Content » Vol 39, Issue 5

Evaluation of cognitive behavioural training and physical activity for patients with stress-related illnesses: A randomized controlled study

Marina Heiden, Eugene Lyskov, Minori Nakata, Karin Sahlin, Tore Sahlin and Margareta Barnekow-Bergkvist
DOI: 10.2340/16501977-0053


Objective: To evaluate the effects of a cognitive behavioural training programme and a physical activity programme for patients with stress-related illnesses.
Design: In a randomized controlled study, patients were allocated randomly to 1 of 3 groups, where group 1 participated in a cognitive behavioural training programme, group 2 participated in a physical activity programme, and group 3, the control group, was offered usual care for the course of the study.
Subjects: A total of 75 patients participated in the study. They had been on sick leave for at least 50% of the time for between 1 month and 2 years due to stress-related illnesses.
Methods: Measurements of autonomic activity, pressure-pain thresholds and subjective ratings of health and behaviour were made before and after a 10-week intervention period, and at 6 and 12 months after the intervention.
Results: Minor differences in autonomic activity and pressure-pain thresholds were found between the groups immediately after the intervention. At the 6- and 12-month follow-up assessments, the differences were no longer present. Patients in the cognitive behavioural training group improved their ratings of general health compared with the physical activity group throughout the study.
Conclusion: The study showed little difference in the effect of cognitive behavioural training and physical activity, compared with usual care, for patients with stress-related illnesses.

Lay Abstract


Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.