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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 3/2009

01-09-2009

Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial

Authors: Therese Stenlund, Christina Ahlgren, Bernt Lindahl, Gunilla Burell, Katarina Steinholtz, Curt Edlund, Leif Nilsson, Anders Knutsson, Lisbeth Slunga Birgander

Published in: International Journal of Behavioral Medicine | Issue 3/2009

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Abstract

Background

Despite an increase in the occurrence of burnout, there is no agreement on what kind of rehabilitation these patients should be offered.

Purpose

Primary aim of this study was to evaluate effects on psychological variables and sick leave rates by two different group rehabilitation programs for patients on long-term sick leave because of burnout. Rehabilitation program A (Cognitively oriented Behavioral Rehabilitation (CBR) and Qigong) was compared with rehabilitation program B (Qigong only).

Method

In a randomized clinical trial, 96 women and 40 men with a mean age of 41.6 ± 7.4 years were allocated to one of the two rehabilitation programs.

Results

A per-protocol analysis showed no significant difference in treatment efficacy between the groups. Both groups improved significantly over time with reduced levels of burnout, self-rated stress behavior, fatigue, depression, anxiety, obsessive–compulsive symptoms, and sick leave rates. In an intention-to-treat analysis, patients in program A had fewer obsessive–compulsive symptoms and larger effect sizes in self-rated stress behavior and obsessive–compulsive symptoms compared to patients in program B.

