Problem-Based Self-care Groups Versus Cognitive Behavioural Therapy for Persons on Sick Leave Due to Common Mental Disorders: A Randomised Controlled Study

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• 作者：Inger Jansson (1) (2)
  A. Birgitta Gunnarsson (3)
  Anita Bj枚rklund (1)
  Lars Brudin (4) (5)
  Kent-Inge Perseius (2) (6)
  
  1. Department of Rehabilitation ; School of Health Sciences ; 553 18 ; J枚nk枚ping ; Sweden
  2. Nyckeln Competence Centre for Pedagogic in Healthcare ; Kalmar County Hospital ; 391 85 ; Kalmar ; Sweden
  3. Unit for Research and Development ; Kronoberg County Council ; 352 34 ; V盲xj枚 ; Sweden
  4. Kalmar County Hospital ; 391 85 ; Kalmar ; Sweden
  5. Department of Medicine and Health Sciences ; University Hospital Link枚ping ; 58185 ; Link枚ping ; Sweden
  6. Department of Neurobiology ; Caring Sciences and Society ; Karolinska Institutet ; 171 77 ; Stockholm ; Sweden
  
• 关键词：Anxiety ; Depression ; Intervention ; Primary health care ; Return to work ; Sickness absence ; Stress
• 刊名：Journal of Occupational Rehabilitation
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：25
• 期：1
• 页码：127-140
• 全文大小：322 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Rehabilitation
  Occupational and Industrial Medicine
  Health Psychology
  Clinical Psychology
  
• 出版者：Springer Netherlands
• ISSN：1573-3688

文摘

Purpose To evaluate the interventional capacity of problem based method groups (PBM) regarding mental health and work ability compared to cognitive behavioural therapy (CBT) for persons on sick leave due to common mental disorders. Methods In a randomised controlled design the experimental group received PBM and the control group received CBT. Outcomes were measured by the Hospital Anxiety and Depression Scale (HADS), the Stress and Crisis Inventory 93 (SCI-93) and the Dialogue about Working Ability instrument (DOA). Results Twenty-two participants in the PBM group and 28 in the CBT group completed intervention. Both groups showed significant lower scores on the two HADS subscales. Regarding stress the PBM group showed significant decrease in one (out of three) subscales of SCI-93. The CBT group showed significant decrease on all subscales of SCI-93. Regarding work ability the PBM group showed significant higher scores on one of five subscales of DOA. The CBT group showed significant higher scores on four of five subscales of DOA. Between groups there were significant differences to the favour of CBT on one of two subscales of HADS, all three subscales of SCI-93 and on two of the five subscales of DOA. Conclusion PBM seem to be able to reduce anxiety- and depression symptoms. CBT showed to be superior to PBM in reducing symptoms in all aspects of mental health, except for anxiety, in which they seem equally effective. Regarding work ability CBT showed to be superior, with significant effect on more aspects compared to PBM.