At Work and Coping - Effect Study of Workcoping for Patients With Anxiety and Depression

Study Overview
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Brief Summary
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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.

Official Title
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At Work and Coping - Effect Evaluation of Center for Workcoping for Patients With Anxiety and Depression

Conditions
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Anxiety, Depression

Intervention / Treatment
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* Behavioral: Workcoping and IPS
* Behavioral: Ordinary care by GP or NAV


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Workcoping and IPS<br>CBT based counseling and supported employment | Behavioral: Workcoping and IPS<br>* 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)<br>* Other names: Cognitive Counseling;|
| Active Comparator: Ordinary care by GP or NAV<br>Ordinary care by GP or The Norwegian Labour and Welfare Administration (NAV) | Behavioral: Ordinary care by GP or NAV<br>* Ordinary care by the participants physician or the local Labour and Welfare Administration<br>* Other names: Treatment as usual;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sick leave data | The primary outcome of the study is return to work measured through register data. | One year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Psychopathology | Secondary outcomes are reductions in psychopathology measured through validated questionnaires (e.g. HADS). | 6 and 12 months of follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Anxiety, Depression, Vocational Rehabilitation, Common Mental Disorders, Mental Health Problems, Work Related Therapy