Work-Focused Treatment of Common Mental Disorders and Return to Work: A Comparative Outcome Study
Work-Focused Treatment of Common Mental Disorders and Return to Work: A Comparative Outcome Study
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DOI：
10.1037/a0027049
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发表时间：
2012-04-01
影响因子：
5.1
通讯作者：
Schaufeli, Wilmar B.
中科院分区：
文献类型：
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作者：
Lagerveld, Suzanne E.;Blonk, Roland W. B.;Schaufeli, Wilmar B.
本研究的目的是比较两种个人水平的心理治疗干预措施的有效性：（a）治疗通常包括认知行为疗法（CBT）和（B）工作为中心的CBT（W-CBT），将工作方面的早期整合到治疗中。这两种干预措施都是由心理治疗师对因常见精神障碍（抑郁、焦虑或适应障碍）而休病假的员工进行的。在准实验设计中，收集了168名员工的12个月随访数据。CBT组由79名客户组成，W-CBT组为89名。结果的措施持续时间，直到返回工作（RTW），心理健康问题，和成本的雇主。我们发现，对RTW持续时间的显著影响有利于W-CBT组：完全RTW发生在65天前。部分RTW发生在12天前。在这两种情况下，心理健康问题的显着减少同样存在。与CBT组相比，W-CBT组雇员的雇主的平均财务优势估计为5，275美元。这些结果表明，通过更多和更早地关注与工作相关的方面和RTW，在常规的心理治疗环境中，工作中的功能恢复可以大大加快。这一结果是在1年的过程中实现的，没有对心理投诉产生负面副作用。因此，将与工作相关的方面纳入CBT是一种富有成效的方法，对雇员和雇主都有好处。
The aim of this study was to compare the effectiveness of two individual-level psychotherapy interventions: (a) treatment as usual consisting of cognitive-behavioral therapy (CBT) and (b) work-focused CBT (W-CBT) that integrated work aspects early into the treatment. Both interventions were carried out by psychotherapists with employees on sick leave because of common mental disorders (depression, anxiety, or adjustment disorder). In a quasi-experimental design, 12-month follow-up data of 168 employees were collected. The CBT group consisted of 79 clients, the W-CBT group of 89. Outcome measures were duration until return to work (RTW), mental health problems, and costs to the employer. We found significant effects on duration until RTW in favor of the W-CBT group: full RTW occurred 65 days earlier. Partial RTW occurred 12 days earlier. A significant decrease in mental health problems was equally present in both conditions. The average financial advantage for the employer of an employee in the W-CBT group was estimated at $5,275 U.S. dollars compared with the CBT group. These results show that through focusing more and earlier on work-related aspects and RTW, functional recovery in work can be substantially speeded up within a regular psychotherapeutic setting. This result was achieved without negative side effects on psychological complaints over the course of 1 year. Integrating work-related aspects into CBT is, therefore, a fruitful approach with benefits for employees and employers alike.