Distress after a XXXX rehabilitation course. Main effects and effect modification in a randomised trial at 12 months of follow-up.

@entity5 @entity1 @entity0
UNASSIGNED: Background. In 2002, the Danish @entity5 Society opened a rehabilitation centre in which @entity5 @entity1 were offered a free, six-day, multidimensional residential course. Our previous studies of the effects of this course at one and six months of follow-up showed no positive effect on distress. We investigated long-term effects at 12 months of follow-up and whether subgroups with fewer psychosocial resources received more benefit from the intervention than @entity1 with better resources. Material and methods. In two Danish counties, 507 @entity1 with @entity0 diagnosed within the past two years who had completed primary treatment were randomised to a six-day, multidimensional residential rehabilitation course or to standard care. Of these, 208 @entity1 received the allocated intervention and 244 received the allocated control condition and were included in the analyses. @entity1 in both groups completed questionnaires at baseline and at one, six and 12 months of follow-up, including the 'Profile of Mood States short form', the 'General Self-efficacy' scale and a question on emotional support. At 12 months of follow-up, 179 @entity1 in the intervention group and 195 in the control group provided data. Results. No effect of the intervention was found on distress at 12 months of follow-up, even in subgroups with fewer psychosocial resources at baseline, i.e. greater baseline distress, poorer self-efficacy and less emotional support. Conclusion. Multidimensional rehabilitation programmes may not be effective in the treatment of distress. During the past few decades, studies of psychotherapy or psycho-education in @entity5 @entity1 have shown small to moderate effects. More focused rehabilitation programmes may be more effective.
