Psychophysiological effects of a web-based stress management system: A prospective, randomized controlled intervention study of IT and media workers [ISRCTN54254861]
Open accessAbstract
Background: The aim of the present study was to assess possible effects on mental and physical well-being and stress-related biological markers of a web-based health promotion tool. Methods: A randomized, prospectively controlled study was conducted with before and after measurements, involving 303 employees (187 men and 116 women, age 23–64) from four information technology and two media companies. Half of the participants were offered web-based health promotion and stress management training (intervention) lasting for six months. All other participants constituted the reference group. Different biological markers were measured to detect possible physiological changes. Results: After six months the intervention group had improved statistically significantly compared to the reference group on ratings of ability to manage stress, sleep quality, mental energy, concentration ability and social support. The anabolic hormone dehydroepiandosterone sulphate (DHEA-S) decreased significantly in the reference group as compared to unchanged levels in the intervention group. Neuropeptide Y (NPY) increased significantly in the intervention group compared to the reference group. Chromogranin A (CgA) decreased significantly in the intervention group as compared to the reference group. Tumour necrosis factor α (TNFα) decreased significantly in the reference group compared to the intervention group. Logistic regression analysis revealed that group (intervention vs. reference) remained a significant factor in five out of nine predictive models. Conclusion: The results indicate that an automatic web-based system might have short-term beneficial physiological and psychological effects and thus might be an opportunity in counteracting some clinically relevant and common stress and health issues of today.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The design of the WorkGuru stress management intervention is based on theoretical psychological principles whose efficacy has been proven in other studies for both face-to-face and online delivery.
“The design of the stress management intervention (WorkGuru) is based on clear theoretical psychological principles, the efficacy for which has been proven in other studies for both face to face delivery (for example: [55, 56]), and for online delivery (for example: [57, 58]).”
Several studies on face-to-face or Web-based worker-directed interventions for non-sick-listed employees have shown positive effects of the interventions on symptom reduction.
“All these studies showed positive effects of the interventions on symptom reduction.”
From Long-Term Results of a Web-Based Guided Self-Help Intervention for Employees With Depressive Symptoms: Randomized Controlled Trial (2014) · cites this paper as [29]
Twelve of the individual-focused studies (14-26) were considered to be of moderate methodological quality, with the remainder classified as low or very low in quality.
“Twelve of these studies (14-26) were considered to be of moderate methodological quality, with the remainder classified as low or very low in quality”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [20]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Nursing Research: Principles and Methods
McFarland, G. K., Polit, D. F., & Hungler, B. P. (1987) · AJN American Journal of Nursing · doi:10.2307/3425916 · Cited by 6,942 · see citing works
(1996) · Cited by 6,884 · see citing works
The structure and properties of the sense of coherence scale
Antonovsky, A. (1993) · Social Science & Medicine · doi:10.1016/0277-9536(93)90033-z · Cited by 3,515 · see citing works
Nursing Research: Principles and Methods
Marrone, S. R. (1987) · AORN Journal · doi:10.1016/s0001-2092(07)69731-2 · Cited by 3,240 · see citing works
The measurement of effort–reward imbalance at work: European comparisons
Siegrist, J., Starke, D., Chandola, T., Godin, I., Marmot, M. G., Niedhammer, I., & Peter, R. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00351-4 · Cited by 2,271 · see citing works
Clinical applications of visual analogue scales: a critical review
McCormack, H. M., Horne, D. J. D. L., & Sheather, S. J. (1988) · Psychological Medicine · doi:10.1017/s0033291700009934 · Cited by 2,108 · see citing works
Regulation of the Hypothalamic-Pituitary-Adrenal Axis by Cytokines: Actions and Mechanisms of Action
TURNBULL, A. V., & RIVIER, C. L. (1999) · Physiological Reviews · doi:10.1152/physrev.1999.79.1.1 · Cited by 1,297 · see citing works
Delivering interventions for depression by using the internet: randomised controlled trial
Christensen, H. (2004) · BMJ · doi:10.1136/bmj.37945.566632.ee · Cited by 928 · cited 2× · see citing works
“Moreover, prospectively controlled studies without physiological evaluation have indicated beneficial effects from computer- or web-based tools on, for example, headache [9], distress related to tinnitus [10], depression and anxiety [11-13], stress management [14], physical activity [15] and insomnia [16].”
