Effect Study of Workcoping for Patients With Anxiety and Depression
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Purpose
Mental disorders, mainly various anxiety and depressive disorders, are an increasing reason for sick leave and disability pension. Cognitive behaviour therapy (CBT) has been shown to have an effect on anxiety and depression, but the investigators know little about this in relation to employment. Close follow-up in ordinary employment increase employment participation for serious mental illness, but this is not yet investigated to the same degree for lighter mental disorders.
Center for Work-Coping (No: "Senter for Jobbmestring" - SJM) combines Cognitive behaviour therapy (CBT) and individual placement and support (IPS) and facilitation of work for people with anxiety and depression who are in danger of falling out of work.
The purpose of this project is to evaluate the effectiveness of the model in SJM. The effect will be evaluated through a randomized controlled trial (RCT) in which participants will be randomized to SJM or regular follow-up by The Norwegian Labour and Welfare Administration (NAV) or by their regular general practitioners (GP) and self-help resources. The main outcome measures are work participation with changes in mental health as a secondary outcome.
| Condition | Intervention | Phase |
|---|---|---|
|
Anxiety Depression |
Behavioral: Workcoping and IPS Behavioral: Ordinary care by GP or NAV |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effect Evaluation of Center for Workcoping for Patients With Anxiety and Depression |
- Sick leave data [ Time Frame: One year ] [ Designated as safety issue: No ]The primary outcome of the study is return to work measured through register data.
- Psychopathology [ Time Frame: 6 and 12 months of follow up ] [ Designated as safety issue: No ]Secondary outcomes are reductions in psychopathology measured through validated questionnaires (e.g. HADS).
| Enrollment: | 1202 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | May 2015 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Workcoping and IPS
CBT based counseling and supported employment
|
Behavioral: Workcoping and IPS
Maximum 15 sessions of CBT-based counseling with workcoping as primary focus in addition to work support according to the IPS-model (individual placement and support)
Other Names:
|
|
Active Comparator: Ordinary care by GP or NAV
Ordinary care by GP or The Norwegian Labour and Welfare Administration (NAV)
|
Behavioral: Ordinary care by GP or NAV
Ordinary care by the participants physician or the local Labour and Welfare Administration
Other Name: Treatment as usual
|
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Problems coping with work due to psychological illness (anxiety and depression)
- Reasonable closeness to work (possible to return within a year)
Exclusion Criteria:
- Other reasons as primary cause of work problems
- Serous psychiatric disorders
- Suicide risk
- Pregnancy
- Ongoing psychological treatment (therapy)
- Ongoing substance abuse
Contacts and Locations
More Information
Additional Information:
No publications provided
| Responsible Party: | Stein Atle Lie, Professor Stein Atle Lie, Uni Research |
| ClinicalTrials.gov Identifier: | NCT01146730 History of Changes |
| Other Study ID Numbers: | Workcoping2010 |
| Study First Received: | June 1, 2010 |
| Last Updated: | October 15, 2012 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics |
Keywords provided by Uni Research:
|
Anxiety Depression Vocational Rehabilitation |
Common Mental Disorders Mental Health Problems Work Related Therapy |
Additional relevant MeSH terms:
|
Anxiety Disorders Depression Depressive Disorder |
Mental Disorders Behavioral Symptoms Mood Disorders |
ClinicalTrials.gov processed this record on May 21, 2013