Adjustment Disorders, Adjustment Disorder With Anxious Mood, Adjustment Disorder With Depressed Mood, Depression Anxiety Disorder
Conditions
Brief summary
The purpose of this clinical trial is to evaluate the impact of an online group intervention called Healthy Minds in facilitating a sustainable return to work for individuals with a mood disorder. The study aims to answer the following key questions : * Does receiving the Healthy Minds online intervention lead to a more sustainable return to work compared to not receiving the intervention? * Are the health outcomes (e.g., depressive symptoms) and work-related outcomes (e.g., work functioning) of individuals who receive the Healthy Minds online intervention better than those who do not receive the intervention in the year following the intervention? Both experimental and control participants will be recruited at baseline while on sick leave (expected to return to work in less than one month) or recently returned to work (less than one month). Participants will complete a series of online questionnaires at the following time points : * Baseline * First follow-up (2 months after baseline) * Second follow-up (6 months after baseline) * Third follow-up (12 months after baseline) The questionnaires will cover the following areas : * Sociodemographic and biopsychosocial factors * Symptoms associated with the primary mood disorder * Cognitive difficulties and biaises * Self-efficacy related to return to work * Work accommodations and natural supports * Relationship with immediate supervisor * Work functioning * Return to work time (number of days away from work) Experimental participants will participate in the 2-month online Healthy Minds group intervention (cohort of 5 participants) between the baseline assessment and the first follow-up. The intervention consists of 8 sessions (one per week for 8 weeks), with each session focusing on a specific aspect of the return-to-work process from a cognitive-behavioral perspective.
Interventions
BEHAVIORALHealthy Minds
The group intervention (approximately 5 participants per group, 8 groups) is facilitated by two clinicians and consists of 8 sessions (one per week for 8 weeks), with each session focusing on a specific aspect of the return-to-work process from a cognitive-behavioral perspective: Week1: Coping with work stress at work W2 and W3: Recognizing and modifying my dysfunctional beliefs linked to work W4: Overcoming obstacles linked to work functioning and maintaining work W5: To put in place needed work accommodations with the support of the immediate supervisor W6: My strengths and competencies related to work W7: Accepting criticism and asserting myself appropriately W7: My strengths and related skills W8: My best coping strategies for work Both intervention and control participants receive their standard individualized care from their clinician. However, for the experimental participants, the Healthy Minds intervention is an added component to their regular care.
Sponsors
Université du Québec a Montréal
PhysioExtra
Energir
Ciusss de L'Est de l'Île de Montréal
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Be in the process of returning to work after depression, anxiety disorder, adjustment disorder (with depressed mood, or anxious mood). or * Been back for less than a month
Exclusion criteria
* Inability to communicate in French * Have a known organic disorder * Have already received CBT-type intervention (group or individual)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sustainable return-to-work | Baseline; follow-ups at six months and 12 months | The number of days of job retention after returning to work |
| Depressive symptoms | Baseline; follow-ups at two months, six months and 12 months | Patient Health Questionnaire for depression (PHQ-9) |
| Anxiety symptoms | Baseline ; follow-ups at two months, six months and 12 months | Generalized Anxiety Disorder Scale (GAD-7) |
| Work functioning | Follow-ups at six months and 12 months | Endicott Work Productivity Scale (EWPS) |
| Relationship with immediate supervisor | Follow-ups at six months and 12 months | Inventory of perceptions of supervisory style at work |
| Work accommodations | Follow-ups at six months and 12 months | The Work Accommodation and Natural Support Scale (WANSS). |
| Return to Work Obstacles and Self-Efficacy | Baseline ; Follow-ups at two months | Return to Work Obstacles and Self-Efficacy Scale (ROSES) |
| Cognitive difficulties | Baseline ; Follow-ups at two months, six months and 12 months | Online Stroop test (French version) |
| Cognitive biases | Baseline ; Follow-ups at two months, six months and 12 months | Davos Assessment of the Cognitive Biases Scale |
Countries
Canada
Contacts
PRINCIPAL_INVESTIGATORMarc Corbière, PhD
Université du Québec a Montréal
Outcome results
None listed