The effectiveness of a convergence dialogue meeting with the employer in promoting return to work as part of the cognitive-behavioural treatment of common mental disorders: A randomized controlled trial
Restricted accessResearch articleFirst published online July 26, 2016
The effectiveness of a convergence dialogue meeting with the employer in promoting return to work as part of the cognitive-behavioural treatment of common mental disorders: A randomized controlled trial
BACKGROUND: Dialogue between supervisor and employee is of great importance
for occupational rehabilitation.
OBJECTIVE: To evaluate the effectiveness of a convergence dialogue meeting
(CDM) of employee, therapist and supervisor aimed at facilitating return to work (RTW) as
part of cognitive-behavioural treatment.
METHODS: Randomized controlled trial including 60 employees sick-listed with
common mental disorders and referred for specialized mental healthcare. Employees were
randomly allocated either to an intervention group (n = 31) receiving
work-focused cognitive-behavioural therapy plus CDM or a control group
(n = 29) receiving work-focused cognitive-behavioural therapy without
CDM.
RESULTS: The time to first RTW was 12 days shorter
(p = 0.334) in the intervention group, although full (i.e., at equal
earnings as before reporting sick) RTW took 41 days longer (p = 0.122)
than the control group. The odds of full RTW at the end of treatment were only 7% higher
(p = 0.910) in the intervention group as compared to the control
group.
CONCLUSIONS: CDM did not significantly reduce the time to RTW. We recommend
that therapists who are trained on CDM focus on barriers and solutions for RTW.
VaezM, RylanderG, NygrenÅ, ÅsbergM, AlexandersonK .
Sickness absence and disability pension in a cohort of employees
initially on long-term sick leave due to psychiatric disorders in
Sweden. Soc Psychiatry Psychiatr Epidemiol2007;4:381–8.
2.
ShielsC, GabbayMB, FordFM
. Patient factors associated with duration of certified sickness absence
and transition to long-term incapacity. Br J Gen Pract2004;54:86–91.
3.
UWV [Dutch Institute for Employee Benefit Schemes].
Kwartaalverkenning 2006-IV.
Amsterdam: Uitvoering
Werknemersverzekeringen; 2006.
4.
ArendsI, BültmannU, van
RhenenW, GroenH,
van der
KlinkJJL . Economic
evaluation of a problem solving intervention to prevent recurrent sickness absence in
workers with common mental disorders. Plos One2013; DOI: 10.1371/journal.pone.0071937
5.
de
GraafR, TuithofM, van
DorsselaerS, ten
HaveM . Comparing the
effects on work performance of mental and physical disorders.
Soc Psychiatry Psychiatr Epidemiol2012; doi: 10.1007/s00127-012-0496-7
6.
VolkerD, VlasveldMC, AnemaJR, BeekmanATF, Hakkaart-van
RoijenL, BrouwersEPM, van
LomwellAGC, van der
Felz-CornelisCM .
Blended E-health module on return to work embedded in collaborative
occupational health care for common mental disorders: Design of a cluster randomized
control trial. Neuropsychiatr Dis Treat2013;9:529–37.
7.
Dekkers-SánchezPM,
HovingJL, SluiterJK, Frings-DresenMHW .
Factors associated with long-term sick leave in sick-listed employees: A
systematic review. OEM2008;65:153–7.
8.
HendersonM, HarveySB, ØverlandS, MykletunA, HotopfM
. Work and common psychiatric disorders. J R Soc
Med2011;104:198–207.
9.
HoefsmitN, HoukesI, NijhuisF .
Environmental and personal factors that support early return-to-work: A
qualitative study using the ICF as a framework. Work2014;48:203–15.
10.
NieuwenhuijsenK,
BültmanU, Neumeyer-GromenA,
VerhoevenAC, VerbeekJH, Felz-CornelisCM .
Interventions to improve occupational health in depressed people
(Review). Cochrane Database Syst Rev2009; doi: 10.1002/14651858.CD006237.pub2
11.
ScheneAH, KoeterMWJ, KikkertMJ, SwinkelsJA, McCroneP .
Adjuvant occupational therapy for work-related major depression works:
Randomized trial including economic evaluation. Psychol
Med2007;37:351–62.
12.
LagerveldSE, BlonkRWB, BrenninkmeijerV,
Wijngaards-de
MeijL, SchaufeliWB .
