Open Clinical Trial of CBT-based Multiprofessional Rehabilitation for Exhaustion Disorder

Uppsala University

Status

Completed

Conditions

Adjustment Disorders

Burnout, Professional

Exhaustion; Syndrome

Burnout Syndrome

Treatments

Behavioral: Multi-professional CBT-rehabilitation

Study type

Interventional

Funder types

Other

Identifiers

NCT03360136

2016/1834- 31/2

Details and patient eligibility

About

Stress-related mental disorders are today the leading cause of long-term sick leave in Sweden, and a large part of this increase is due to Clinical burnout, in Sweden called "Exhaustion disorder" (ED). Even though clinical guidelines recommend multi-professional rehabilitation (MPR) for ED, few studies have evaluated the effects of these treatment programs in clinical practice. This large-scale open clinical trial investigates whether MPR for ED seems to alleviate symptoms of ED and if it results in return-to-work.

Full description

This study is carried out at two specialized stress rehabilitation centers in Stockholm. All patients included in the clinics stress rehabilitation program are asked to participate in the study and are recruited consecutively from October 2017 throughout December 2018. An estimate of 400 patients will be included. The treatment program is a 24-week Multiprofessional standardized CBT-rehabilitation consisting of a nine-session CBT group treatment (stress management) followed by a seven-session group treatment in applied relaxation. Parallel to the group treatments patients receives nine sessions of individual CBT, three visits to an MD (for medication, follow-up, and sick-listing), two individual sessions to a physiotherapist and a three session-exercise group. Also, vocational measures are taken through rehabilitation meetings together with the patient's employer (if an employer exists). Primary treatment outcomes will be return-to-work (RTW) and symptoms of ED, anxiety, and depression. Secondary treatment outcomes will be quality of life, pathological worry, psychological flexibility, clinical perfectionism, insomnia, burnout, and symptoms. Predictors of symptom development and RTW will be explored. Also, comorbidity of chronic pain, negative effects of psychotherapy and treatment credibility will be investigated.

Enrollment

1,000 patients

Sex

All

Ages

18 to 64 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Confirmed exhaustion disorder according to criteria established by the Swedish National Board of Health and Welfare
18 - 64 years of age
Considered suitable for multimodal rehabilitation in group
Self-rating of > 4,5 på SMBQ

Exclusion criteria