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Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial
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...
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| Published in: | International journal of behavioral medicine 2009, Vol.16 (3), p.294-303 |
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| Main Authors: | , , , , , , , , |
| Format: | Article |
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| cited_by | cdi_FETCH-LOGICAL-c481t-1ffe4ead2ccacaec22e2d89889070aa3799fca82bc94d3cc583aa38912beeff43 |
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| cites | cdi_FETCH-LOGICAL-c481t-1ffe4ead2ccacaec22e2d89889070aa3799fca82bc94d3cc583aa38912beeff43 |
| container_end_page | 303 |
| container_issue | 3 |
| container_start_page | 294 |
| container_title | International journal of behavioral medicine |
| container_volume | 16 |
| creator | Stenlund, Therese Ahlgren, Christina Lindahl, Bernt Burell, Gunilla Steinholtz, Katarina Edlund, Curt Nilsson, Leif Knutsson, Anders Slunga Birgander, Lisbeth |
| description | 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. |
| doi_str_mv | 10.1007/s12529-008-9011-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_DiVA_org_uu_139540</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1868303491</sourcerecordid><originalsourceid>FETCH-LOGICAL-c481t-1ffe4ead2ccacaec22e2d89889070aa3799fca82bc94d3cc583aa38912beeff43</originalsourceid><addsrcrecordid>eNqNks9u1DAQxiMEoqXwAFyQxZmA7cTE5rYN5Y-0UmG7cLUcZ7KdktiLnWxVTjwEr8CL8SR4lRU9IfXk8czP34xHX5Y9ZfQlo7R6FRkXXOWUylxRxvLqXnbMRMHzSgh5P8W0orkQtDjKHsV4RSkVVUUfZkdMsVJWr8Vx9rv2G4cj7qC_IecBwY3QklO4NDv0wfRklcIGexzNiN4RdKT2Q4Nuvl7jeEk-48a7Del8IJ9SOklEkmrLlMzXEAZygfYbWYLZQVK2ZopAfEdOp-D8NL4hq7OL9Z-fvxZkZVzrB_yRJqh7dGhT_3VA0z_OHnSmj_DkcJ5kX96dresP-fL8_cd6scxtKdmYs66DEkzLrTXWgOUceCuVlCotwpiiUqqzRvLGqrItrBWySFmpGG8Auq4sTrIXs268hu3U6G3AwYQb7Q3qt_h1oX3Y6GnSrFCipHfEh8TLsrgjPuDktBRMJvz5jG-D_z5BHPWVTytL_9ecS8olL6sEsRmywccYoPunyqjem0TPJtHJJHpvEr1_8-wgPDUDtLcvDq5IAD8MmkpuA-G28_9V_wIKBMxJ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>228028247</pqid></control><display><type>article</type><title>Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial</title><source>EBSCOhost SPORTDiscus with Full Text</source><source>Springer Nature</source><creator>Stenlund, Therese ; Ahlgren, Christina ; Lindahl, Bernt ; Burell, Gunilla ; Steinholtz, Katarina ; Edlund, Curt ; Nilsson, Leif ; Knutsson, Anders ; Slunga Birgander, Lisbeth</creator><creatorcontrib>Stenlund, Therese ; Ahlgren, Christina ; Lindahl, Bernt ; Burell, Gunilla ; Steinholtz, Katarina ; Edlund, Curt ; Nilsson, Leif ; Knutsson, Anders ; Slunga Birgander, Lisbeth</creatorcontrib><description>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.</description><identifier>ISSN: 1070-5503</identifier><identifier>ISSN: 1532-7558</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1007/s12529-008-9011-7</identifier><identifier>PMID: 19148765</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Breathing Exercises ; Burnout ; Burnout, Professional - psychology ; Burnout, Professional - rehabilitation ; Clinical trials ; Cognition & reasoning ; Cognitive Therapy ; Combined Modality Therapy ; Comorbidity ; Comparative analysis ; Complementary Therapies ; Family Medicine ; Female ; Folkhälsomedicinska forskningsområden ; Follow-Up Studies ; General Practice ; Health Psychology ; Humans ; Male ; MEDICIN ; MEDICINE ; Medicine & Public Health ; Middle Aged ; Neuroses ; Obsessive-Compulsive Disorder - psychology ; Obsessive-Compulsive Disorder - rehabilitation ; Public health medicine research areas ; Randomized controlled trials ; Referral and Consultation ; Rehabilitation ; Rehabilitation, Vocational ; Sick Leave ; Social medicine ; Socialmedicin ; Studies</subject><ispartof>International journal of behavioral medicine, 2009, Vol.16 (3), p.294-303</ispartof><rights>International Society of Behavioral Medicine 2008</rights><rights>Copyright Routledge