-29, higher scores mean worse outcome |
Outcome results
None listed