Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.
J Rehabil Med. 2012 Jul;44(8):684-90. doi: 10.2340/16501977-1003.
To evaluate the long-term effects of two different rehabilitation programmes for patients on long-term sick leave for burnout.
Three-year follow-up of a randomized controlled trial with two 1-year group programmes: (A) cognitively oriented behavioural rehabilitation in combination with Qigong; and (B) Qigong alone.
A total of 107 patients with burnout (78 women and 29 men), who all completed the 1-year rehabilitation programme per-protocol, were asked to participate in the follow-up.
At the 3-year follow-up, data on psychological measures, sick leave and use of medication were compared between the programmes.
Patients in programme A reported being significantly more recovered from their burnout (p = 0.02), reported lower levels of burnout (p = 0.035), used more cognitive tools learned from the programme (p < 0.001), and had reduced their use of medication for depression (p = 0.002). No significant differences were found between the groups in terms of sick leave rates; both groups had improved.
A multimodal rehabilitation including cognitively oriented behavioural rehabilitation and Qigong showed positive effects 3 years after the end of intervention. The results indicate that, for many burnout patients on sick-leave, it takes time to implement cognitive tools and to establish new behaviours.
评估两种不同康复方案对长期因 burnout 而请病假患者的长期效果。
一项随机对照试验的 3 年随访，该试验有两种为期 1 年的小组方案：（A）认知导向行为康复结合气功；和（B）单独气功。
共有 107 名 burnout 患者（78 名女性和 29 名男性），他们都按照方案完成了 1 年的康复计划，被要求参加随访。
在 3 年的随访中，对方案之间的心理测量、病假和药物使用数据进行了比较。
方案 A 的患者报告说，他们的 burnout 恢复程度显著更高（p=0.02），报告的 burnout 程度更低（p=0.035），更多地使用了从方案中学到的认知工具（p<0.001），并减少了抗抑郁药物的使用（p=0.002）。两组在病假率方面没有显著差异；两组都有所改善。
包括认知导向行为康复和气功在内的多模式康复在干预结束 3 年后显示出积极效果。结果表明，对于许多长期请病假的 burnout 患者来说，需要时间来实施认知工具和建立新的行为。
