caa a22 4500 606210687 CHVBK 20210128101034.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s10926-014-9530-9 doi (NATIONALLICENCE)springer-10.1007/s10926-014-9530-9 Problem-Based Self-care Groups Versus Cognitive Behavioural Therapy for Persons on Sick Leave Due to Common Mental Disorders: A Randomised Controlled Study [Elektronische Daten] [Inger Jansson, A. Gunnarsson, Anita Björklund, Lars Brudin, Kent-Inge Perseius] Purpose To evaluate the interventional capacity of problem based method groups (PBM) regarding mental health and work ability compared to cognitive behavioural therapy (CBT) for persons on sick leave due to common mental disorders. Methods In a randomised controlled design the experimental group received PBM and the control group received CBT. Outcomes were measured by the Hospital Anxiety and Depression Scale (HADS), the Stress and Crisis Inventory 93 (SCI-93) and the Dialogue about Working Ability instrument (DOA). Results Twenty-two participants in the PBM group and 28 in the CBT group completed intervention. Both groups showed significant lower scores on the two HADS subscales. Regarding stress the PBM group showed significant decrease in one (out of three) subscales of SCI-93. The CBT group showed significant decrease on all subscales of SCI-93. Regarding work ability the PBM group showed significant higher scores on one of five subscales of DOA. The CBT group showed significant higher scores on four of five subscales of DOA. Between groups there were significant differences to the favour of CBT on one of two subscales of HADS, all three subscales of SCI-93 and on two of the five subscales of DOA. Conclusion PBM seem to be able to reduce anxiety- and depression symptoms. CBT showed to be superior to PBM in reducing symptoms in all aspects of mental health, except for anxiety, in which they seem equally effective. Regarding work ability CBT showed to be superior, with significant effect on more aspects compared to PBM. Springer Science+Business Media New York, 2014 Anxiety nationallicence Depression nationallicence Intervention nationallicence Primary health care nationallicence Return to work nationallicence Sickness absence nationallicence Stress nationallicence Jansson Inger Department of Rehabilitation, School of Health Sciences, 553 18, Jönköping, Sweden aut Gunnarsson A. Unit for Research and Development, Kronoberg County Council, 352 34, Växjö, Sweden aut Björklund Anita Department of Rehabilitation, School of Health Sciences, 553 18, Jönköping, Sweden aut Brudin Lars Kalmar County Hospital, 391 85, Kalmar, Sweden aut Perseius Kent-Inge Nyckeln Competence Centre for Pedagogic in Healthcare, Kalmar County Hospital, 391 85, Kalmar, Sweden aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 127-140 1053-0487 25:1<127 2015 25 10926 https://doi.org/10.1007/s10926-014-9530-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9530-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jansson Inger Department of Rehabilitation, School of Health Sciences, 553 18, Jönköping, Sweden aut NATIONALLICENCE 700 1- Gunnarsson A. Unit for Research and Development, Kronoberg County Council, 352 34, Växjö, Sweden aut NATIONALLICENCE 700 1- Björklund Anita Department of Rehabilitation, School of Health Sciences, 553 18, Jönköping, Sweden aut NATIONALLICENCE 700 1- Brudin Lars Kalmar County Hospital, 391 85, Kalmar, Sweden aut NATIONALLICENCE 700 1- Perseius Kent-Inge Nyckeln Competence Centre for Pedagogic in Healthcare, Kalmar County Hospital, 391 85, Kalmar, Sweden aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 127-140 1053-0487 25:1<127 2015 25 10926