Restoring depleted resources: Efficacy and mechanisms of change of an internet-based unguided recovery training for better sleep and psychological detachment from work
Autor: | Dirk Lehr, Heleen Riper, David Daniel Ebert, Johannes A. C. Laferton, Pim Cuijpers, Hanne Thiart, Matthias Berking, Bernhard Sieland |
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Přispěvatelé: | Clinical Psychology, EMGO+ - Mental Health, Psychiatry, EMGO - Mental health |
Rok vydání: | 2015 |
Předmět: |
Adult
Male medicine.medical_specialty Telemedicine Internet-based self-help insomnia education Workload law.invention Physical medicine and rehabilitation prevention Randomized controlled trial law Intervention (counseling) Sleep Initiation and Maintenance Disorders medicine Insomnia Psychology Humans Applied Psychology mediators Internet Cognitive Behavioral Therapy business.industry Depression Recovery of Function work stress Middle Aged Faculty Psychiatry and Mental health Treatment Outcome Rumination The Internet Female Sleep (system call) Occupational stress medicine.symptom business Sleep SDG 4 - Quality Education Clinical psychology Follow-Up Studies |
Zdroj: | Ebert, D D, Berking, M, Thiart, H, Riper, H, Laferton, J A, Cuijpers, P, Sieland, B & Lehr, D 2015, ' Restoring depleted resources: Efficacy and mechanisms of change of an internet-based unguided recovery training for better sleep and psychological detachment from work. ', Health Psychology, vol. 34, no. Supplement, pp. 1240-1251 . https://doi.org/10.1037/hea0000277 Health Psychology, 34(Supplement), 1240-1251. American Psychological Association Ebert, D D, Berking, M, Thiart, H, Riper, H, Laferton, J A, Cuijpers, P, Sieland, B & Lehr, D 2015, ' Restoring depleted resources: Efficacy and mechanisms of change of an internet-based unguided recovery training for better sleep and psychological detachment from work. ', Health Psychology, vol. 34, no. suppl, pp. 1240-1251 . https://doi.org/10.1037/hea0000277 Ebert, D D, Berking, M, Thiart, H, Riper, H, Laferton, J A C, Cuijpers, P, Sieland, B & Lehr, D 2015, ' Restoring Depleted Resources: Efficacy and Mechanisms of Change of an Internet-Based Unguided Recovery Training for Better Sleep and Psychological Detachment From Work ' HEALTH PSYCHOLOGY, vol 34, pp. 1240-1251 . DOI: 10.1037/hea0000277 Health Psychology, 34(suppl), 1240-1251. American Psychological Association Inc. Ebert, D D, Berking, M, Thiart, H, Riper, H, Laferton, J A C, Cuijpers, P, Sieland, B & Lehr, D 2015, ' Restoring Depleted Resources: Efficacy and Mechanisms of Change of an Internet-Based Unguided Recovery Training for Better Sleep and Psychological Detachment From Work ', Health Psychology, vol. 34, pp. 1240-1251 . https://doi.org/10.1037/hea0000277 |
ISSN: | 1930-7810 0278-6133 |
DOI: | 10.1037/hea0000277 |
Popis: | bjective: This randomized controlled trial evaluated the efficacy of an Internet-based intervention, which aimed to improve recovery from work-related strain in teachers with sleeping problems and work-related rumination. In addition, mechanisms of change were also investigated. Methods: A sample of 128 teachers with elevated symptoms of insomnia (Insomnia Severity Index [ISI] ≥ 15) and work-related rumination (Cognitive Irritation Scale ≥ 15) was assigned to either an Internet-based recovery training (intervention condition [IC]) or to a waitlist control condition (CC). The IC consisted of 6 Internet-based sessions that aimed to promote healthy restorative behavior. Self-report data were assessed at baseline and again after 8 weeks. Additionally, a sleep diary was used starting 1 week before baseline and ending 1 week after postassessment. The primary outcome was insomnia severity. Secondary outcomes included perseverative cognitions (i.e., work-related rumination and worrying), a range of recovery measures and depression. An extended 6-month follow-up was assessed in the IC only. A serial multiple mediator analysis was carried out to investigate mechanisms of change. Results: IC participants displayed a significantly greater reduction in insomnia severity (d = 1.37, 95% confidence interval: 0.99–1.77) than did participants of the CC. The IC was also superior with regard to changes in all investigated secondary outcomes. Effects were maintained until a naturalistic 6-month follow-up. Effects on insomnia severity were mediated by both a reduction in perseverative cognitions and sleep effort. Additionally, a greater increase in number of recovery activities per week was found to be associated with lower perseverative cognitions that in turn led to a greater reduction in insomnia severity. Conclusions: This study provides evidence for the efficacy of an unguided, Internet-based occupational recovery training and provided first evidence for a number of assumed mechanisms of change. (PsycINFO Database Record (c) 2015 APA, all rights reserved) |
Databáze: | OpenAIRE |
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