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Effects of internet...
Effects of internet-based cognitive behavioural therapy and physical exercise on sick leave and employment in primary care patients with depression : two subgroup analyses.
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- Kaldo, Viktor (författare)
- Karolinska Institutet,Huddinge Hospital, Stockholm, Sweden.
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- Lundin, Andreas (författare)
- Karolinska Institutet,Karolinska Institute,Karolinska Institutet, Stockholm, Sweden
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- Hallgren, Mats (författare)
- Karolinska Institutet,Karolinska Institute,Karolinska Institutet, Stockholm, Sweden
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- Kraepelien, Martin (författare)
- Karolinska Institutet,Huddinge Hospital, Stockholm, Sweden.
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- Strid, Catharina (författare)
- Lund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences,Lund University, Lund, Sweden
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- Ekblom, Örjan (författare)
- Swedish School of Sport and Health Sciences,Gymnastik- och idrottshögskolan,Åstrandlaboratoriet,Fysisk aktivitet och hjärnhälsa,Swedish School of Sport and Health Sciences GIH, Sweden
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- Lavebratt, Catharina (författare)
- Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden
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- Lindefors, Nils (författare)
- Karolinska Institutet,Huddinge Hospital, Stockholm, Sweden.
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- Öjehagen, Agneta (författare)
- Lund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University, Lund, Sweden
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- Forsell, Yvonne (författare)
- Karolinska Institutet,Karolinska Institute,Karolinska Institutet, Stockholm, Sweden
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Karolinska Institutet Huddinge Hospital, Stockholm, Sweden (creator_code:org_t)
- 2017-09-26
- 2018
- Engelska.
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Ingår i: Occupational and Environmental Medicine. - : BMJ. - 1351-0711 .- 1470-7926. ; 75:1, s. 52-58
- Relaterad länk:
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https://doi.org/10.1...
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https://gih.diva-por... (primary) (Raw object)
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https://oem.bmj.com/...
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://lup.lub.lu.s...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: Depression can negatively impact work capacity, but treatment effects on sick leave and employment are unclear. This study evaluates if internet-based cognitive behavioural therapy (ICBT) or physical exercise (PE), with already reported positive effects on clinical outcome and short-term work ability, has better effects on employment, sick leave and long-term work ability compared with treatment as usual (TAU) for depressed primary care patients (German clinical trials: DRKS00008745).METHODS: After randomisation and exclusion of patients not relevant for work-related analysis, patients were divided into two subgroups: initially unemployed (total n=118) evaluated on employment, and employed (total n=703) evaluated on long-term sick leave. Secondary outcomes were self-rated work ability and average number of sick days per month evaluated for both subgroups. Assessments (self-reports) were made at baseline and follow-up at 3 and 12 months.RESULTS: For the initially unemployed subgroup, 52.6% were employed after 1 year (response rate 82%). Both PE (risk ratio (RR)=0.44; 95% CI 0.23 to 0.87) and ICBT (RR=0.37; 95% CI 0.16 to 0.84) showed lower rates compared with TAU after 3 months, but no difference was found after 1 year (PE: RR=0.97; 95% CI 0.69 to 1.57; ICBT: RR=1.23; 95% CI 0.72 to 2.13). For those with initial employment, long-term sick leave (response rate 75%) decreased from 7.8% to 6.5%, but neither PE (RR=1.4; 95% CI 0.52 to 3.74) nor ICBT (RR=0.99; 95% CI 0.39 to 2.46) decreased more than TAU, although a temporary positive effect for PE was found. All groups increased self-rated work ability with no differences found.CONCLUSIONS: No long-term effects were found for the initially unemployed on employment status or for the initially employed on sick leave. New types of interventions need to be explored.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Idrottsvetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Sport and Fitness Sciences (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Nyckelord
- cognitive behavioral therapy
- depression
- internet therapy
- physical exercise
- return to work
- Medicin/Teknik
- Medicine/Technology
- Psychology
- cognitive behavioral therapy
- depression
- internet therapy
- physical exercise
- return to work
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- art (ämneskategori)
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Kaldo, Viktor
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Lundin, Andreas
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Hallgren, Mats
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Kraepelien, Mart ...
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Strid, Catharina
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Ekblom, Örjan
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visa fler...
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Lavebratt, Catha ...
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Lindefors, Nils
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Öjehagen, Agneta
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Forsell, Yvonne
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