IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0176513.html
   My bibliography  Save this article

Evaluation of a transdiagnostic psychodynamic online intervention to support return to work: A randomized controlled trial

Author

Listed:
  • Rüdiger Zwerenz
  • Jan Becker
  • Katharina Gerzymisch
  • Martin Siepmann
  • Martin Holme
  • Ulrich Kiwus
  • Sieglinde Spörl-Dönch
  • Manfred E Beutel

Abstract

Objectives: Given their flexibility, online interventions may be useful as an outpatient treatment option to support vocational reintegration after inpatient rehabilitation. To that purpose we devised a transdiagnostic psychodynamic online intervention to facilitate return to work, focusing on interpersonal conflicts at the workplace often responsible for work-related stress. Research design and methods: In a randomized controlled trial, we included employed patients from cardiologic, psychosomatic and orthopedic rehabilitation with work-related stress or need for support at intake to inpatient rehabilitation after they had given written consent to take part in the study. Following discharge, maladaptive interpersonal interactions at the workplace were identified via weekly blogs and processed by written therapeutic comments over 12 weeks in the intervention group (IG). The control group (CG) received an augmented treatment as usual condition. The main outcome, subjective prognosis of gainful employment (SPE), and secondary outcomes (psychological complaints) were assessed by means of online questionnaires before, at the end of aftercare (3 months) and at follow-up (12 months). We used ITT analyses controlling for baseline scores and medical group. Results: N = 319 patients were enrolled into IG and N = 345 into CG. 77% of the IG logged in to the webpage (CG 74%) and 65% of the IG wrote blogs. Compared to the CG, the IG reported a significantly more positive SPE at follow-up. Measures of depression, anxiety and psychosocial stressors decreased from baseline to follow-up, whereas the corresponding scores increased in the CG. Correspondingly, somatization and psychological quality of life improved in the IG. Conclusions: Psychodynamic online aftercare was effective to enhance subjective prognosis of future employment and improved psychological complaints across a variety of chronic physical and psychological conditions, albeit with small effect sizes.

