Self-help for stress and burnout without therapist contact: An online randomised controlled trial

Autor: Marina Milidou, Michael Waadt, Regula Aschwanden, Andrea H. Meyer, Roselind Lieb, Patrizia D. Hofer, Andrew T. Gloster, Jens Acker
Rok vydání: 2017
Předmět:
Zdroj: Work & Stress. 32:189-208
ISSN: 1464-5335
0267-8373
DOI: 10.1080/02678373.2017.1402389
Popis: Interventions designed to reduce stress and burnout may be costly and access is limited. This study examined the effectiveness of a self-help book, using Acceptance and commitment therapy (ACT) to target stress and burnout in a randomised controlled online trial without any therapist contact. Participants were recruited through a newsletter of a health insurance company. Participants ( N = 119) who reported at least moderate levels of stress were randomly assigned to an immediate intervention ( n = 61) or a waitlist group ( n = 58). Measures before and after the intervention assessed stress, burnout (primary outcomes), depression, well-being, emotion regulation (secondary outcomes) and ACT-specific constructs. Compared to the waitlist group, participants in the immediate intervention group reported lower stress and burnout and higher psychological flexibility at post-assessment. Effects between groups were large for stress ( d = 0.9), moderate to large for burnout ( d = 0.5–0.8) and large for psychological flexibility ( d = 0.8). All primary and most secondary outcomes and ACT processes continued to improve in the 3-month-follow-up period. Results suggest that an ACT self-help book without any therapist contact is effective in reducing stress and burnout for various occupations. Thus, it may provide a cost-effective public health intervention for reducing stress and burnout.
Databáze: OpenAIRE