BackgroundResultShaw, L. H., & Gant, L. M. (2002) · CyberPsychology & Behavior · doi:10.1089/109493102753770552 · Cited by 778 · cited 1× · see citing works
“Results of the present study are further confirmed in a prospective noncontrolled study, in which a web-based intervention was found to decrease ratings of loneliness and depression, whereas perceived social support and self-esteem increased [31].”
ResultKroboth, P. D., Salek, F. S., Pittenger, A. L., Fabian, T. J., & Frye, R. F. (1999) · The Journal of Clinical Pharmacology · doi:10.1177/00912709922007903 · Cited by 523 · see citing works
Fink, G. (2000) · Cited by 502 · see citing works
Eysenbach, G., Gray, J. A. M., Bonati, M., Arunachalam, S., Diepgen, T. L., Impicciatore, P., & Pandolfini, C. (1998) · BMJ · doi:10.1136/bmj.317.7171.1496 · Cited by 461 · see citing works
PROUDFOOT, J., GOLDBERG, D., MANN, A., EVERITT, B., MARKS, I., & GRAY, J. A. (2003) · Psychological Medicine · doi:10.1017/s0033291702007225 · Cited by 389 · see citing works
Andersson, G. (2002) · Psychosomatic Medicine · doi:10.1097/01.psy.0000031577.42041.f8 · Cited by 312 · cited 1× · see citing works
“Moreover, prospectively controlled studies without physiological evaluation have indicated beneficial effects from computer- or web-based tools on, for example, headache [9], distress related to tinnitus [10], depression and anxiety [11-13], stress management [14], physical activity [15] and insomnia [16].”
BackgroundInternet-Based Treatment for Insomnia: A Controlled Evaluation.
Ström, L., Pettersson, R., & Andersson, G. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.1.113 · Cited by 311 · see citing works
GUIDELINES TO STATISTICAL EVALUATION OF DATA FROM RATING SCALES AND QUESTIONNAIRES
Svensson, E. (2001) · Journal of Rehabilitation Medicine · doi:10.1080/165019701300006542 · Cited by 306 · see citing works
A controlled trial of self-help treatment of recurrent headache conducted via the Internet.
Ström, L., Pettersson, R., & Andersson, G. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.4.722 · Cited by 267 · cited 1× · see citing works
“Moreover, prospectively controlled studies without physiological evaluation have indicated beneficial effects from computer- or web-based tools on, for example, headache [ 9 ], distress related to tinnitus [10], depression and anxiety [11-13], stress management [14], physical activity [15] and insomnia [16].”
BackgroundEvaluation of an internet-based physical activity intervention: A preliminary investigation
Napolitano, M. A., Fotheringham, M., Tate, D., Sciamanna, C., Leslie, E., Owen, N., Bauman, A., & Marcus, B. (2003) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2502_04 · Cited by 258 · see citing works
Assessing the economic impact of stress[mdash ]The modern day hidden epidemic
Kalia, M. (2002) · Metabolism · doi:10.1053/meta.2002.33193 · Cited by 243 · see citing works
Review Of Internet Health Information Quality Initiatives
Risk, A., & Dzenowagis, J. (2001) · Journal of Medical Internet Research · doi:10.2196/jmir.3.4.e28 · Cited by 237 · see citing works
The burden of depression and anxiety in general medicine.
Lecrubier, Y. (2001) · PubMed · Cited by 207 · see citing works
Computer and Internet applications for psychological treatment: Update for clinicians
Tate, D. F., & Zabinski, M. F. (2004) · Journal of Clinical Psychology · doi:10.1002/jclp.10247 · Cited by 201 · cited 1× · see citing works
“There are increasing indications, however, that Internet-based intervention programs have beneficial effects on various psychological conditions and other desired outcomes [6-8].”
BackgroundPragmatic evaluation of computer-aided self-help for anxiety and depression
Marks, I. M., Mataix-Cols, D., Kenwright, M., Cameron, R., Hirsch, S., & Gega, L. (2003) · British Journal of Psychiatry · doi:10.1192/bjp.183.1.57 · Cited by 185 · see citing works
van Niekerk, J. K., Huppert, F. A., & Herbert, J. (2001) · Psychoneuroendocrinology · doi:10.1016/s0306-4530(01)00014-2 · Cited by 171 · see citing works
Computer treatment for common mental health problems.