Suggested Citation

  • Rüdiger Zwerenz & Jan Becker & Katharina Gerzymisch & Martin Siepmann & Martin Holme & Ulrich Kiwus & Sieglinde Spörl-Dönch & Manfred E Beutel, 2017. "Evaluation of a transdiagnostic psychodynamic online intervention to support return to work: A randomized controlled trial," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-17, May.
    • Handle: RePEc:plo:pone00:0176513
    DOI: 10.1371/journal.pone.0176513
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0176513
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0176513&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0176513?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Roxana Dumitru & Thomas Bürkle & Sergej Potapov & Berthold Lausen & Birgit Wiese & Hans-Ulrich Prokosch, 2007. "Use and perception of Internet for health related purposes in Germany: results of a national survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 52(5), pages 275-285, October.
    2. Gavin Andrews & Pim Cuijpers & Michelle G Craske & Peter McEvoy & Nickolai Titov, 2010. "Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-6, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kai Sing Sun & Tai Pong Lam & Dan Wu, 2018. "Chinese perspectives on primary care for common mental disorders: Barriers and policy implications," International Journal of Social Psychiatry, , vol. 64(5), pages 417-426, August.
    2. Nicole Andrejek & Sabrina Hossain & Nour Schoueri-Mychasiw & Gul Saeed & Maral Zibaman & Angie K. Puerto Niño & Samantha Meltzer-Brody & Richard K. Silver & Simone N. Vigod & Daisy R. Singla, 2021. "Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    3. Nerea Almeda & Carlos R. García-Alonso & José A. Salinas-Pérez & Mencía R. Gutiérrez-Colosía & Luis Salvador-Carulla, 2019. "Causal Modelling for Supporting Planning and Management of Mental Health Services and Systems: A Systematic Review," IJERPH, MDPI, vol. 16(3), pages 1-20, January.
    4. Margrit Löbner & Janine Stein & Melanie Luppa & Markus Bleckwenn & Anja Mehnert-Theuerkauf & Steffi G. Riedel-Heller, 2022. "What Comes after the Trial? An Observational Study of the Real-World Uptake of an E-Mental Health Intervention by General Practitioners to Reduce Depressive Symptoms in Their Patients," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
    5. David Daniel Ebert & Anna-Carlotta Zarski & Helen Christensen & Yvonne Stikkelbroek & Pim Cuijpers & Matthias Berking & Heleen Riper, 2015. "Internet and Computer-Based Cognitive Behavioral Therapy for Anxiety and Depression in Youth: A Meta-Analysis of Randomized Controlled Outcome Trials," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-15, March.
    6. Toshi A Furukawa & Masaru Horikoshi & Norito Kawakami & Masayo Kadota & Megumi Sasaki & Yuki Sekiya & Hiroki Hosogoshi & Masami Kashimura & Kenichi Asano & Hitomi Terashima & Kazunori Iwasa & Minoru N, 2012. "Telephone Cognitive-Behavioral Therapy for Subthreshold Depression and Presenteeism in Workplace: A Randomized Controlled Trial," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-9, April.
    7. Elizabeth Stratton & Amit Lampit & Isabella Choi & Rafael A Calvo & Samuel B Harvey & Nicholas Glozier, 2017. "Effectiveness of eHealth interventions for reducing mental health conditions in employees: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-23, December.
    8. Sunah Kim & Go-Un Kim & Wongyeong Lee & Jinyoung Park, 2021. "Developing an Internet-Based Trauma Recovery Nursing Intervention Based on Swanson’s Theory of Caring for Trauma Recovery," IJERPH, MDPI, vol. 18(13), pages 1-13, June.
    9. David R. Cregg & Jennifer S. Cheavens, 2021. "Gratitude Interventions: Effective Self-help? A Meta-analysis of the Impact on Symptoms of Depression and Anxiety," Journal of Happiness Studies, Springer, vol. 22(1), pages 413-445, January.
    10. Kotaro Imamura & Norito Kawakami & Toshi A Furukawa & Yutaka Matsuyama & Akihito Shimazu & Rino Umanodan & Sonoko Kawakami & Kiyoto Kasai, 2014. "Effects of an Internet-Based Cognitive Behavioral Therapy (iCBT) Program in Manga Format on Improving Subthreshold Depressive Symptoms among Healthy Workers: A Randomized Controlled Trial," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-13, May.
    11. Alba Quilez-Orden & Vanesa Ferreres-Galán & Jorge Osma, 2020. "Feasibility and Clinical Usefulness of the Unified Protocol in Online Group Format for Bariatric Surgery Candidates: Study Protocol for a Multiple Baseline Experimental Design," IJERPH, MDPI, vol. 17(17), pages 1-18, August.
    12. Sanne P. A. Rasing & Yvonne A. J. Stikkelbroek & Wouter den Hollander & Ana Okorn & Denise H. M. Bodden, 2021. "Long Term Outcomes of Blended CBT Compared to Face-to-Face CBT and Treatment as Usual for Adolescents with Depressive Disorders: Analyses at 12 Months Post-Treatment," Social Sciences, MDPI, vol. 10(10), pages 1-13, October.
    13. Sanne P.A. Rasing & Yvonne A.J. Stikkelbroek & Wouter den Hollander & Heleen Riper & Maja Deković & Maaike H. Nauta & Daan H.M. Creemers & Marianne C.P. Immink & Mariken Spuij & Denise H.M. Bodden, 2021. "Pragmatic Quasi-Experimental Controlled Trial Evaluating the Outcomes of Blended CBT Compared to Face-to-Face CBT and Treatment as Usual for Adolescents with Depressive Disorders," IJERPH, MDPI, vol. 18(6), pages 1-17, March.
    14. Wouter Smink & Anneke M Sools & Janneke M van der Zwaan & Sytske Wiegersma & Bernard P Veldkamp & Gerben J Westerhof, 2019. "Towards text mining therapeutic change: A systematic review of text-based methods for Therapeutic Change Process Research," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-21, December.
    15. Shelley L. Craig & Vivian W. Y. Leung & Rachael Pascoe & Nelson Pang & Gio Iacono & Ashley Austin & Frank Dillon, 2021. "AFFIRM Online: Utilising an Affirmative Cognitive–Behavioural Digital Intervention to Improve Mental Health, Access, and Engagement among LGBTQA+ Youth and Young Adults," IJERPH, MDPI, vol. 18(4), pages 1-17, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0176513. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.