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Assessment The outcome variable HRQoL was measured using the full version of a generic instrument, the Swedish health-related quality of life survey, 1.

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Subscale No. Statistical methods The sample size needed was estimated to be approximately 20—25 participants per group. Results We have previously shown that these patients on sick leave because of burnout, mainly due to work-related causes, have markedly lower HRQoL in general [ 18 ], but randomized control studies measuring HRQoL after treating these severely sick patients are scarce. Table 6. Table 5 Socio-demographic data among the study groups compared to the Swedish population. Traditional yoga Yoga has previously not been used as a treatment in this group of patients, but might have a good effect, as TY employs exercises involving the main domains affected in burnout.

Cognitive behavioral therapy The results here show a similar pattern that was seen in the MCBT group, with high median numerical differences in most of the 7 statistically significant subscales Fig. Satisfaction with the treatment All patients reported good effect from, and satisfaction with, the received treatment.

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Cognitive function Emotion is also known to be closely connected to cognitive function [ 62 , 63 ], and may affect emotional wellbeing, and vice versa. Sleep The subscale sleep showed good results in the all three groups group. Strengths and limitations One of the strengths of this study is that it is a RCT, and that the study group was a clinical sample of patients with different occupations, reflecting the situation of these patients on sick leave in occupational medicine and in primary care.

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Implications for health care and research We assume that the results are generalizable to patients undergoing rehabilitation in occupational medicine and primary care settings, where most of these patients are found, despite the limitations of inclusion and exclusion criteria such as age, gender, whether working or not, under- or overweight and having other diseases. Competing interests The authors declare that they have no competing interests. Contributor Information Astrid Grensman, Email: es. References 1.

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January 8, Arch Womens Ment Health. Long-term stability of return to work after a workplace-oriented intervention for patients on sick leave for burnout. BMC Public Health. To differentiate between depression and exhaustion syndrome. Burnout and distress among internal medicine program directors: results of a National Survey. J Gen Intern Med. Health-related quality of life in patients with burnout on sick leave: descriptive and comparative results from a clinical study.

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Arch Gen Psychiatry. Use of health-related, quality-of-life metrics to predict mortality and hospitalizations in community-dwelling seniors. J Am Geriatr Soc. Burnout predicts hospitalization for mental and cardiovascular disorders: year prospective results from industrial sector. Stress Health. Burnout as a predictor of medically certified sick-leave absences and their diagnosed causes.

Behav Med. Handbook of stress and burnout in health care. New York: Nova Science Publishers; Interventions to facilitate return to work in adults with adjustment disorders. Cochrane Database Syst Rev. Prevalence and patterns of adult yoga use in the United States: results of a national survey. Altern Ther Health Med. Characteristics of randomized controlled trials of yoga: a bibliometric analysis.

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Yoga--a promising technique to control cardiovascular disease. Indian Heart J. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression. Part II--clinical applications and guidelines. J Altern Complement Med. A systematic review of yoga for major depressive disorder. J Affect Disord. Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer.

Treatment of major depressive disorder with Iyengar yoga and coherent breathing: a randomized controlled dosing study. Effects of yoga on mental and physical health: a short summary of reviews. Evid Based Complement Alternat Med. Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program.

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