Cavanagh, K., & Shapiro, D. (2004) · Journal of Clinical Psychology · doi:10.1002/jclp.10261 · Cited by 166 · see citing works
Randomized Controlled Trial of Internet-Based Stress Management
Zetterqvist, K., Maanmies, J., Ström, L., & Andersson, G. (2003) · Cognitive Behaviour Therapy · doi:10.1080/16506070302316 · Cited by 160 · see citing works
Staff perception of the impact of health care transformation on quality of care
Arnetz, B. B. (1999) · International Journal for Quality in Health Care · doi:10.1093/intqhc/11.4.345 · Cited by 130 · see citing works
Self-citationMeasurement of psychosocial workplace exposure variables.
Landsbergis, P. A., Theorell, T., Schwartz, J., Greiner, B. A., & Krause, N. (2000) · PubMed · Cited by 129 · see citing works
Self-citationNeuropeptide Y promotes sleep and inhibits ACTH and cortisol release in young men
Antonijevic, I. A., Murck, H., Bohlhalter, S., Frieboes, R.-M., Holsboer, F., & Steiger, A. (2000) · Neuropharmacology · doi:10.1016/s0028-3908(00)00057-5 · Cited by 128 · see citing works
Internet-Delivered Indicated Prevention For Anxiety Disorders: A Randomized Controlled Trial
Kenardy, J., McCafferty, K., & Rosa, V. (2003) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465803003047 · Cited by 121 · see citing works
Cytokines as a stressor: implications for depressive illness
Anisman, H., Hayley, S. P., Turrin, N. P., & Merali, Z. (2002) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145702003097 · Cited by 106 · see citing works
Judd, A. M., Call, G. B., Barney, M., McIlmoil, C. J., Balls, A. G., ADAMS, A., & Oliveira, G. K. (2000) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2000.tb05428.x · Cited by 104 · see citing works
Arnetz, B. B. (1996) · Journal of Occupational and Environmental Medicine · doi:10.1097/00043764-199601000-00017 · Cited by 103 · see citing works
Self-citationConstruction of a single global scale for multi‐item assessments of the same variable
Svensson, E. (2001) · Statistics in Medicine · doi:10.1002/sim.1148 · Cited by 90 · see citing works
Androgen therapy with dehydroepiandrosterone
Buvat, J. (2003) · World Journal of Urology · doi:10.1007/s00345-003-0367-7 · Cited by 87 · see citing works
Parmer, R. J., Mahata, M., Gong, Y. Y., Mahata, S. K., Jiang, Q., O’Connor, D. T., Xi, X.-P., & Miles, L. A. (2000) · Journal of Clinical Investigation · doi:10.1172/jci7394 · Cited by 80 · see citing works
Direct Effects of Stress on Adrenocortical Function
Pignatelli, D., Magalhães, M. M., & Magalhães, M. (1998) · Hormone and Metabolic Research · doi:10.1055/s-2007-978915 · Cited by 71 · see citing works
Seasonal variation in whole blood cytokine production after LPS stimulation in normal individuals
Myrianthefs, P. M., Karatzas, S., Venetsanou, K., Grouzi, E., Evagelopoulou, P., Boutzouka, E. G., Fildissis, G., Spiliotopoulou, I., & Baltopoulos, G. J. (2003) · Cytokine · doi:10.1016/j.cyto.2003.08.005 · Cited by 61 · see citing works
Chromogranin ‘A’ in normal subjects, essential hypertensives and adrenalectomized patients
Giampaolo, B., Moretti, A., & Antonio, S. (2002) · Clinical Endocrinology · doi:10.1046/j.1365-2265.2002.01557.x · Cited by 41 · see citing works
Biological correlates of social support and pressure at work in managers
Bernin, P., Theorell, T., & Sandberg, C. (2001) · Integrative Psychological and Behavioral Science · doi:10.1007/bf02734046 · Cited by 25 · see citing works
Self-citationDoes chromogranin A respond to short-term mild physiologic challenge?
