Interventions to Facilitate Working While Depressed and Anxious

Not Applicable

• Conditions: Work Capacity
• Interventions: Behavioral: Work-directed rehabilitation; Behavioral: Physical activity

• Registration Number: NCT03748394
• Lead Sponsor: Göteborg University

Brief Summary

The study compares the effects of two add-on interventions in primary care rehabilitation, on work ability and psychological health, in workers with common mental disorders. One intervention consists of a person-centered plan using work-directed treatment modules of occupational therapy and physical therapy, during 8 weeks. The other intervention consists of supported physical activity during 8 weeks. The primary outcome is work ability, measured by the work ability index and days on sick leave.

Detailed Description

Common mental disorders (CMD), including mild to moderate depression, anxiety disorders and exhaustion disorder, are a major cause of sick leave and work disability. Compared to other disorders, work-related problems associated with CMD is sparsely explored. While recommended treatments, such as antidepressants or cognitive behavioral therapy have effects on psychiatric symptoms, the effect on work capacity is unclear, suggesting a need for alternative interventions.

The aim of this study is to evaluate the effects of an add-on work-directed intervention in primary care rehabilitation, compared to a physical activity control, for persons with CMD.

The goal of the experimental condition is to enhance the participant's ability to work by creating an individually tailored plan for self-management, supported by occupational and physical therapy techniques, such as structuring daily activities, stress management or body awareness techniques. Enhancing self-management is the core of this intervention and also a new approach compared to earlier efforts to promote work capacity.

Study Timeline

• Study First Submitted: 2016-12-28
• Study Start: 2017-02-01
• Status Verified: 2018-11
• Study First Submitted QC: 2018-11-19
• Last Update Submitted: 2018-11-19
• Study First Posted: 2018-11-20
• Last Update Posted: 2018-11-20
• Primary Completion: 2018-12
• Study Completion: 2018-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Unipolar depression or anxiety disorder according to the Mini Neuropsychiatric Interview (DSM-5 criteria).
• Currently working to some extent, part time sick leave is accepted.

Exclusion Criteria

• Substance abuse according to the Mini interview
• High suicide risk according to the Mini interview
• Psychotic symptoms according to the Mini interview

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Work-directed rehabilitation	Work-directed rehabilitation	Work-directed, person-centered plan using modules of occupational therapy and physical therapy
Physical activity	Physical activity	Physical activity according to national health recommendations

Primary Outcome Measures

Name	Time	Method
Work ability	change in score from baseline to 8 weeks	Work Ability Index

Secondary Outcome Measures

Name	Time	Method
Anxiety symptoms	change in score from baseline to 8 weeks	Beck Anxiety Index
Depression severity	change in score from baseline to 8 weeks	Montgomery Asberg Depression Rating Scale
Mental wellbeing	change in score from baseline to 8 weeks	WHO-5 Mental Wellbeing Index

Trial Locations

Locations (1)

Närhälsan Gibraltar Rehabmottagning; 🇸🇪 Gothenburg, Sweden