Work-focused treatment of common mental disorders and return to work: A
comparative outcome study. JOHP2012;17:220–34.
13.
van
OostromSH, DriessenMT, de
VetHCW, FrancheRL, SchonsteinE, LoiselP, van
MechelenW, AnemaJR
. Workplace interventions for preventing work
disability(Review). Cochrane Database Syst Rev2009; doi: 10.1002/14651858.CD006955.pub2
14.
van
OostromSH, van
MechelenW, TerluinB, de
VetHCW, KnolDL,
AnemaJR . A
workplace intervention for sick-listed employees with distress: Results of a randomised
controlled trial. OEM2010;67:603–10.
15.
KarlsonB, JönssonP, JålssonB, ÅbjörnssonG, MalmbergB, LarssonB, ÖsterbergK .
Return to work after a workplace-oriented intervention for patients on
sick-leave for burnout – a prospective controlled study. BMC
Public Health2010; doi: 10.1186/1471-2458-10-301
16.
RebergenDS, BruinvelsDJ, van
TulderMW, van der
BeekAJ, van
MechelenW .
Cost-Effectiveness of Guideline-Based Care for Workers with Mental Health
Problems. JOEM2009;51:313–22.
17.
MaiwaldK, MeershoekA, de
RijkA, NijhuisFJN .
Policy on manager involvement in work re-integration: Manager’s
experiences in a Canadian setting. Work2014;49:483–94.
18.
LandstadB, HedlundM, WendelborgC, BrataasH .
Long-term sick workers experience of professional support for
re-integration back to work. Work2009;32:39–48.
19.
APADiagnostic and Statistical Manual of Mental Disorders
(DSM-IV). 4th Edition. Washington
DC: American Psychiatric Association;
1994.
20.
KeijsersGPJ, van
MinnenA, HoogduinCAL (red).
Protocollaire behandelingen voor volwassenen met psychische klachten 1.
Amsterdam: Uitgeverij
Boom; 2011.
21.
KeijsersGPJ, van
MinnenA, HoogduinCAL (red).
Protocollaire behandelingen voor volwassenen met psychische klachten 2.
Amsterdam: Uitgeverij
Boom; 2011.
22.
Dijkgraaf-HartlandW,
BralsC, VerbraakM, van
DijkM . Comorbide
persoonlijkheidsproblematiek en de effectiviteit van protocollaire
behandeling. DTH2013;33:14–30.
23.
SheehanDV, LecrubierY, SheehanKH, AmorimP, JanavsJ, WeillerE, HerquetaT, BakerR,
DunbarGC .
The Mini-International Neuropsychiatric Interview (MINI): The development
and validation of a structured diagnostic psychiatric interview for DSM-IV and
ICD-10. J ClinPsychiatry1998;59(Suppl.
20):22–33.
24.
van
VlietIM, LeroyH,
van
MegenHJGM . M.I.N.I.
plus: M.I.N.I. Internationaal Neuropsychiatrisch Interview: Nederlandse Versie
5.0.0. Leiden: LUMC
afdeling Psychiatrie; 2000.
25.
de
DonckerD, SchotteC, VertommenH, van
KerckhovenC .
Assessment van de DSM-IV persoonlijkheidsstoornissen: Ontwikkeling en
voorlopige resultaten van de ADP-IVzelfbeoordelingsvragenlijst.
TKP1997;27:171–86.
26.
SchotteCKW, de
DonckerDAM, DmitrukD, van
MuldersI, D’HaenenH, CosynsP
. The ADP-IV questionnaire:Differential validity and concordance with the
semi-structured interview. J Pers Disord2004;18:405–19.
27.
VendrigAA .
De Vragenlijst Arbeidsreïntegratie.
Dia-gnostiek-Wijzer2005;8:27–39.
28.
VendrigL, van
HoveM, van
MeijelM, DonceelP .
Voorspellen van de verwachte verzuimduur met de Vragenlijst
Arbeidsreïntegratie. TBV2011;1:7–13.
29.
ArrindellWA, EttemaJHM .
SCL-90. Handleiding bij een multidimensionele
psychopathologie-indicatorLisse: Swets & Zeitlinger
BV; 2003.
30.
KleijwegJHM, VerbraakMJPM, van
DijkMK . The clinical
utility of the Maslach Burnout Inventory in a clinical population.
Psychol Assess2013;25:435–41.