Dimsdale, J. E. (1989) · Neuropsychopharmacology · doi:10.1016/0893-133x(89)90027-4 · Cited by 18 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Marshall GD Rossio JL Fink G Cytokines Encyclopedia of stress 2000 1 London, Academic Press 626 633
Cited by
Sorted by citations
Barak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. (2008) · Journal of Technology in Human Services · doi:10.1080/15228830802094429 · Cited by 1,283 · see citing works
The Delivery of Public Health Interventions via the Internet: Actualizing Their Potential
Bennett, G. G., & Glasgow, R. E. (2009) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.031308.100235 · Cited by 800 · see citing works
Heber, E., Ebert, D. D., Lehr, D., Cuijpers, P., Berking, M., Nobis, S., & Riper, H. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.5774 · Cited by 408 · see citing works
Shields, G. S., Spahr, C. M., & Slavich, G. M. (2020) · JAMA psychiatry · doi:10.1001/jamapsychiatry.2020.0431 · Cited by 252 · see citing works
Stratton, E., Lampit, A., Choi, I., Calvo, R. A., Harvey, S. B., & Glozier, N. (2017) · PLOS ONE · doi:10.1371/journal.pone.0189904 · Cited by 252 · see citing works
“In one study [35] the SD could not be obtained from the paper or the authors; effect sizes for this study were derived from 2-tailed p-value for Group × Time interaction and sample sizes.”
MethodInternet Methods for Delivering Behavioral and Health-Related Interventions (eHealth)
Strecher, V. J. (2007) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.3.022806.091428 · Cited by 277 · see citing works
Wierenga, D., Engbers, L. H., van Empelen, P., Duijts, S. F. A., Hildebrandt, V. H., & van Mechelen, W. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-1190 · Cited by 219 · see citing works
Ebert, D. D., Heber, E., Berking, M., Riper, H., Cuijpers, P., Funk, B., & Lehr, D. (2016) · Occupational and Environmental Medicine · doi:10.1136/oemed-2015-103269 · Cited by 176 · see citing works
Dowling, M. J., & Rickwood, D. (2013) · Journal of Technology in Human Services · doi:10.1080/15228835.2012.728508 · Cited by 190 · see citing works
Phillips, E. A., Gordeev, V. S., & Schreyögg, J. (2019) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.3839 · Cited by 148 · see citing works
The Effectiveness of an Online Mind-Body Intervention for Older Adults With Chronic Pain
Berman, R. L. H., Iris, M. A., Bode, R. K., & Drengenberg, C. (2008) · Journal of Pain · doi:10.1016/j.jpain.2008.07.006 · Cited by 140 · see citing works
Zarski, A.-C., Lehr, D., Berking, M., Riper, H., Cuijpers, P., & Ebert, D. D. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4493 · Cited by 114 · see citing works
Evaluating an online stress management intervention for college students.
Hintz, S., Frazier, P. A., & Meredith, L. (2015) · Journal of Counseling Psychology · doi:10.1037/cou0000014 · Cited by 128 · see citing works
Mayo-Wilson, E., & Montgomery, P. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005330.pub4 · Cited by 112 · see citing works
Lappalainen, P., Langrial, S., Oinas-Kukkonen, H., Tolvanen, A., & Lappalainen, R. (2015) · Behavior Modification · doi:10.1177/0145445515598142 · Cited by 115 · see citing works
Rotondi, A. J., Eack, S. M., Hanusa, B. H., Spring, M. B., & Haas, G. L. (2013) · Schizophrenia Bulletin · doi:10.1093/schbul/sbt194 · Cited by 106 · see citing works
Stenlund, T., Ahlgren, C., Lindahl, B., Burell, G. K., Steinholtz, K., Edlund, C., Nilsson, L., Knutsson, A., & Birgander, L. S. (2009) · International Journal of Behavioral Medicine · doi:10.1007/s12529-008-9011-7 · Cited by 93 · see citing works
Heber, E., Ebert, D. D., Lehr, D., Nobis, S., Berking, M., & Riper, H. M. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-655 · Cited by 89 · see citing works
Geraedts, A. S., Kleiboer, A. M., Twisk, J., Wiezer, N. M., van Mechelen, W., & Cuijpers, P. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3539 · Cited by 89 · see citing works
Lappalainen, P., Kaipainen, K., Lappalainen, R., Hoffrén, H., Myllymäki, T., Kinnunen, M.-L., Mattila, E., Happonen, A. P., Rusko, H., & Korhonen, I. (2013) · JMIR Research Protocols · doi:10.2196/resprot.2389 · Cited by 79 · see citing works
“Our findings are also in line with other studies that XSL • FO RenderX show positive effects using Web-based stress management approaches [11, 62].”
