Title
Individual and Group Cognitive-Behavioral Treatment for Work-Related Stress Complaints and Sickness Absence: A Randomized Controlled Trial
Author
de Vente, W.
Kamphuis, J.H.
Emmelkamp, P.M.G.
Blonk, R.W.B.
TNO Kwaliteit van Leven
Publication year
2008
Abstract
Work-related stress is widespread and can lead to long-term absenteeism and work disability. Cognitive-behavioral treatment (CBT) has demonstrated effectiveness in treating psychopathology but has only rarely been tested in clinical samples with work-related stress. A randomized controlled trial was conducted to investigate the efficacy of CBT-based stress management training (SMT). Eighty-two patients on sickness leave with work-related stress were randomly assigned to (a) individual SMT, (b) group SMT, or (c) care as usual (CAU). The SMT comprised 12 sessions conducted by a psychologist. Complaints of burnout and distress were measured at baseline, and at 4, 7, and 10 months. Absenteeism was measured during the whole research period. Across treatment conditions, complaints and sickness absence reduced considerably between baseline and 4 months. Thereafter, complaints remained approximately stable, whereas sickness absence further reduced. Hardly any significant group difference emerged, and no consistent pattern could be discerned in favor of any treatment condition. In subgroups with low depressive complaints, though, individual SMT resulted in larger reductions of some complaints than CAU. In conclusion, this study adds to the evidence that CBT-based interventions as currently practiced are not successful in treating patients with clinical levels of work-related stress. © 2008 American Psychological Association.
Subject
Workplace
Arbeidsparticipatie
Cognitive-behavioral treatment
Distress complaints
Sickness absence
Stress management training
Clinical trial
Controlled clinical trial
Controlled study
Distress syndrome
Female
Group therapy
Human
Job stress
Major clinical study
Male
Patient satisfaction
Psychologist
Randomized controlled trial
Semi structured interview
Stress management
Treatment outcome
Absenteeism
Adult
Burnout, Professional
Cognitive Therapy
Depression
Female
Follow-Up Studies
Humans
Male
Middle Aged
Netherlands
Occupational Diseases
Psychotherapy, Group
Sick Leave
Somatoform Disorders
Stress, Psychological
Treatment Outcome
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DOI
https://doi.org/10.1037/1076-8998.13.3.214
TNO identifier
240896
ISSN
1076-8998
Source
Journal of Occupational Health Psychology, 13 (3), 214-231
Document type
article