Internet-based stress management for distressed managers: results from a randomised controlled trial.

Autor:	Persson Asplund R; Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden., Dagöö J; Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden., Fjellström I; Department of Clinical Neuroscience Division of Psychology, Karolinska Institutet, Stockholm, Sweden., Niemi L; Department of Clinical Neuroscience Division of Psychology, Karolinska Institutet, Stockholm, Sweden., Hansson K; Department of Psychology, Uppsala Universitet, Uppsala, Sweden., Zeraati F; Department of Psychology, Uppsala Universitet, Uppsala, Sweden., Ziuzina M; Department of Psychology, Uppsala Universitet, Uppsala, Sweden., Geraedts A; Department of Clinical Psychology, Vrije University Amsterdam, Amsterdam, The Netherlands., Ljótsson B; Department of Clinical Neuroscience Division of Psychology, Karolinska Institutet, Stockholm, Sweden., Carlbring P; Department of Psychology, Stockholms Universitet, Stockholm, Sweden., Andersson G; Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Jazyk:	angličtina
Zdroj:	Occupational and environmental medicine [Occup Environ Med] 2018 Feb; Vol. 75 (2), pp. 105-113. Date of Electronic Publication: 2017 Aug 30.
DOI:	10.1136/oemed-2017-104458
Abstrakt:	Objective: The aim of this randomised controlled trial (RCT) was to evaluate the efficacy of a guided internet-based stress management intervention (iSMI) among distressed managers compared with a attention control group (AC) with full access to treatment-as-usual. Method: A total sample of 117 distressed managers, mainly employed in the healthcare, IT, communication and educational sector, were randomised to either iSMI (n=59) or an AC group (n=58). The iSMI consisted of eight modules including cognitive behavioural stress management and positive management techniques. Participants received a minimal and weekly guidance from a psychologist or master-level psychology student focusing on support, feedback and adherence to the intervention. Self-report data were assessed at pre, post and 6 months after the intervention. The primary outcome was perceived stress (Perceived Stress Scale-14). The secondary outcomes included mental and work-related health outcomes. Results: Participants in the iSMI intervention reported significantly less symptoms of perceived stress (d=0.74, 95% CI 0.30 to 1.19) and burnout (d=0.95, 95% CI 0.53 to 1.37) compared with controls, at postassessment. Significant medium-to-large effect sizes were also found for depression, insomnia and job satisfaction. Long-term effects (6 months) were seen on the mental health outcomes. Conclusion: This is one of the first studies showing that iSMIs can be an effective, accessible and potentially time-effective approach of reducing stress and other mental-related and work-related health symptoms among distressed managers. Future studies are needed addressing distressed managers and the potential of indirect effects on employee stress and satisfaction at work. Competing Interests: Competing interests: None declared. (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
Databáze:	MEDLINE
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