Hasson, D., Theorell, T., Liljeholm-Johansson, Y., & Canlon, B. (2009) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2009.07.009 · Cited by 83 · see citing works
Self-citationPredictors of self-rated health: a 12-month prospective study of IT and media workers
Hasson, D., Arnetz, B. B., Theorell, T., & Anderberg, U. M. (2006) · Population Health Metrics · doi:10.1186/1478-7954-4-8 · Cited by 77 · see citing works
Self-citationLennartsson, A.-K., Theorell, T., Kushnir, M. M., Bergquist, J., & Jónsdóttir, I. H. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.01.010 · Cited by 76 · see citing works
Self-citationSchell, E., Theorell, T., Hasson, D., Arnetz, B. B., & Saraste, H. (2007) · European Spine Journal · doi:10.1007/s00586-007-0554-0 · Cited by 66 · see citing works
Self-citationLehr, D., Geraedts, A. S., Asplund, R. P., Khadjesari, Z., Heber, E., de Bloom, J., Ebert, D. D., Angerer, P., & Funk, B. (2016) · Springer eBooks · doi:10.1007/978-3-319-32331-2_19 · Cited by 64 · see citing works
Stratton, E., Lampit, A., Choi, I., Gavelin, H. M., Aji, M., Taylor, J., Calvo, R. A., Harvey, S. B., & Glozier, N. (2022) · Journal of Medical Internet Research · doi:10.2196/37776 · Cited by 57 · see citing works
García-Gollarte, F., Mora-Concepción, A., Hernandis, S. P., Segura‐Ortí, E., Amer-Cuenca, J. J., Arguisuelas, M. D., Lisón, J. F., & Benavent-Caballer, V. (2021) · Journal of Geriatric Physical Therapy · doi:10.1519/jpt.0000000000000326 · Cited by 50 · see citing works
Perceived Stress at Work Is Associated with Lower Levels of DHEA-S
Lennartsson, A.-K., Theorell, T., Rockwood, A. L., Kushnir, M. M., & Jónsdóttir, I. H. (2013) · PLoS ONE · doi:10.1371/journal.pone.0072460 · Cited by 49 · see citing works
Self-citationDrozd, F., Raeder, S., Kraft, P., & Bjørkli, C. A. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2570 · Cited by 46 · see citing works
Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy
Ryan, C., Bergin, M., Chalder, T., & Wells, J. S. G. (2017) · Journal of Occupational Health · doi:10.1539/joh.16-0227-ra · Cited by 42 · see citing works
Nurse Work Environment and Stress Biomarkers
Arnetz, J. E., Sudan, S., Goetz, C. M., Counts, S., & Arnetz, B. B. (2019) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000001642 · Cited by 44 · see citing works
Self-citationHasson, H., Brown, C., & Hasson, D. (2010) · Health Education Research · doi:10.1093/her/cyq005 · Cited by 39 · see citing works
Stächele, T., Domes, G., Wekenborg, M., Penz, M. S., Kirschbaum, C., & Heinrichs, M. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00463 · Cited by 37 · see citing works
Take charge: Patients' experiences during participation in a rehabilitation programme for burnout
Fjellman‐Wiklund, A., Stenlund, T., Steinholtz, K., & Ahlgren, C. (2010) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0534 · Cited by 31 · see citing works
Computer-based versus in-person interventions for preventing and reducing stress in workers
Kuster, A. T., Dalsbø, T. K., Luong Thanh, B. Y., Agarwal, A., Durand-Moreau, Q. V., & Kirkehei, I. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011899.pub2 · Cited by 28 · see citing works
Ballesio, A., Zagaria, A., Vacca, M., Pariante, C. M., & Lombardo, C. (2023) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2023.05.006 · Cited by 29 · see citing works
Yeh, M., Hung, Y.-L., Chen, H., Lin, J., & Wang, Y.-J. (2013) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2013/316212 · Cited by 27 · see citing works
Obayashi, K., Sato, K., Shimazaki, R., Ishikawa, T., Goto, K., Ueyama, H., Mori, T., Ando, Y., & Kumamoto, T. (2008) · Internal Medicine · doi:10.2169/internalmedicine.47.1278 · Cited by 28 · see citing works
Domes, G., Stächele, T., von Dawans, B., & Heinrichs, M. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.12.001 · Cited by 27 · see citing works
