Display options
Cite
Hange D, Ariai N, Kivi M, et al. The impact of internet-based cognitive behavior therapy on work ability in patients with depression - a randomized controlled study. Int J Gen Med. 2017;10:151-159doi: 10.2147/IJGM.S129710.
Hange, D., Ariai, N., Kivi, M., Eriksson, M. C., Nejati, S., & Petersson, E. L. (2017). The impact of internet-based cognitive behavior therapy on work ability in patients with depression - a randomized controlled study. International journal of general medicine, 10151-159. https://doi.org/10.2147/IJGM.S129710
Hange, Dominique, et al. "The impact of internet-based cognitive behavior therapy on work ability in patients with depression - a randomized controlled study." International journal of general medicine vol. 10 (2017): 151-159. doi: https://doi.org/10.2147/IJGM.S129710
Hange D, Ariai N, Kivi M, Eriksson MC, Nejati S, Petersson EL. The impact of internet-based cognitive behavior therapy on work ability in patients with depression - a randomized controlled study. Int J Gen Med. 2017 May 19;10:151-159. doi: 10.2147/IJGM.S129710. eCollection 2017. PMID: 28579817; PMCID: PMC5446974.
Copy Download .nbib Format: NLM
Share it on

Int J Gen Med. 2017 May 19;10:151-159. doi: 10.2147/IJGM.S129710. eCollection 2017.

The impact of internet-based cognitive behavior therapy on work ability in patients with depression - a randomized controlled study.

International journal of general medicine

Dominique Hange, Nashmil Ariai, Marie Kivi, Maria Cm Eriksson, Shabnam Nejati, Eva-Lisa Petersson

Affiliations

  1. Department of Public Health and Community Medicine/Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
  2. Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
  3. Narhalsan Research and Development Primary Health Care, Region Vastra Gotaland, Gothenburg, Sweden.

PMID: 28579817 PMCID: PMC5446974 DOI: 10.2147/IJGM.S129710

Abstract

OBJECTIVES: The aim of this randomized controlled trial (RCT) was to investigate the effects of internet-based cognitive behavior therapy (ICBT) treatment for depression compared to treatment-as-usual (TAU) on improving work ability and quality of life in patients with mild-to-moderate depression. We also examined whether patients treated with ICBT returned to work more rapidly, that is, had fewer days of sick leave, than patients treated with TAU.

DESIGN: This study is based on material from the PRIM-NET RCT that took place between 2010 and 2013.

SETTING: Primary care centers in Region Vastra Gotaland, Sweden, population about 1.6 million.

PATIENTS: A total of 77 patients with depression randomized to either ICBT (46 patients) or TAU (31 patients). Mean age of participants was 35.8 years, and 67.5% were women.

MAIN OUTCOME MEASURES: Work ability was measured with the Work Ability Index, depressive symptoms with Montgomery Asberg Depression Rating Scale - self-rating version (MADRS-S), quality of life with EuroQoL-5D (EQ-5D), and number of sick leave days.

RESULTS: Both groups showed an association between improved work ability and reduction of depressive symptoms and between improved work ability and better quality of life. ICBT could not be shown to improve work ability more than TAU among patients with mild-to-moderate depression. There were no differences between the groups concerning number of patients with sick leave or number of sick leave days.

CONCLUSION: Our study indicates that a high level of work ability has an association with high health-related quality of life in patients with mild-to-moderate depression, whether they are treated with ICBT or TAU. ICBT has previously been found to be cost-effective and can be seen as a good alternative to TAU. In addition to the ICBT, an intervention oriented toward the work place might improve work ability and reduce the number of sick leave days among patients with depression.

Keywords: EQ-5D; ICBT; WAI; depression; primary care; sick leave

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

  1. Health Policy. 1990 Dec;16(3):199-208 - PubMed
  2. Health Policy. 1996 Dec;38(3):189-203 - PubMed
  3. Scand J Prim Health Care. 1999 Sep;17(3):153-7 - PubMed
  4. J Epidemiol Community Health. 2000 Jul;54(7):502-9 - PubMed
  5. Psychol Med. 2000 May;30(3):657-68 - PubMed
  6. Psychol Med. 2002 Feb;32(2):333-45 - PubMed
  7. Int J Methods Psychiatr Res. 2003;12(1):22-33 - PubMed
  8. Arch Gen Psychiatry. 1992 Oct;49(10):761-8 - PubMed
  9. Acta Psychiatr Scand Suppl. 2004;(420):38-46 - PubMed
  10. Br J Psychiatry. 2004 Jul;185:46-54 - PubMed
  11. Am J Psychiatry. 2004 Oct;161(10):1885-91 - PubMed
  12. J Med Internet Res. 2005 Jun 21;7(2):e16 - PubMed
  13. Scand J Rheumatol. 2005 Jul-Aug;34(4):277-83 - PubMed
  14. Am J Psychiatry. 2006 Sep;163(9):1569-76 - PubMed
  15. Fam Pract. 2007 Oct;24(5):518-25 - PubMed
  16. Soc Psychiatry Psychiatr Epidemiol. 2008 Sep;43(9):688-96 - PubMed
  17. Occup Environ Med. 2009 Apr;66(4):211-20 - PubMed
  18. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD006955 - PubMed
  19. BMC Psychiatry. 2009 May 27;9:26 - PubMed
  20. Scand J Work Environ Health. 2010 Sep;36(5):404-12 - PubMed
  21. Gen Hosp Psychiatry. 2010 May-Jun;32(3):337-40 - PubMed
  22. Am J Manag Care. 2010 Aug;16(8):e188-96 - PubMed
  23. Annu Rev Clin Psychol. 2011;7:1-38 - PubMed
  24. Lakartidningen. 2011 Sep 7-13;108(36):1707-8 - PubMed
  25. PLoS One. 2012;7(4):e35330 - PubMed
  26. Nord J Psychiatry. 2013 Feb;67(1):59-68 - PubMed
  27. J Occup Rehabil. 2013 Jun;23(2):290-9 - PubMed
  28. Scand J Occup Ther. 2014 Jul;21(4):295-304 - PubMed
  29. Scand J Prim Health Care. 2014 Jun;32(2):67-72 - PubMed
  30. Cogn Behav Ther. 2014;43(4):289-98 - PubMed
  31. Behav Ther. 2015 Mar;46(2):193-205 - PubMed
  32. J Occup Environ Med. 2015 May;57(5):578-84 - PubMed
  33. Scand J Public Health. 2015 Jun;43(4):423-31 - PubMed
  34. Int J Gen Med. 2015 Apr 15;8:143-8 - PubMed
  35. Occup Environ Med. 2015 Oct;72(10):745-52 - PubMed
  36. Psychol Med. 2016 Mar;46(4):683-97 - PubMed
  37. Prim Care Companion CNS Disord. 2015 Jun 25;17(3):null - PubMed
  38. Soc Psychiatry Psychiatr Epidemiol. 2016 Nov;51(11):1525-1537 - PubMed
  39. Scand J Prim Health Care. 2017 Jun;35(2):126-136 - PubMed
  40. Br J Psychiatry. 1979 Apr;134:382-9 - PubMed
  41. Med Care. 1997 Nov;35(11):1095-108 - PubMed
  42. J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57 - PubMed

Publication Types