Conclusion

This study showed no differences in effect between CBR and Qigong compared with Qigong only in a per-protocol analysis. Both rehabilitation programs showed positive effect for patients with burnout.
Literature
1.
Maslach C, Jackson S, Leiter M. Maslach Burnout Inventory manual. Third ed. Palo Alto, California: Consulting Psychologists; 1996.
2.
Shirom A. Burnout in work organizations. International Review of Industrial and Organizational Psychology. New York: Wiley; 1989. p. 25–48.
3.
Schaufeli W, Enzmann D. The burnout companion to study & practice: a critical analysis.London: Taylor & Francis; 1998.
4.
Ekstedt M, Fagerberg I. Lived experiences of the time preceding burnout. J Adv Nurs. 2005;49(1):59–67.PubMedCrossRef
5.
Kushnir T, Melamed S. The Gulf War and its impact on burnout and well-being of working civilians. Psychol Med. 1992;22:987–95.PubMedCrossRef
6.
Pines A. Marriage burnout: a new conceptual framework for working with couples. Psychother Priv Pract. 1987;5:31–44.CrossRef
7.
Stenlund T, Ahlgren C, Lindahl B, Burell G, Knutsson A, Stegmayr B, Slunga Birgander L. Patients with burnout in relation to gender and a general population. Scand J Public Health. 2007;35:516–23.PubMedCrossRef
8.
Hallsten L, Bellaagh K, Gustafsson K. Utbränning i Sverige-en populationsstudie. (Burnout in Sweden—a population study). Arbete & Hälsa, 6. Stockholm: National Institute for Working Life; 2002. (in Swedish).
9.
Lindblom KM, Linton SJ, Fedeli C, Bryngelsson IL. Burnout in the working population: relations to psychosocial work factors. Int J Behav Med. 2006;13(1):51–9.PubMedCrossRef
10.
Soares J, Grossi G, Sundin Ö. Burnout among women: associations with demographic/socio-economic, work, life-style and health factors. Arch Womens Ment Health. 2007;10:61–71.PubMedCrossRef
11.
Cohen-Katz J, Wiley S, Capuano T, Baker D, Shapiro S. The effects of mindfulness-based stress reduction on nurse stress and burnout, part II. Holist Nurs Pract. 2005;19(1):26–35.PubMed
12.
Granath J, Ingvarsson S, Von Thiele U, Lundberg U. Stress management: a randomized study of cognitive behavioural therapy and yoga. Cogn Behav Ther. 2006;35(1):3–10.PubMedCrossRef
13.
Hasson D, Anderberg UM, Theorell T, Arnetz B. Psychophysiological effects of a web-based stress management system: a prospective, randomized controlled intervention study of IT and media workers. BMC Public Health. 2005;5(78):1–14.
14.
Rowe M. Skills training in the long-term management of stress and occupational burnout. Curr Psychol. 2000;19(3):215–28.CrossRef
15.
Van Rhenen W, Blonk R, Van Der Klink J, Van Dijk F, Schaufeli W. The effect of a cognitive and physical stress-reducing programme on psychological complaints. Int Arch Occup Environ Health. 2005;78:139–48.PubMedCrossRef
16.
Blonk R, Brenninkmeijer V, Lagerveld S, Houtman I. Return to work: a comparison of two cognitive behavioural interventions in cases of work-related psychological complaints among the self-employed. Work Stress. 2006;20(2):129–44.CrossRef
17.
Brattberg G. Internet-based rehabilitation for individuals with chronic pain and burnout: a randomized trial. Int J Rehabil Res. 2006a;29:221–7.PubMedCrossRef
18.
Heiden M, Lyskov E, Nakata M, Sahlin K, Sahlin T, Barnekow-Bergkvist M. Evaluation of cognitive behavioural training and physical activity for patients with stress-related illness: a randomized controlled study. J Rehabil Med. 2007;39:366–73.PubMedCrossRef
19.
Brattberg G. Internet-based rehabilitation for individuals with chronic pain and burnout II: a long-term follow-up. Int J Rehabil Res. 2007;30:231–4.PubMedCrossRef
20.
Michie S, Williams S. Reducing work related psychological ill health and sickness absence: a systematic literature review. Occup Environ Med. 2003;60:3–9.PubMedCrossRef
21.
Mimura C, Griffiths P. The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review. Occup Environ Med. 2003;60:10–5.PubMedCrossRef
22.
Van Der Klink J, Blonk R, Schene A, Van Dijk F. The benefits of interventions for work-related stress. Am J Public Health. 2001;91(2):270–6.PubMedCrossRef
23.
Sancier K. Medical applications of Qigong. Altern Ther Health Med. 1996;2(1):40–6.PubMed
24.
Lee M, Ryu H, Chung H. Stress management by psychosomatic training: effects of ChunDoSunBup Qi-training on symptoms of stress: a cross-sectional study. Stress Med. 2000;16:161–6.CrossRef
25.
Skoglund L, Jansson E. Qigong reduces stress in computer operators. Complement Ther Clin Pract. 2007;13:78–84.PubMedCrossRef
26.
Lee M, Kang C, Lim H, Lee M. Effects of Qi-training on anxiety and plasma concentrations of cortisol, ACTH, and aldosterone: a randomized placebo-controlled pilot study. Stress Health. 2004;20:243–8.CrossRef
27.
Tsang H, Fung K, Chan A, Lee G, Chan F. Effect of a Qigong exercise programme on elderly with depression. Int J Geriatr Psychiatry. 2006;21:890–7.PubMedCrossRef
28.
Stenlund T, Lindström B, Granlund M, Burell G. Cardiac rehabilitation for the elderly: Qi Gong and group discussions. Eur J Cardiovasc Prev Rehabil. 2005;12:5–11.PubMedCrossRef
29.
Melamed S, Kushnir T, Shirom A. Burnout and risk factors for cardiovascular diseases. Behav Med. 1992;18:53–60.PubMed
30.
Melamed S, Ugarten U, Shirom A, Kahana L, Lerman Y, Froom P. Chronic burnout, somatic arousal and elevated salivary cortisol levels. J Psychosom Res. 1999;46:591–8.PubMedCrossRef
31.
32.
Bergdahl J, Larsson A, Nilsson LG, Riklund Åhlström K, Nyberg L. Treatment of chronic stress in employees: subjective, cognitive and neural correlates. Scand J Psychol. 2005;46:395–402.PubMedCrossRef
33.
Grossi G, Perski A, Evengård B, Blomkvist V, Orth-Gomér K. Physiological correlates of burnout among women. J Psychosom Res. 2003;55:309–16.PubMedCrossRef
34.
Claesson M, Slunga Birgander L, Lindahl B, Nasic S, Åström M, Asplund K, Burell G. Women’s hearts–stress management for women with ischemic heart disease. J Cardiopulm Rehabil. 2005;25:93–102.PubMedCrossRef
35.
Beurskens A, Bultmann U, Kant I, Vercoulen J, Bleijenberg G, Swaen G. Fatigue among working people: validity of a questionnaire measure. Occup Environ Med. 2000;57:353–7.PubMedCrossRef
36.
Mattila-Evenden M, Svanborg P, Gustavsson P, Åsberg M. Determinants of self-rating and expert rating concordance in psychiatric out-patients, using the affective subscales of the CPRS. Acta Psychiatr Scand. 1996;94:386–96.PubMedCrossRef
37.
Svanborg P, Åsberg M. A new self-rating scale for depression and anxiety states based on the Comprehensive Psychopathological Rating Scale. Acta Psychiatr Scand. 1994;89:21–8.PubMedCrossRef
38.
Dawson-Saunders B, Trapp RG. Basic & clinical biostatistics. East Norwalk, Connecticut: Appleton & Lange; 1994.
39.
Jensen IB, Bergström G, Ljungquist T, Bodin L, Nygren ÅL. A randomized controlled component analysis of a behavioral medicine rehabilitation program for chronic spinal pain: are the effects dependent on gender? Pain. 2001;91:65–78.PubMedCrossRef
40.
Engström LG, Janson S. Stress-related sickness absence and return to labour market in Sweden. Disabil Rehabil. 2007;29(5):411–6.PubMedCrossRef
41.
Lund T, Kivimäki M, Labriola M, Villadsen E, Christensen KB. Using administrative sickness absence data as a marker of future disability pension: the prospective DREAM study of Danish private sector employees. Occup Environ Med. 2008;65:28–31.PubMedCrossRef
42.
Brattberg G. PTSD and ADHD: underlying factors in many cases of burnout. Stress Health. 2006b;22:305–13.CrossRef
Metadata
Title
Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial
Authors
Therese Stenlund
Christina Ahlgren
Bernt Lindahl
Gunilla Burell
Katarina Steinholtz
Curt Edlund
Leif Nilsson
Anders Knutsson
Lisbeth Slunga Birgander
Publication date
01-09-2009
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 3/2009
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-008-9011-7

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