Torniainen‐Holm, M., Pankakoski, M., Lehto, T., Saarelma, O., Mustonen, P., Joutsenniemi, K., & Suvisaari, J. (2016) · BMC Psychology · doi:10.1186/s40359-016-0125-4 · Cited by 26 · see citing works
Maniecka‐Bryła, I., Gajewska, O., Burzyńska, M., & Bryła, M. (2013) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2013.03.006 · Cited by 25 · see citing works
Kaltenegger, H. C., Becker, L., Rohleder, N., Nowak, D., & Weigl, M. (2021) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3982 · Cited by 25 · see citing works
Jonas, B., Leuschner, F., & Tossmann, P. (2016) · Anxiety Stress & Coping · doi:10.1080/10615806.2016.1233324 · Cited by 25 · see citing works
Berman, A. H., Wennberg, P., & Sinadinovic, K. (2015) · Psychology of Addictive Behaviors · doi:10.1037/a0038420 · Cited by 23 · see citing works
Schoen, M., & Nowack, K. M. (2013) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2012.12.004 · Cited by 21 · see citing works
Anabolism and catabolism at work
Theorell, T. (2009) · Research in occupational stress and well being · doi:10.1108/s1479-3555(2009)0000007010 · Cited by 21 · see citing works
Self-citationKAWAI, K., YAMAZAKI, Y., & NAKAYAMA, K. (2010) · Industrial Health · doi:10.2486/indhealth.48.265 · Cited by 20 · see citing works
Ramji, R., Arnetz, B. B., Nilsson, M., Wiklund, Y., Jamil, H. J., Maziak, W., & Arnetz, J. (2017) · Scandinavian Journal of Public Health · doi:10.1177/1403494817746534 · Cited by 20 · see citing works
Self-citationNováková, B., Harris, P. R., Rawlings, G. H., & Reuber, M. (2019) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2019.03.002 · Cited by 17 · see citing works
Optimizing Workplace Digital Mental Health Interventions: Systematic Review and Meta-Analysis
Stratton, E., Morris, R. W., Milton, A. C., Deady, M., Choi, I., & Glozier, N. (2025) · Journal of Medical Internet Research · doi:10.2196/71253 · Cited by 15 · see citing works
Schell, E., Theorell, T., Hasson, D., Arnetz, B. B., & Saraste, H. (2008) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181757a0c · Cited by 14 · see citing works
Self-citationMehring, M., Haag, M., Linde, K., Wagenpfeil, S., & Schneider, A. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4246 · Cited by 14 · see citing works
Review: Management of Adjustment Disorder in the Deployed Setting
Schimmels, J. (2012) · Military Medicine · doi:10.7205/milmed-d-12-00057 · Cited by 12 · see citing works
Smart technologies for older people
Morris, M. E. (2012) · Cited by 13 · see citing works
Xiong, J., Wen, J. L., Pei, G., Han, X., & He, D. Q. (2022) · International Journal of Occupational Safety and Ergonomics · doi:10.1080/10803548.2022.2043647 · Cited by 12 · see citing works
Myers, N. D., Dietz, S., Prilleltensky, I., Prilleltensky, O., McMahon, A., Rubenstein, C. L., & Lee, S. (2018) · Games for Health Journal · doi:10.1089/g4h.2017.0132 · Cited by 11 · see citing works
Carolan, S., Harris, P. R., Greenwood, K., & Cavanagh, K. (2016) · Trials · doi:10.1186/s13063-016-1733-2 · Cited by 9 · see citing works
Armaou, M., Araviaki, E., Dutta, S., Konstantinidis, S. T., & Blake, H. (2022) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe12100102 · Cited by 11 · see citing works
The Effectiveness of Online Stress Management Training Interventions: A Systematic Literature Review
van Wingerden, J., & Derks, D. (2018) · International Journal of Learning and Development · doi:10.5296/ijld.v8i3.13600 · Cited by 9 · see citing works
Keinert, M., Eskofier, B. M., Schuller, B. W., Böhme, S., & Berking, M. (2023) · Pilot and Feasibility Studies · doi:10.1186/s40814-023-01386-z · Cited by 8 · see citing works
Giuseffi, D. L., Bedrosian, R. C., Schwartz, S. M., Wildenhaus, K. J., Wang, C., Yu, A., & Wiegand, B. (2011) · Stress and Health · doi:10.1002/smi.1389 · Cited by 8 · see citing works