Sep 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-1ffe4ead2ccacaec22e2d89889070aa3799fca82bc94d3cc583aa38912beeff43</citedby><cites>FETCH-LOGICAL-c481t-1ffe4ead2ccacaec22e2d89889070aa3799fca82bc94d3cc583aa38912beeff43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19148765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-8518$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-18430$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-139540$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Stenlund, Therese</creatorcontrib><creatorcontrib>Ahlgren, Christina</creatorcontrib><creatorcontrib>Lindahl, Bernt</creatorcontrib><creatorcontrib>Burell, Gunilla</creatorcontrib><creatorcontrib>Steinholtz, Katarina</creatorcontrib><creatorcontrib>Edlund, Curt</creatorcontrib><creatorcontrib>Nilsson, Leif</creatorcontrib><creatorcontrib>Knutsson, Anders</creatorcontrib><creatorcontrib>Slunga Birgander, Lisbeth</creatorcontrib><title>Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial</title><title>International journal of behavioral medicine</title><addtitle>Int.J. Behav. Med</addtitle><addtitle>Int J Behav Med</addtitle><description>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.</description><subject>Adult</subject><subject>Breathing Exercises</subject><subject>Burnout</subject><subject>Burnout, Professional - psychology</subject><subject>Burnout, Professional - rehabilitation</subject><subject>Clinical trials</subject><subject>Cognition & reasoning</subject><subject>Cognitive Therapy</subject><subject>Combined Modality Therapy</subject><subject>Comorbidity</subject><subject>Comparative analysis</subject><subject>Complementary Therapies</subject><subject>Family Medicine</subject><subject>Female</subject><subject>Folkhälsomedicinska forskningsområden</subject><subject>Follow-Up Studies</subject><subject>General Practice</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Male</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neuroses</subject><subject>Obsessive-Compulsive Disorder - psychology</subject><subject>Obsessive-Compulsive Disorder - rehabilitation</subject><subject>Public health medicine research areas</subject><subject>Randomized controlled trials</subject><subject>Referral and Consultation</subject><subject>Rehabilitation</subject><subject>Rehabilitation, Vocational</subject><subject>Sick Leave</subject><subject>Social medicine</subject><subject>Socialmedicin</subject><subject>Studies</subject><issn>1070-5503</issn><issn>1532-7558</issn><issn>1532-7558</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqNks9u1DAQxiMEoqXwAFyQxZmA7cTE5rYN5Y-0UmG7cLUcZ7KdktiLnWxVTjwEr8CL8SR4lRU9IfXk8czP34xHX5Y9ZfQlo7R6FRkXXOWUylxRxvLqXnbMRMHzSgh5P8W0orkQtDjKHsV4RSkVVUUfZkdMsVJWr8Vx9rv2G4cj7qC_IecBwY3QklO4NDv0wfRklcIGexzNiN4RdKT2Q4Nuvl7jeEk-48a7Del8IJ9SOklEkmrLlMzXEAZygfYbWYLZQVK2ZopAfEdOp-D8NL4hq7OL9Z-fvxZkZVzrB_yRJqh7dGhT_3VA0z_OHnSmj_DkcJ5kX96dresP-fL8_cd6scxtKdmYs66DEkzLrTXWgOUceCuVlCotwpiiUqqzRvLGqrItrBWySFmpGG8Auq4sTrIXs268hu3U6G3AwYQb7Q3qt_h1oX3Y6GnSrFCipHfEh8TLsrgjPuDktBRMJvz5jG-D_z5BHPWVTytL_9ecS8olL6sEsRmywccYoPunyqjem0TPJtHJJHpvEr1_8-wgPDUDtLcvDq5IAD8MmkpuA-G28_9V_wIKBMxJ</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Stenlund, Therese</creator><creator>Ahlgren, Christina</creator><creator>Lindahl, Bernt</creator><creator>Burell, Gunilla</creator><creator>Steinholtz, Katarina</creator><creator>Edlund, Curt</creator><creator>Nilsson, Leif</creator><creator>Knutsson, Anders</creator><creator>Slunga Birgander, Lisbeth</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DG5</scope><scope>D93</scope><scope>DF2</scope></search><sort><creationdate>2009</creationdate><title>Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial</title><author>Stenlund, Therese ; Ahlgren, Christina ; Lindahl, Bernt ; Burell, Gunilla ; Steinholtz, Katarina ; Edlund, Curt ; Nilsson, Leif ; Knutsson, Anders ; Slunga Birgander, Lisbeth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-1ffe4ead2ccacaec22e2d89889070aa3799fca82bc94d3cc583aa38912beeff43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Breathing