Effect of Cognitive Behavioural Stress Management on Return-to-Work Amongst Sick-Listed Employees.

Background: The literature provides contradictory information on the effect of cognitive behavioural therapy (CBT) interventions on return to work (RTW) for patients on sick leave due to work-related stress. Aim: We compared the cumulative number of sick leave weeks between a cohort of patients who...

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Publicado en:Journal of Occupational Rehabilitation Vol. 36; no. 3; pp. 729 - 737
Autores principales: Bond, Charlotte Brøgger, Willert, Morten Vejs, Ditlevsen, Daniel Navy, Sandal, Louise Fleng, Brandt, Lars
Formato: clinical trial research tables/charts Journal Article
Publicado: Springer Nature Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2026
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10926-025-10306-2
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        atl: Effect of Cognitive Behavioural Stress Management on Return-to-Work Amongst Sick-Listed Employees.
      aug:
        au:
          Bond, Charlotte Brøgger
          Willert, Morten Vejs
          Ditlevsen, Daniel Navy
          Sandal, Louise Fleng
          Brandt, Lars
        affil: https://ror.org/03yrrjy16 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
      sug:
        subj:
          Cognitive Therapy
          Stress Management
          Stress, Occupational Prevention and Control
          Job Re-Entry
          Sick Leave Evaluation
          Employees
          Human
          Denmark
          Male
          Female
          Adult
          Middle Age
          Quasi-Experimental Studies
          Clinical Trials
          Descriptive Statistics
          Chi Square Test
          Data Analysis Software
          T-Tests
          Kaplan-Meier Estimator
          Mann-Whitney U Test
          Cox Proportional Hazards Model
          Odds Ratio
          Confidence Intervals
          Time Factors
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: The literature provides contradictory information on the effect of cognitive behavioural therapy (CBT) interventions on return to work (RTW) for patients on sick leave due to work-related stress. Aim: We compared the cumulative number of sick leave weeks between a cohort of patients who received a CBT-based stress management intervention in the period 2011–2018 (N = 331) and a cohort of patients from 2010 to 2011 (N = 221) who did not receive the intervention. We also compared time until sustainable RTW (3 consecutive months of no sick registrations) between the cohorts. Methods: Registry data on sickness absence were obtained from the national DREAM register (Danish Public Transfer Payments Database). The cumulative time of registered sick leave in DREAM until first sustainable period of RTW was visualized using Kaplan–Meier plots. A Cox proportional hazard model was used to compare the effectiveness of the intervention relative to the comparison cohort and was reported as hazard rate ratio. Results: The intervention cohort's cumulated number of weeks in DREAM across the total period from 0 to 36 months (median 29 range 26–32) was lower than that of the comparison cohort (median 40 range 34–52), (P = 0.005), corresponding to a 14% (95% CI 0.04–0.24) reduction. For RTW, a hazard ratio rate of 1.25 (95% CI 1.02–1.54) favouring the intervention group was found (P = 0.034). Conclusion: The CBT stress management intervention significantly reduced the amount of sick leave and reduced the time until sustainable RTW for the intervention cohort compared to the comparison cohort.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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