Stress Reduction Programmes for the Workplace
Theorell, T. (2012) · Springer eBooks · doi:10.1007/978-1-4614-4839-6_18 · Cited by 8 · see citing works
Self-citationKAWAI, K., YAMAZAKI, Y., & NAKAYAMA, K. (2007) · Japanese Journal of Health and Human Ecology · doi:10.3861/jshhe.73.137 · Cited by 7 · see citing works
Improving leadership through the power of words and music
Romanowska, J. (2014) · Figshare · Cited by 7 · see citing works
Effects of Psychosocial Stress on DHEA and DHEA-S levels Acute and Long-term effects
Lennartsson, A.-K. (2013) · Gothenburg University Publications Electronic Archive (Gothenburg University) · Cited by 7 · see citing works
Designing a Eustress Toolbox: From Entrepreneur Experiences to an Online Service
Heikkilä, P., Mattila, E., & Ainasoja, M. (2018) · Human Technology · doi:10.17011/ht/urn.201808103818 · Cited by 6 · see citing works
Intervention de gestion du stress par Internet chez les étudiants : revue de la littérature
Saleh, D., Camart, N., & Romo, L. (2016) · Annales Médico-psychologiques revue psychiatrique · doi:10.1016/j.amp.2016.03.013 · Cited by 6 · see citing works
Hasson, D., & Villaume, K. (2013) · Springer eBooks · doi:10.1007/978-94-007-6470-5_12 · Cited by 6 · see citing works
Self-citationMagnetoencephalography: Basic Theory and Estimation Techniques of Working Brain Activity
Ono, Y., & Ishiyama, A. (2008) · Springer eBooks · doi:10.1007/978-4-431-73464-2_5 · Cited by 5 · see citing works
Heikkilä, P., Mattila, E., & Ainasoja, M. (2019) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-019-0909-6 · Cited by 5 · see citing works
Eklund, C., Elfström, M. L., Eriksson, Y., & Söderlund, A. (2019) · European Journal of Physiotherapy · doi:10.1080/21679169.2018.1468814 · Cited by 3 · see citing works
Villaume, K., Tafvelin, S., & Hasson, D. (2018) · International Journal of Workplace Health Management · doi:10.1108/ijwhm-11-2017-0092 · Cited by 4 · see citing works
Self-citationDesign and Evaluation of Online and Mobile Applications for Stress Management and Healthy Eating
Kaipainen, K. (2014) · Tampere University Institutional Repository (Tampere University) · Cited by 4 · see citing works
The Potential of Technology in Facilitating Positive Stress Experiences
Heikkilä, P., Ainasoja, M., & Oksman, V. (2015) · European Conference on Cognitive Ergonomics · doi:10.1145/2788412.2788441 · Cited by 3 · see citing works
Rehabilitation for patients with burnout
Stenlund, T. (2009) · DiVA at Umeå University (Umeå University) · Cited by 3 · see citing works
Arnetz, B. B., Arnetz, J. E., Kaminski, N. E., Tomlin, R., Cole, A., Bartlett, P., Crawford, R. B., & Jameson, A. P. (2024) · AIDS Research and Treatment · doi:10.1155/2024/3432569 · Cited by 2 · see citing works
Self-citationSmedberg, Å. B., & Sandmark, H. (2012) · IGI Global eBooks · doi:10.4018/978-1-4666-2770-3.ch073 · Cited by 2 · see citing works
Regeneration and Anabolism: The Good Perspective
Theorell, T. (2020) · Springer eBooks · doi:10.1007/978-3-030-05031-3_26-1 · Cited by 2 · see citing works
Self-citationSmedberg, Å. B., & Sandmark, H. (2013) · IGI Global eBooks · doi:10.4018/978-1-60960-866-8.ch009 · Cited by 2 · see citing works
Hussain, A. (2018) · Journal of Knowledge & Communication Management · doi:10.5958/2277-7946.2018.00014.1 · Cited by 1 · see citing works
Arnetz, B. B., Grinstead, A., Thomas, G., Hetherwick, M., Ma, W., Arble, E. P., Kabalan, M., Cole, A., Arnetz, J. E., & Ayoub, R. (2026) · BMC Public Health · doi:10.1186/s12889-025-25962-5 · Cited by 1 · see citing works
Self-citationVillaume, K., Tafvelin, S., & Hasson, D. (2024) · PLoS ONE · doi:10.1371/journal.pone.0314321 · Cited by 1 · see citing works
Self-citationMagnetoencephalography: Basic Theory and Estimation Techniques of Working Brain Activity
