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Occup Environ Med 60:3-9 doi:10.1136/oem.60.1.3
  • Review

Reducing work related psychological ill health and sickness absence: a systematic literature review

Table 4

Summary of studies of interventions

Study Participants Design Response rate Intervention Outcomes Results
Gronningsaeter et al, 199249 76 physically inactive Norwegian insurance workers Stratified RCT 72% 6 sessions aerobic exercise per week for 10 weeks or 3 sessions stress management training per week for 10 weeks Anxiety (STAI) and health complaints No association of either intervention with anxiety. Aerobic exercise associated with reduced health complaints (F=3.4, p=0.07 compared to controls, and F=4.8, p<0.05 compared to stress management intervention)
Heaney et al, 199550 1375 US residential care workers Cluster RCT 62% 6 × 4 hour sessions over 9 weeks to teach skills to enhance social support and problem solving Depression (SCL-90R) For those most at risk of leaving their jobs, R2=0.41, p<0.01
Kagan et al, 199551 373 US fire department workers Randomised, uncontrolled Not reported 42 weeks of 7 psycho-educational programmes, 6 weeks each Anxiety, depression, psychological strain, emotional burnout Compared to baseline, F=52.3, 42.2, 29.1, 10.6 respectively; p<0.001 for all. At 9–16 month follow up, F=4.8 (p<0.05), 8.7 (p<0.01), 21.4 (p<0.001), 45.2 (p<0.001) respectively
Lokk and Arnetz, 199752 26 Swedish hospital ward workers RCT 93% 20 weekly 1 hour stress management sessions Stress hormone (prolactin) level Change scores: Intervention group −0.58 Control group +1.85 F=7.3, p<0.01
Malcolm et al, 199353 604 UK long term sick local government workers Observational 100% Early referral to Occupational Health Duration of sickness absence (weeks) 25 weeks in intervention period compared to 40 in control period
Smoot and Gonzales, 199554 65 US hospital workers Matched controlled 90% 4 weekly 8 hour sessions of communication training Sick leave (hours) in 6 months after compared to 6 months before % change: −28.2 in experimental group, −6.4 in control group

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