Predicting the effectiveness of work-focused CBT for common mental disorders

The influence of baseline self-efficacy, depression and anxiety

V. Brenninkmeijer*, S.E. Lagerveld, R.W.B. Blonk, W.B. Schaufeli, L.D. Wijngaards‑de Meij

*Corresponding author for this work

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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.
Original languageEnglish
Pages (from-to)31-41
JournalJournal of Occupational Rehabilitation
Volume29
Issue number1
DOIs
Publication statusPublished - 2019

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Depression
Mental Health
Adjustment Disorders

Keywords

  • COGNITIVE-BEHAVIORAL THERAPY
  • Cognitive behavioural therapy
  • Common mental disorders
  • EMPLOYEES
  • HEALTH
  • INTERVENTION
  • MOOD
  • PEOPLE
  • PREVALENCE
  • RETURN-TO-WORK
  • Return to work
  • SUPPORT
  • Self-efficacy
  • Sickness absence

Cite this

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title = "Predicting the effectiveness of work-focused CBT for common mental disorders: The influence of baseline self-efficacy, depression and anxiety",
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.",
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author = "V. Brenninkmeijer and S.E. Lagerveld and R.W.B. Blonk and W.B. Schaufeli and {Wijngaards‑de Meij}, L.D.",
year = "2019",
doi = "10.1007/s10926-018-9760-3",
language = "English",
volume = "29",
pages = "31--41",
journal = "Journal of Occupational Rehabilitation",
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Predicting the effectiveness of work-focused CBT for common mental disorders : The influence of baseline self-efficacy, depression and anxiety. / Brenninkmeijer, V.; Lagerveld, S.E.; Blonk, R.W.B.; Schaufeli, W.B.; Wijngaards‑de Meij, L.D.

In: Journal of Occupational Rehabilitation, Vol. 29, No. 1, 2019, p. 31-41.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Predicting the effectiveness of work-focused CBT for common mental disorders

T2 - The influence of baseline self-efficacy, depression and anxiety

AU - Brenninkmeijer, V.

AU - Lagerveld, S.E.

AU - Blonk, R.W.B.

AU - Schaufeli, W.B.

AU - Wijngaards‑de Meij, L.D.

PY - 2019

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N2 - 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.

AB - 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.

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KW - Cognitive behavioural therapy

KW - Common mental disorders

KW - EMPLOYEES

KW - HEALTH

KW - INTERVENTION

KW - MOOD

KW - PEOPLE

KW - PREVALENCE

KW - RETURN-TO-WORK

KW - Return to work

KW - SUPPORT

KW - Self-efficacy

KW - Sickness absence

U2 - 10.1007/s10926-018-9760-3

DO - 10.1007/s10926-018-9760-3

M3 - Article

VL - 29

SP - 31

EP - 41

JO - Journal of Occupational Rehabilitation

JF - Journal of Occupational Rehabilitation

SN - 1053-0487

IS - 1

ER -