The Effectiveness of Cognitive-Behavioral Therapy in Helping People on Sick Leave to Return to Work: A Systematic Review and Meta-analysis.

Purpose: Previous research has systematically studied the effectiveness of Cognitive Behavioral Therapy (CBT)-based interventions in managing both mental and physical symptoms of chronic disease including depression, stress-related mental disorders (SMD), and chronic pain that are common causes of s...

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Publicado en:Journal of Occupational Rehabilitation Vol. 34; no. 1; pp. 4 - 37
Autores principales: Xu, Huaying, Cai, Jinxuan, Sawhney, Rakshat, Jiang, Stephen, Buys, Nicholas, Sun, Jing
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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      pub: Springer Nature
      place: New York, New York
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        atl: The Effectiveness of Cognitive-Behavioral Therapy in Helping People on Sick Leave to Return to Work: A Systematic Review and Meta-analysis.
      aug:
        au:
          Xu, Huaying
          Cai, Jinxuan
          Sawhney, Rakshat
          Jiang, Stephen
          Buys, Nicholas
          Sun, Jing
        affil: https://ror.org/02sc3r913 School of Medicine and Dentistry, Griffith University, Q4215, Nathan, Australia
      sug:
        subj:
          Cognitive Therapy Methods
          Psychophysiologic Disorders
          Chronic Pain Psychosocial Factors
          Sick Leave
          Job Re-Entry
          Musculoskeletal Diseases
          Human
          Meta Analysis
          Systematic Review
          Cochrane Library
          Embase
          Medline
          Psycinfo
          PubMed
          Descriptive Statistics
          Confidence Intervals
          Depression
          Quality Assessment
          Funding Source
      ab: Purpose: Previous research has systematically studied the effectiveness of Cognitive Behavioral Therapy (CBT)-based interventions in managing both mental and physical symptoms of chronic disease including depression, stress-related mental disorders (SMD), and chronic pain that are common causes of sick leave. However, a systematic review focusing on the effectiveness of CBT in facilitating RTW is lacking. This study compiles research on utilizing CBT-based interventions for helping employees on sick leave return to work. Methods: Randomized controlled trials (RCT) published between 1 January 1990 and 27 June 2022 were searched in MEDLINE, EMBASE, The Cochrane Library, Scopus, PsycINFO, Web of Science, and PubMed. The primary outcome variables included a return to work (RTW) measure and sickness absences. The secondary outcomes include psychological conditions (mental illness, stress, anxiety, and depression) and physical condition (working ability, fatigue, and physical function). Results: Thirty-four RCTs were included in the analysis. Fifteen RCTs with 1727 participants reported on sick leave. Results showed that participants who completed CBT intervention had reduced sick leave in days (mean reduction − 3.654; 95%CI − 5.253, − 2.046; p < 0.001) compared to the control group. Sixteen papers with 2298 participants reported that the intervention group RTW 1.5 days earlier (95%CI 1.019, 1.722; p < 0.05). CBT-based interventions were effective in managing fatigue, mental illness, and depression, and improving physical function while it showed no effects in managing stress, anxiety and working ability. Conclusions: The findings indicate that CBT-based interventions are effective in reducing the length of sick leave and facilitating the RTW of employees in the intervention group.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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