umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rehabilitation for improved cognition in patients with stress-related exhaustion disorder: RECO – a randomized clinical trial
Umeå University, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0003-3256-9018
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.ORCID iD: 0000-0002-2402-562X
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Hvidovre, Denmark..ORCID iD: 0000-0002-4458-6475
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR).ORCID iD: 0000-0002-1812-3581
Show others and affiliations
2018 (English)In: Stress, ISSN 1025-3890, E-ISSN 1607-8888Article in journal (Refereed) Epub ahead of print
Abstract [en]

Stress-related exhaustion has been associated with selective and enduring cognitive impairments. However, little is known about how to address cognitive deficits in stress rehabilitation and how this influences stress recovery over time. The aim of this open-label, parallel randomized controlled trial (ClinicalTrials.gov: NCT03073772) was to investigate the long-term effects of 12 weeks cognitive or aerobic training on cognitive function, psychological health and work ability for patients diagnosed with exhaustion disorder (ED). One-hundred-and-thirty-two patients (111 women) participating in multimodal stress rehabilitation were randomized to receive additional cognitive training (n = 44), additional aerobic training (n = 47) or no additional training (n = 41). Treatment effects were assessed before, immediately after and one-year post intervention. The primary outcome was global cognitive function. Secondary outcomes included domain-specific cognition, self-reported burnout, depression, anxiety, fatigue and work ability, aerobic capacity and sick-leave levels. Intention-to-treat analysis revealed a small but lasting improvement in global cognitive functioning for the cognitive training group, paralleled by a large improvement on a trained updating task. The aerobic training group showed improvements in aerobic capacity and episodic memory immediately after training, but no long-term benefits. General improvements in psychological health and work ability were observed, with no difference between interventional groups. Our findings suggest that cognitive training may be a viable method to address cognitive impairments for patients with ED, whereas the effects of aerobic exercise on cognition may be more limited when performed during a restricted time period. The implications for clinical practice in supporting patients with ED to adhere to treatment are discussed.

Place, publisher, year, edition, pages
Taylor & Francis, 2018.
Keywords [en]
burnout, stress rehabilitation, cognitive training, aerobic training, exhaustion disorder, randomized controlled trial
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:umu:diva-147074DOI: 10.1080/10253890.2018.1461833PubMedID: 29693483OAI: oai:DiVA.org:umu-147074DiVA, id: diva2:1201511
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2018-06-09

Open Access in DiVA

fulltext(2074 kB)4 downloads
File information
File name FULLTEXT01.pdfFile size 2074 kBChecksum SHA-512
62b2d6705834fceaead4ec1f34919d2156eec56db156f7390fe27f6fb962b709402ba0bbfbb99b7d35ad827820c8a209d5cb433b3ed4f82d7e72ef56f0720522
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Malmberg Gavelin, HannaEskilsson, ThereseBoraxbekk, Carl-JohanJosefsson, MariaStigsdotter Neely, AnnaSlunga Järvholm, Lisbeth

Search in DiVA

By author/editor
Malmberg Gavelin, HannaEskilsson, ThereseBoraxbekk, Carl-JohanJosefsson, MariaStigsdotter Neely, AnnaSlunga Järvholm, Lisbeth
By organisation
Department of PsychologyPhysiotherapyCentre for Demographic and Ageing Research (CEDAR)Occupational and Environmental Medicine
In the same journal
Stress
Applied Psychology

Search outside of DiVA

GoogleGoogle Scholar
Total: 4 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 234 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf