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Computerized cognitive behavioural therapy at work: a randomized controlled trial in employees with

01 Aug
Researchers at the Occupational Health & Safety Unit at Royal Free Hospital in London conducted a randomized, controlled, clinical trial to evaluate the effect of an 8 week computerized cognitive behavioural therapy programme, ''Beating The Blues'', on emotional distress in employees with recent stress-related absenteeism, and to explore the reasons for non-participation.

Forty-eight public sector employees, with 10 or more cumulative days of stress-related absenteeism in the previous 6 months, were randomized equally to ''Beating The Blues'' plus conventional care, or conventional care alone. The main outcomes, measured at the end of treatment and at one, three and six months post-treatment, were scores from the Hospital Anxiety and Depression Scale and the Attributional Style Questionnaire.
The study found that at the end of treatment and 1 month later, adjusted mean depression scores and adjusted mean negative attributional style scores were significantly improved in the intervention group using ‘Beating the Blues’. One month post-treatment, adjusted mean anxiety scores were also significantly lower in this group. However, the differences were not statistically significant at 3 and 6 months post-treatment.
Non-participation was common and related to access problems, preference for other treatments, time commitment, scepticism about the intervention and the employer connection.

The study concludes that ''Beating The Blues'' may accelerate psychological recovery in employees with recent stress-related absenteeism. Greater flexibility and accessibility might improve uptake.

Citation: Grime PR. Computerized cognitive behavioural therapy at work: a randomized controlled trial in employees with recent stress-related absenteeism. Occupational Medicine (Lond). 2004 Aug; 54 (5): pages 353-9. This email address is being protected from spambots. You need JavaScript enabled to view it.
Belleruth Naparstek

Psychotherapist, author and guided imagery pioneer Belleruth Naparstek is the creator of the popular Health Journeys guided imagery audio series. Her latest book on imagery and posttraumatic stress, Invisible Heroes: Survivors of Trauma and How They Heal (Bantam Dell), won the Spirituality & Health Top 50 Books Award