Work participation after receiving multidisciplinary treatment or acceptance and commitment therapy intervention for return to work: long-term follow-up of a randomized controlled trial among sick-listed individuals with mental disorders and/or chronic pain
2024

Work Participation After Treatment for Mental Disorders and Chronic Pain

Sample size: 220 publication 10 minutes Evidence: moderate

Author Information

Author(s): Berglund Erik, Anderzén Ingrid, Helgesson Magnus, Lytsy Per, Andersén Åsa

Primary Institution: Uppsala University

Hypothesis

Can multidisciplinary treatment and acceptance and commitment therapy improve long-term work participation for individuals on sick leave due to mental disorders and/or chronic pain?

Conclusion

Both multidisciplinary treatment and acceptance and commitment therapy can improve long-term work participation among individuals on sick leave.

Supporting Evidence

  • Participants in the MDT group had higher employment rates at follow-up compared to the control group.
  • Participants in the ACT group also showed improved employment rates over time.
  • The study highlights the importance of long-term follow-up in assessing the effectiveness of rehabilitation interventions.

Takeaway

This study shows that people who got special help to return to work after being sick were more likely to find jobs years later.

Methodology

The study followed 220 participants from a randomized controlled trial over 2-7 years, comparing work participation outcomes between those receiving multidisciplinary treatment, acceptance and commitment therapy, and a control group.

Potential Biases

Potential bias due to the majority of participants being female and the influence of education level and other factors on outcomes.

Limitations

The study had a skewed gender distribution and a significant dropout rate, which may affect the generalizability of the results.

Participant Demographics

93.2% female, average age 49.4 years, most had secondary or university education.

Statistical Information

Confidence Interval

95% CI 1.55–11.07 for MDT group at year four; 95% CI 1.02–6.98 at year seven.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s12889-024-21116-1

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