Title
Predicting the Effectiveness of Work-focused Treatment of Common Mental Disorders: The Influence of Baseline Self-efficacy, Depression and Anxiety
Author
Brenninkmeijer, V.
Lagerveld, S.
Blonk, R.W.B.
Schaufeli, W.B.
Wijngaards-de Meij, L.D.N.V.
Publication year
2019
Abstract
Purpose This study examined who benefits most from a cognitive behavioural therapy (CBT)-based intervention that aims to enhance return to work (RTW) among employees who are absent due to common mental disorders (CMDs) (e.g., depression, anxiety, or adjustment disorder). We researched the influence of baseline work-related self-efficacy and mental health (depressive complaints and anxiety) on treatment outcomes of two psychotherapeutic interventions. Methods Using a quasi-experimental design, 12-month follow-up data of 168 employees were collected. Participants either received work-focused cognitive behavioural therapy (W-CBT) that integrated work aspects early into the treatment (n = 89) or regular cognitive behavioural therapy (R-CBT) without a focus on work (n = 79). Results Compared with R-CBT, W-CBT resulted in a faster partial RTW, irrespective of baseline self-efficacy. Among individuals with high self-efficacy, W-CBT also resulted in faster full RTW. The effectiveness of W-CBT on RTW did not depend on baseline depressive complaints or anxiety. The decline of mental health complaints did not differ between the two interventions, nor depended on baseline self-efficacy or mental health. Conclusions Considering the benefits of W-CBT for partial RTW, we recommend this intervention as a preferred method for employees with CMDs, irrespective of baseline self-efficacy, depression and anxiety. For individuals with high baseline self-efficacy, this intervention also results in higher full RTW. For those with low self-efficacy, extra exercises or components may be needed to promote full RTW.
Subject
Self-efficacy
Return to work
Common mental disorders
Cognitive behavioural therapy
Sickness absence
Adjustment Disorders
Adult
Anxiety
Cognitive Behavioral Therapy
Depression
Female
Humans
Male
Middle Aged
Non-Randomized Controlled Trials as Topic
Return to Work
Sick Leave
Treatment Outcome
Work and Employment
Healthy Living
Life
SP - Sustainable Productivity and Employability
ELSS - Earth, Life and Social Sciences
To reference this document use:
http://resolver.tudelft.nl/uuid:c74bdaa7-593e-412b-b823-8f310f583746
DOI
https://doi.org/10.1007/s10926-018-9760-3
TNO identifier
785557
Source
Journal of Occupational Rehabilitation, 29 (29), 31-41
Document type
article