Lagerveld Clustered Dutch 67% Psychological Intervention: Intervention: - Symptom N = 208 et al. controlled employees on adjustment therapy Work-focused CBT, Individual therapist Checklist (2012) with sick leave disorder which was CBT delivered 12 (SCL-90) 12 month due to with a work context, sessions over 6 - Depression follow-up psychological plus an additional months anxiety and problems Stressor: Not module focusing on Control: Individual stress reported returning to work therapist delivered (DASS-21) 12 sessions over 6 Control: Manualised 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 stress levels. Powell & Case US military 100% Psychological CBT with the 13 sessions over Outcome N = 1 McCone study adjustment therapy following 12 months (2004) Age: 20 disorder with components: 45 (OQ-45) Male anxiety Cognitive impulse control Challenging Stressor: irrational beliefs Terrorism
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: Work-focused 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 (SCL-90) - 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 stress levels. Powell & McCone (2004) Case study US military Age: 20 Male 100% adjustment disorder with anxiety Stressor: Terrorism Psychological therapy CBT with the following components: Cognitive impulse control Challenging irrational beliefs 13 sessions over 12 months Outcome 45 (OQ-45) N = 1
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