Digital Work-Focused Cognitive Behavioral Therapy for Adults with Anxiety and Depression on Sick Leave in Specialist Mental Health Care

What this Trial Is About

Mental health disorders such as major depression and anxiety are common among working-age adults and significantly impact work participation and productivity. These disorders, often called common mental disorders CMD, are a leading cause of sick leave, accounting for 30% of all sick leave in Norway as of 2024. This research evaluates a new digital transdiagnostic work-focused cognitive behavioral therapy CBT program designed specifically for patients with CMD on sick leave or work assessment allowance, aiming to improve return to work and symptom management. The study involves a digital work-focused CBT program consisting of seven modules with psychoeducational content, imagery, and tailored tasks based on traditional CBT principles. Treatment is delivered by trained eTherapists through asynchronous messages, with phone or face-to-face contact if needed. Participants receive a one-day introduction to the program and have access to the treatment platform for six months after completing the 12-week program. Following treatment, a concluding session determines further care needs. Participants undergo assessments at baseline, 6 weeks, 12 weeks, 6 months, and 12 months, including self-reported sick leave, return to work self-efficacy, anxiety, depression, social adjustment, and negative effects. Weekly monitoring of suicidal risk is conducted using specific questionnaires. A subgroup will participate in interviews to explore user experience and treatment impact. The total study duration includes treatment and follow-up periods, with data collected on treatment adherence, user behavior, and clinical outcomes.

eBehandling - Health and Work for Patients in Specialist Mental Health Care