There are RCTs from the Netherlands comparing sick-listed employees with major depression receiving treatment as usual to those receiving treatment as usual along with adjuvant occupational therapy. However, no RCT focusing on well-being related to activities in everyday life in those with depression and/or anxiety disorders has been identified. Randomised controlled trials (RCTs) of patients with depression and anxiety disorders being treated with internet cognitive behavioural therapy (iCBT) showed that iCBT compared to a waiting list was more effective regarding psychological symptoms and functional impairment. It is common that people suffering from depression also have symptoms of anxiety and vice versa. This highlights the need for interventions, and evidence for these, that support the individual by enhancing well-being related to activities in everyday life in terms of performance of, and satisfaction with performance of activities in relation to self-care, productivity at home and at work, leisure, and social relationships. Despite this, there is a lack of interventions focusing on well-being in everyday life, even though there is some research based on well-being in relation to quality of life. Even though the Swedish National Board of Health and Welfare recommends medication and Cognitive Behavioural Therapy (CBT) as treatments to decrease symptoms of depression and anxiety, they also state that a satisfying everyday life along with having a sufficient social network is just as important. Engagement in everyday life is of importance for the individual’s health and well-being, and this means being involved in a variety of meaningful activities in everyday life, i.e. Symptoms like low mood and anhedonia, worried thoughts, and feelings of tension might cause problems in the individual’s everyday life at home, at work, and during leisure time. About 25% of the general population will be affected by anxiety disorders at some point in life.
In Sweden, the lifetime risk of being affected by depression is 36% for women and 23% for men.
#ARTICLE SUBMISSION SITES 2018 FOR ANXIETY TRIAL#
Trial registrationĬlinical : NCT01980381 registered November 2013.ĭepression and anxiety disorders are a major concern in western countries, impacting on the individual, their family, and the individual’s role in society. Conclusionsĭespite the lack of differences between the groups, the positive outcomes regarding activities in everyday life, psychological symptoms, and health-related aspects after completing the intervention indicates the need for further research on the long-term perspective of TTM compared to regular occupational therapy. Both groups showed positive significant outcomes regarding almost all aspects of activities in everyday life, psychological symptoms, and health-related and intervention-related aspects.
No significant differences in short term outcomes were found between the groups. The questionnaires were answered by 118 patients at baseline and by 107 patients after completing the intervention. Non-parametric and parametric statistical methods were used. Assessment data were collected at baseline and the follow-up directly after completing the intervention. Men and women with depression and/or anxiety disorders, ages 18 to 65, were randomised to either TTM or regular occupational therapy.
This randomised controlled trial included patients from three counties in Sweden. The aim of this study was to compare the short term outcomes of the TTM intervention with regular occupational therapy treatment for people with depression and/or anxiety disorders. The Tree Theme Method® (TTM) is a client-centred occupational therapy intervention designed to increase the ability to cope with, and to enhance satisfaction with, everyday life, both at home and at work. Depression and anxiety disorders are a major concern in western countries, and because these often have a negative affect on everyday life interventions based on activities in everyday life are needed.
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