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Work-directed interventions for patients with stress-related disorders

Reactions to severe stress, maladaptive stress responses, and the Swedish stress diagnosis exhaustion syndrome are common reasons for long-term sick leave. Stress-related disorders have multiple causes but are in many cases attributed to the individual’s work situation and workload. Work-directed rehabilitation is commonly recommended in combination with other kinds of treatment.

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SBU Enquiry Service

Consists of structured literature searches to highlight studies that can address questions received by the SBU Enquiry Service from Swedish healthcare or social service providers. We assess the risk of bias in systematic reviews and when needed also quality and transferability of results in health economic studies. Relevant references are compiled by an SBU staff member, in consultation with an external expert when needed.

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Question

What evidential support is there that work-directed interventions reduce symptoms and facilitate return to work in persons on sick leave due to stress-related disorders?

Identified studies

  1. Netterstrøm, B., L. Friebel, and Y. Ladegaard, Effects of a multidisciplinary stress treatment programme on patient return to work rate and symptom reduction: Results from a randomised, wait-list controlled trial. Psychotherapy and Psychosomatics, 2013. 82(3): p. 177-186.
  2. Dalgaard, V.L., et al., Return to work after work-related stress: a randomized controlled trial of a work-focused cognitive behavioral intervention. Scand J Work Environ Health, 2017.

Literature search

Literature search.pdf

Project group

Anna Andreasson, Laura Lintamo and Per Lytsy at SBU.

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