Evidence map›Paper›PMID 37067701›Full record

SynthesisJournal of occupational rehabilitation2024

The Effectiveness of Cognitive-Behavioral Therapy in Helping People on Sick Leave to Return to Work: A Systematic Review and Meta-analysis.

Huaying Xu, Jinxuan Cai, Rakshat Sawhney, Stephen Jiang, Nicholas Buys, Jing Sun

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of occupational rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. Observational
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  17. Impact of fatigue on work productivity and health-related job loss.Occupational medicine (Oxford, England) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Huaying XuSchool of Medicine and Dentistry, Griffith University, Nathan, Q4215, Australia.
Jinxuan CaiSchool of Medicine and Dentistry, Griffith University, Nathan, Q4215, Australia.
Rakshat SawhneySchool of Medicine and Dentistry, Griffith University, Nathan, Q4215, Australia.
Stephen JiangSchool of Medicine and Dentistry, Griffith University, Nathan, Q4215, Australia.
Nicholas BuysCentre for Work, Organisation and Wellbing, Griffith University, Nathan, Q4215, Australia.
Jing SunSchool of Medicine and Dentistry, Griffith University, Nathan, Q4215, Australia. j.sun@griffith.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevious research has systematically studied the effectiveness of Cognitive Behavioral Therapy (CBT)-based interventions in managing both mental and physical symptoms of chronic disease including depression, stress-related mental disorders (SMD), and chronic pain that are common causes of sick leave. However, a systematic review focusing on the effectiveness of CBT in facilitating RTW is lacking. This study compiles research on utilizing CBT-based interventions for helping employees on sick leave return to work.

methodsRandomized controlled trials (RCT) published between 1 January 1990 and 27 June 2022 were searched in MEDLINE, EMBASE, The Cochrane Library, Scopus, PsycINFO, Web of Science, and PubMed. The primary outcome variables included a return to work (RTW) measure and sickness absences. The secondary outcomes include psychological conditions (mental illness, stress, anxiety, and depression) and physical condition (working ability, fatigue, and physical function).

resultsThirty-four RCTs were included in the analysis. Fifteen RCTs with 1727 participants reported on sick leave. Results showed that participants who completed CBT intervention had reduced sick leave in days (mean reduction - 3.654; 95%CI - 5.253, - 2.046; p < 0.001) compared to the control group. Sixteen papers with 2298 participants reported that the intervention group RTW 1.5 days earlier (95%CI 1.019, 1.722; p < 0.05). CBT-based interventions were effective in managing fatigue, mental illness, and depression, and improving physical function while it showed no effects in managing stress, anxiety and working ability.

conclusionsThe findings indicate that CBT-based interventions are effective in reducing the length of sick leave and facilitating the RTW of employees in the intervention group.

Indexed as

Cognitive Behavioral TherapyReturn to WorkSick LeaveHumansRandomized Controlled Trials as TopicTreatment OutcomeCognitive behavioural therapyDepressionMusculoskeletal diseaseReturn-to-workSick leave

Identifiers

PMID37067701
PMCPMC10899273

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.