Ono, Y., & Ishiyama, A. (2008) · Springer eBooks · doi:10.1007/978-4-431-73242-6_5 · Cited by 1 · see citing works
Systems supporting occupational health behavior change : a systematic literature review
Kekkonen, M., B, H. O.-K. A., & Tikka, P. (2018) · Cited by 1 · see citing works
Learning how to recover from stress-related disorders via internet-based interventions
Asplund, R. P. (2021) · Linköping studies in behavioural science · doi:10.3384/diss.diva-172685 · Cited by 1 · see citing works
Regeneration and Anabolism: The Good Perspective
Theorell, T. (2020) · Handbook series in occupational health sciences · doi:10.1007/978-3-030-31438-5_26 · Cited by 1 · see citing works
Self-citationEvaluating an online intervention to increase present control over stress
Hintz, S. (2013) · University of Minnesota Digital Conservancy (University of Minnesota)
Stress Management 2.0-A Holistic Approach to Self-management Online
Smedberg, Å. B., & Sandmark, H. (2010) · DiVA (Stockholm University)
How an internet intervention works to achieve benefit for patients with coronary heart disease
Kerr, C. (2010) · UCL Discovery (University College London)
Psychosocial job stress in relation to health
Clays, E. (2007) · Ghent University Academic Bibliography (Ghent University)
Evaluating the Requirements of Digital Stress Management Systems: A Modified Delphi Study
Blankenhagel, K. J., Linker, M., & Zarnekow, R. (2020) · Lecture notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering · doi:10.1007/978-3-030-49289-2_18
Stress Buster: A web-based student stress assessment tool
Sharma, K., & Rajni, R. (2018) · Journal of Emerging Technologies and Innovative Research
PREVENTIVE MEASURES AIMED AT REDUCING THE CARDIOVASCULAR DISEASE RISK FACTORS
Будник, Я. И. (2016) · Health and Ecology Issues · doi:10.51523/2708-6011.2016-13-2-3
Advances in Cardiac Psychology: Computerized Therapies
Kuhl, E. A. (2012) · Springer eBooks · doi:10.1007/978-1-4419-5650-7_16
Burnout in nurses and biomarkers of stress, inflammation and neuroplasticityPreprint
Arnetz, B. B., Iseler, J. I., Pena, M., Evola, N., vanSchagen, J. E., Beck, J. S., Counts, S., Arble, E. P., & Arnetz, J. E. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.03.11.642730
Self-citationArnetz, B. B., Arnetz, J. E., Kaminski, N. E., Tomlin, R., Bartlett, P., Crawford, R. B., & Jameson, A. P. (2025) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2025.101162
Self-citationAlhasani, M., & Orji, R. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2659301
Jiang, S.-Q., & Zhang, J. (2015) · Europe PMC (PubMed Central)
- Authors
- Hasson, D., Anderberg, U. M., Theorell, T., & Arnetz, B. B.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Hasson, Dan
- Venue
- BMC Public Health
- Published
- 2005-07-25
- Volume
- 5
- Issue
- 1
- Pages
- 78-78
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC1183223
- OpenAlex
- W2142070183
- Cited by
- 98
- References
- 41
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 9 · 2017: 6 · 2016: 9 · 2015: 3 · 2014: 4 · 2013: 16 · 2012: 5
- FWCI
- 5.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- health promotion, occupational stress, information technology workforce, media professionals, DHEA sulfate, neuropeptide Y, chromogranin A, TNF-α, sleep quality, mental energy, concentration, social support, psychophysiological indicators, employee well-being
- MeSH terms
- Adult, Attitude of Health Personnel, Chromogranins, Feedback, Female, Group Processes, Health Promotion, Humans, Male, Mass Media, Middle Aged, Neuropeptide Y, Occupational Health Services, Prospective Studies, Self-Assessment, Stress, Psychological, Sweden, Tumor Necrosis Factor-alpha, Program Evaluation, Biomarkers, Cognitive Behavioral Therapy, Dehydroepiandrosterone Sulfate, Information Management, Internet, Chromogranin A
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review