PDF(Pubmed)
Abstract：
BACKGROUND: Stress-induced exhaustion disorder (SED) is the most common reason for long-term sick leave in Sweden and the recovery process may be long and troublesome. This study explores the symptoms of burnout, depression and anxiety among patients with SED 10 years after termination of a multimodal rehabilitation program. Another aim of the study was to investigate work situation, work functioning, and any remaining exhaustion and sleeping disorders among those who were gainfully employed at the 10-year follow-up.
METHODS: This longitudinal study included 107 patients (91 women and 16 men), who had been diagnosed with SED 10 years prior to the study. After establishing the diagnosis they all underwent and completed an multimodal rehabilitation program. Data on symptoms of burnout, anxiety and depression were collected before and after the multimodal rehabilitation program, and at follow-ups after additional 1 year and an additional 10 years. At the 10-year follow-up, work situation, work functioning, and symptoms of exhaustion and sleep disorders were assessed in those who were gainfully employed (89 patients).
RESULTS: Symptoms of burnout, anxiety, and depression remained stable from the 1- to the 10-year follow-up after completed rehabilitation. Among participants who were gainfully employed, 73% had changed workplaces, and 31.5% had reduced their working hours. Common reasons for these changes were lack of energy or because they had chosen to prioritise their lives differently. Work functioning was rated as moderate, one third self-reported SED to some extent, and one fifth reported moderate-to-severe insomnia.
CONCLUSIONS: A relatively large proportion of former patients with SED have residual health problems 10 years after rehabilitation and some have not been able to return to full-time work. Preventive and early rehabilitative interventions with adjustments and measures at the organisational level are probably needed to achieve a more sustainable working life.
METHODS: This longitudinal study included 107 patients (91 women and 16 men), who had been diagnosed with SED 10 years prior to the study. After establishing the diagnosis they all underwent and completed an multimodal rehabilitation program. Data on symptoms of burnout, anxiety and depression were collected before and after the multimodal rehabilitation program, and at follow-ups after additional 1 year and an additional 10 years. At the 10-year follow-up, work situation, work functioning, and symptoms of exhaustion and sleep disorders were assessed in those who were gainfully employed (89 patients).
RESULTS: Symptoms of burnout, anxiety, and depression remained stable from the 1- to the 10-year follow-up after completed rehabilitation. Among participants who were gainfully employed, 73% had changed workplaces, and 31.5% had reduced their working hours. Common reasons for these changes were lack of energy or because they had chosen to prioritise their lives differently. Work functioning was rated as moderate, one third self-reported SED to some extent, and one fifth reported moderate-to-severe insomnia.
CONCLUSIONS: A relatively large proportion of former patients with SED have residual health problems 10 years after rehabilitation and some have not been able to return to full-time work. Preventive and early rehabilitative interventions with adjustments and measures at the organisational level are probably needed to achieve a more sustainable working life.
摘要：
背景：压力诱发的疲惫障碍（SED）是瑞典长期病假的最常见原因，并且恢复过程可能漫长而麻烦。这项研究探讨了倦怠的症状，多模式康复计划终止后10年SED患者的抑郁和焦虑。这项研究的另一个目的是调查工作情况，工作功能,以及在10年随访中有酬就业的人中任何剩余的疲惫和睡眠障碍。
方法：这项纵向研究包括107名患者（91名女性和16名男性），在研究前10年被诊断患有SED。在确定诊断后，他们都接受并完成了多模式康复计划。关于倦怠症状的数据，在多模式康复计划之前和之后收集焦虑和抑郁，以及额外1年和额外10年后的随访。在10年的随访中，工作情况,工作功能,并对有酬就业的患者(89例患者)进行了疲劳和睡眠障碍症状评估。
结果：倦怠的症状，焦虑,在完成康复后的1年至10年随访期间，抑郁症保持稳定。在有报酬的参与者中，73%的人改变了工作场所，31.5%的人减少了工作时间。这些变化的常见原因是缺乏能量，或者因为他们选择了不同的生活优先级。工作功能被评为中等，三分之一在某种程度上自我报告的SED，五分之一的人报告中度至重度失眠。
结论：相当大比例的以前患有SED的患者在康复10年后有残留的健康问题，有些患者无法恢复全职工作。可能需要在组织层面进行调整和措施的预防性和早期康复干预措施，以实现更可持续的工作生活。
方法：这项纵向研究包括107名患者（91名女性和16名男性），在研究前10年被诊断患有SED。在确定诊断后，他们都接受并完成了多模式康复计划。关于倦怠症状的数据，在多模式康复计划之前和之后收集焦虑和抑郁，以及额外1年和额外10年后的随访。在10年的随访中，工作情况,工作功能,并对有酬就业的患者(89例患者)进行了疲劳和睡眠障碍症状评估。
结果：倦怠的症状，焦虑,在完成康复后的1年至10年随访期间，抑郁症保持稳定。在有报酬的参与者中，73%的人改变了工作场所，31.5%的人减少了工作时间。这些变化的常见原因是缺乏能量，或者因为他们选择了不同的生活优先级。工作功能被评为中等，三分之一在某种程度上自我报告的SED，五分之一的人报告中度至重度失眠。
结论：相当大比例的以前患有SED的患者在康复10年后有残留的健康问题，有些患者无法恢复全职工作。可能需要在组织层面进行调整和措施的预防性和早期康复干预措施，以实现更可持续的工作生活。
