Lagerveld Clustered Dutch 67% adjustment Psychological Intervention: Intervention: - Symptom N = 208 et al. controlled employees on disorder therapy CBT, which Individual therapist Checklist (2012) with sick leave due was CBT with a work delivered 12 12 month to context, plus an sessions over 6 - Depression follow-up psychological Not additional module months anxiety and Stressor: problems reported focusing on returning Control: Individual stress to work therapist delivered (DASS-21) Control: Manualised 12 sessions over 6 CBT months While the intervention was more effective on return to work levels, it did not significantly differ from controls in the impact on mental health outcomes. Depression and anxiety levels significantly improved in both groups but there was no significant impact of either intervention or control on stress levels. Powell & Case US military 100% Psychological CBT with the 13 sessions over 12 Outcome N = 1 McCone study cadet adjustment therapy following months Questionnaire (2004) Age: 20 disorder with components: 45 (OQ-45) Male anxiety Cognitive impulse control Challenging irrational Stressor: beliefs Terrorism Stress management skills Relaxation training
Lagerveld et al. (2012) Clustered controlled with 12 month follow-up Dutch employees on sick leave due to psychological problems 67% adjustment disorder Stressor: Not reported Psychological therapy Intervention: CBT, which was CBT with a work context, plus an additional module focusing on returning to work Control: Manualised CBT Intervention: Individual therapist delivered 12 sessions over 6 months Control: Individual therapist delivered 12 sessions over 6 months - Symptom Checklist - Depression anxiety and stress (DASS-21) N = 208 While the intervention was more effective on return to work levels, it did not significantly differ from controls in the impact on mental health outcomes. Depression and anxiety levels significantly improved in both groups but there was no significant impact of either intervention or control on stress levels. Powell & McCone (2004) Case study US military cadet Age: 20 Male 100% adjustment disorder with anxiety Stressor: Terrorism Psychological therapy CBT with the following components: Cognitive impulse control Challenging irrational beliefs Stress management skills Relaxation training 13 sessions over 12 months Outcome Questionnaire 45 (OQ-45) N = 1
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