February/March 2013 (vol. 09/5)

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Research Plus

Adjustment disorders

Adjustment disorders (AD) – characterised by distress symptoms and emotional disturbance as a reaction to a significant life change or stressful life event – are a frequent cause of sickness absence. This Cochrane systematic review of psychological therapies for AD patients (nine included studies) found moderate evidence that problem-solving therapy significantly reduced time to partial return to work (RTW) (mean difference = -17.0 days; CI -26.5 to -7.5) but not full RTW at one-year follow-up. Cognitive behavioural therapy neither hastens partial (moderate evidence) nor full RTW (low quality evidence).


Cochrane Database of Systematic Reviews 2012; 12: CD006389. doi: 10.1002/14651858.CD006389.pub2. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006389.pub2/abstract


Occupational Health at Work February/March 2013 (vol. 09/5) pp41