Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A nonrandomized controlled study from a stress clinic

Netterstrøm, Bo; Bech, Per
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p658
Academic Journal
Background: In recent years an increasing number of patients have been referred to the medical sector with stress symptoms. Moreover, these conditions imply increased sickness absence. This indicates a need for treatment programmes in general medical practice. The aim of this study was to test the effect of a multidisciplinary stress treatment programme on the return to work (RTW) rate in persons with work-related stress and establish predictive factors for this outcome. Methods: During a two-year period 63 out of 73 referrals to the Stress Clinic (a section of a Clinic of Occupational Medicine) completed a stress treatment programme consisted of the following: 1) Identification of relevant stressors. 2. Changing the coping strategies of the participants. 3. Evaluating/changes in participant workload and tasks. 4. Relaxation techniques. 5. Physical exercise. 6. Psychiatric evaluation when indicated by depression test score. On average each patient attended six one-hour sessions over the course of four months. A group of 34 employees referred to the Clinic of Occupational Medicine by their general practitioners served as a control group. Each participant had a one-hour consultation at baseline and after four months. A specialist in occupational medicine carried out all sessions. Return To Work (RTW), defined as having a job and not being on sick leave at the census, was used as outcome measure four months after baseline, and after one and two years. Results: The level of sick leave in the stress treatment group dropped from 52% to 16% during the first four months of follow-up and remained stable. In the control group, the reduction in sick leave was significantly smaller, ranging from 48% at baseline to 27% after four months and 24% after one year. No statistically significant difference between the two groups was observed after one and two years. Age below 50 years and being a manager increased the odds ratio for RTW after one and two years, while gender and depression had no predictive value. Conclusions: The stress treatment programme showed a significant effect on the return to work rate. The stress treatment programme seems feasible for general practitioners. Trial Registration: ISRCTN04354658.


Related Articles

  • RTW myths can hurt employers, impair employees' recovery.  // Occupational Health Management;Apr2007, Vol. 17 Issue 4, p37 

    Some misconceptions about return to work (RTW) plans can negatively affect their benefit and should be avoided: • Always set an expected end date for any RTW plan. Communicate with the treating physician about expectations and details of the employee's job duties as necessary. •...

  • Absent employees admit being fit enough to have gone to work. Paton, Nic // Occupational Health;Nov2005 EXTRA supplement, p4 

    The article presents the results of a survey on sickness absence of employees in Great Britain. Such attitude has an implication for occupational health practitioners. According to employees polled, stress at work had contributed to one of their absences. Three-quarters of employers said they...

  • UTJECAJ INDIVIDUALNIH I FAKTORA RADNOG MJESTA NA BOLOVANJE U PACIJENATA S DEPRESIVNIM POREMEĆAJEM. Lazarević, S. Brekalo; Pranjić, N.; Nurkić, B. // Sigurnost;2010, Vol. 52 Issue 3, p235 

    Employees with depressive disorders lose more days from work than people who are not depressed. We examined the influence of individual and work-related factors on sick leave among patients with depression. We conducted a questionnaire-type survey among 210 patients suffering from depression who...

  • Putting ideas to the test. Paton, Nick // Occupational Health;Jan2005 Supplement, Vol. 57, p6 

    Focuses on several programs launched by Great Britain's Department of Work and Pensions (DPW) to address the problem of long-term sick leave. Programs included in the Job Retention and Rehabilitation pilots designed to test ways of getting sick employees back to work launched in April 2003;...

  • CAREER CLINIC. Sanger, Alison // Community Care;9/13/2007, Issue 1690, p42 

    The article focuses on returning to work as a social worker years after leaving due to health concerns. Since similar jobs in different organizations vary, a sufficient description of one's main responsibilities from the previous post should be provided when applying for a job. Previous casework...

  • Determinants of return to work after long-term sickness absence in six Danish municipalities. STOLTENBERG, CHRISTIAN D. G.; SKOV, PEDER G. // Scandinavian Journal of Public Health;May2010, Vol. 38 Issue 3, p299 

    Background: Different follow-up times and methods in return to work (RTW) research make it difficult to compare results between studies, and not all intervention effects and determinants may be constant over time. Aims: This study aimed to describe the RTWprocess of a population of long-term...

  • Utvidet egenmelding - en vei mot riktigere sykefravær? Fleten, Nils; Krane, Line; Johnsen, Roar // Norsk Epidemiologi;2009, Vol. 19 Issue 2, p223 

    Background: Knowledge on the consequences of extended self-certification for sickness absence is sparse. This study examines changes in short term sickness absence due to comprehensive extension in the selfcertification scheme. Aim: To explore any effect on short term sick leave by introducing...

  • Views of Laypersons on the Role Employers Play in Return to Work When Sick-Listed. Nordqvist, Cecilia; Holmqvist, Christina; Alexanderson, Kristina // Journal of Occupational Rehabilitation;Mar2003, Vol. 13 Issue 1, p11 

    Sickness absenteeism is an increasing public health problem, but few studies have examined the views of laypersons regarding factors that promote return to work. The present investigation concerns the opinions of such individuals on the role employers play in this context. Data from five...


    The article offers tips for companies on how to handle in the event a long-term disability (LTD) claimant returns to work. Topics covered include the criteria that firms can use to decide whether it is reasonable that the employee has frustrated the contract, and can therefore be terminated, the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics