Predicting return to work from health related welfare following low intensity cognitive behaviour therapy

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Kellett, S. ; Purdie, F. ; Bickerstaffe, D. ; Hopper, S. ; Scott, S. (2013)
  • Publisher: Elsevier

The aim of this study was to identify predictors of return to work in the short and long\ud term following condition management cognitive-behavioural therapy (CM-CBT). All\ud participants (N = 3794) were disability welfare claimants, unemployed due to the\ud presence of a physical or mental health condition. CM-CBT consisted of a seven\ud session group cognitive-behavioural psychoeducational programme, with participants\ud followed-up at 3 and 12-30 months. The primary employment outcome measure was\ud a categorical measure of either returned to work, made progress towards work or\ud remained on welfare. Results index an incremental progress and return to work rate,\ud increasing from 34.41 % at short-term follow-up to 53.07 % at long-term follow-up.\ud Clinically, 17.40 % were classed as recovered following CM-CBT. Reliable\ud psychological change during CM-CBT predicted successful return to work and\ud remaining on welfare was associated with psychological regression over time. The\ud results are discussed in terms of identified methodological weaknesses and the\ud potential of CBT in enabling return to work for the health related unemployed.
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