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

Occupational and Environmental Medicine
Simon ØverlandSilje Reme

Abstract

There is moderate quality evidence that integrating work-directed interventions and components from psychological therapies reduces sickness absence in the medium term. We aimed to extend this evidence by examining objectively ascertained income and work participation status up to 4 years after an intervention to improve outcomes among people who struggle with work from common mental disorder. The intervention combined components from cognitive behavioural therapy with principles from supported employment, and compared its efficacy with usual care. Outcomes were derived from registry data with no attrition, in a pragmatic multisite randomised controlled trial (N=1193). The intervention group had higher income, higher work participation and more months without receiving benefits over the 10-month to 46-month long-term follow-up period after end of treatment, but differences were not statistically significant. For the group on long-term benefits at inclusion, effect sizes were larger and statistically significant. There were no statistically significant differences between the two groups in the primary outcome in the total population. In a secondary analysis for the subgroup most at risk of permanent work exclusion, long-term out...Continue Reading

References

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Dec 17, 2015·Contemporary Clinical Trials Communications·Simon ØverlandSilje Endresen Reme

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Citations

Mar 1, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Gary R BondJacqueline A Pogue
Feb 6, 2020·BMC Health Services Research·Marit KnapstadOtto Robert Frans Smith
Nov 1, 2020·Behaviour Research and Therapy·Solbjørg Makalani Myrtveit SætherOtto R F Smith
Feb 6, 2022·Scandinavian Journal of Public Health·Laura PeuterePekka Virtanen

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