Exercises</topic><topic>Burnout</topic><topic>Burnout, Professional - psychology</topic><topic>Burnout, Professional - rehabilitation</topic><topic>Clinical trials</topic><topic>Cognition & reasoning</topic><topic>Cognitive Therapy</topic><topic>Combined Modality Therapy</topic><topic>Comorbidity</topic><topic>Comparative analysis</topic><topic>Complementary Therapies</topic><topic>Family Medicine</topic><topic>Female</topic><topic>Folkhälsomedicinska forskningsområden</topic><topic>Follow-Up Studies</topic><topic>General Practice</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>MEDICIN</topic><topic>MEDICINE</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neuroses</topic><topic>Obsessive-Compulsive Disorder - psychology</topic><topic>Obsessive-Compulsive Disorder - rehabilitation</topic><topic>Public health medicine research areas</topic><topic>Randomized controlled trials</topic><topic>Referral and Consultation</topic><topic>Rehabilitation</topic><topic>Rehabilitation, Vocational</topic><topic>Sick Leave</topic><topic>Social medicine</topic><topic>Socialmedicin</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stenlund, Therese</creatorcontrib><creatorcontrib>Ahlgren, Christina</creatorcontrib><creatorcontrib>Lindahl, Bernt</creatorcontrib><creatorcontrib>Burell, Gunilla</creatorcontrib><creatorcontrib>Steinholtz, Katarina</creatorcontrib><creatorcontrib>Edlund, Curt</creatorcontrib><creatorcontrib>Nilsson, Leif</creatorcontrib><creatorcontrib>Knutsson, Anders</creatorcontrib><creatorcontrib>Slunga Birgander, Lisbeth</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Mittuniversitetet</collection><collection>SWEPUB Umeå universitet</collection><collection>SWEPUB Uppsala universitet</collection><jtitle>International journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stenlund, Therese</au><au>Ahlgren, Christina</au><au>Lindahl, Bernt</au><au>Burell, Gunilla</au><au>Steinholtz, Katarina</au><au>Edlund, Curt</au><au>Nilsson, Leif</au><au>Knutsson, Anders</au><au>Slunga Birgander, Lisbeth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial</atitle><jtitle>International journal of behavioral medicine</jtitle><stitle>Int.J. Behav. Med</stitle><addtitle>Int J Behav Med</addtitle><date>2009</date><risdate>2009</risdate><volume>16</volume><issue>3</issue><spage>294</spage><epage>303</epage><pages>294-303</pages><issn>1070-5503</issn><issn>1532-7558</issn><eissn>1532-7558</eissn><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.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>19148765</pmid><doi>10.1007/s12529-008-9011-7</doi><tpages>10</tpages></addata></record> |
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| ispartof | International journal of behavioral medicine, 2009, Vol.16 (3), p.294-303 |
| issn | 1070-5503 1532-7558 1532-7558 |
| language | eng |
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| source | EBSCOhost SPORTDiscus with Full Text; Springer Nature |
| subjects | Adult Breathing Exercises Burnout Burnout, Professional - psychology Burnout, Professional - rehabilitation Clinical trials Cognition & reasoning Cognitive Therapy Combined Modality Therapy Comorbidity Comparative analysis Complementary Therapies Family Medicine Female Folkhälsomedicinska forskningsområden Follow-Up Studies General Practice Health Psychology Humans Male MEDICIN MEDICINE Medicine & Public Health Middle Aged Neuroses Obsessive-Compulsive Disorder - psychology Obsessive-Compulsive Disorder - rehabilitation Public health medicine research areas Randomized controlled trials Referral and Consultation Rehabilitation Rehabilitation, Vocational Sick Leave Social medicine Socialmedicin Studies |
| title | Cognitively Oriented Behavioral Rehabilitation in Combination with Qigong for Patients on Long-Term Sick Leave Because of Burnout: REST—A Randomized Clinical Trial |
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