Evidence map›Paper›PMID 41379752›Full record

ArticlePsychotherapy and psychosomatics2025

Effectiveness of Psychotherapeutic Consultation at Work Compared to Care as Usual for Employees with Common Mental Disorders or Subthreshold Symptoms: A Randomized Controlled Multicenter Trial in Germany.

Eva Rothermund-Nassir, Nicole Rosalinde Hander, Kristin Herrmann, Manuel Feißt, Alexandra Balzer, Yesim Erim, Regina Herold, Sinja Hondong, Christoph Kröger, Marieke Hansmann and 11 more

Abstract read
In one paragraph

Article in Psychotherapy and psychosomatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
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

21 authors.

Eva Rothermund-NassirDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany, eva.rothermund@uni-ulm.de.
Nicole Rosalinde HanderDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany, nicole.hander@uni-ulm.de.
Kristin HerrmannDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.
Manuel FeißtInstitute of Medical Biometry, Heidelberg University, Heidelberg, Germany.
Alexandra BalzerInstitute of Medical Biometry, Heidelberg University, Heidelberg, Germany.
Yesim ErimDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Regina HeroldDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Sinja HondongDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Christoph KrögerDepartment of Clinical Psychology and Psychotherapy, University of Hildesheim, Hildesheim, Germany.
Marieke HansmannDepartment of Clinical Psychology and Psychotherapy, University of Hildesheim, Hildesheim, Germany.
Uta WegewitzFederal Institute for Occupational Safety and Health, Division "Work and Health", Berlin, Germany.
Ute Beate SchröderFederal Institute for Occupational Safety and Health, Division "Work and Health", Berlin, Germany.
Tamara WaldmannDepartment of Psychiatry II, Section of Health Economics and Psychiatric Services Research, Ulm University and BKH Günzburg, Günzburg, Germany.
Nadine MulfingerDepartment of Psychiatry II, Section of Health Economics and Psychiatric Services Research, Ulm University and BKH Günzburg, Günzburg, Germany.
Volker KöllnerPsychosomatic Rehabilitation Research Group, Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité - Universitätsmedizin and Department of Psychosomatic Medicine, Rehabilitation Center Seehof, Federal German Pension Agency, Teltow, Germany.
Lorena BrennerPsychosomatic Rehabilitation Research Group, Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité - Universitätsmedizin and Department of Psychosomatic Medicine, Rehabilitation Center Seehof, Federal German Pension Agency, Teltow, Germany.
Fiona KohlInstitute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University, Düsseldorf, Germany.
Meike HemingInstitute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University, Düsseldorf, Germany.
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.
Jeannette WeberInstitute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University, Düsseldorf, Germany.
Peter AngererInstitute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University, Düsseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCommon mental disorders (CMDs) are often work-related, impact work ability and are undertreated. This trial investigates whether psychotherapeutic consultation at work (PT-A) is more effective than care as usual (CAU) in reducing days of sickness absence (DOSA) among affected employees.

methodsA randomized controlled trial (RCT) in five German study centers included employees with CMD or global assessment of functioning (GAF) <81, working ≥15 h/week, recruited via companies and media. After baseline, participants were randomized 1:1 to intervention (IG: up to 16 individual psychotherapy sessions over 9 months) or control (CG: diagnostic session + follow-up call) group. The primary outcome was self-reported DOSA in the last 6 months at 15 months post-baseline (T2). Analyses used intention-to-treat.

resultsFrom 09/2021 to 01/2023, 550 participants, 246 male, 301 female, and 1 diverse, were randomized to IG (n = 279) and CG (n = 270). A total of 403 participants (74%) were first-time users of mental health care. DOSA at T2 were 21 days (SD = 39) in the IG (n = 206) versus 22 days (SD = 39) in the CG (n = 161), no significant treatment effect was observed ([0.65; 1.32], p = 0.679).

conclusionPT-A did not significantly reduce DOSA compared to CAU. However, secondary outcomes showed considerable improvement of clinical symptoms such as depression, anxiety and return-to-work self-efficacy. Therefore, longer observation periods may be needed to assess the effects on DOSA. Moreover, compared to clinical experiences, the high number of men and first-time users indicate an improved accessibility for underserved groups of employees.

Indexed as

Brief psychotherapyDays of sickness absenceDepressionLow-thresholdPrevention

Identifiers

PMID41379752
PMCPMC12823097

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.