Brief internet-based cognitive behavior therapy program with a supplement drink improved anxiety and somatic symptoms in Japanese workers
Open accessAbstract
BACKGROUND: Self-help cognitive behavior therapy (CBT) is a useful approach for the treatment of psychological problems. Recent research on the effectiveness of self-help internet-based CBT (ICBT) indicates that the paradigm moderately improves psychological problems. Furthermore, previous studies have shown that food and drinks containing supplements improve various health conditions. We investigated the effect of a brief self-help ICBT administered with a supplement drink on psychological well-being and somatic symptoms. METHODS: In total, 101 healthy workers were enrolled in the 4-week ICBT program, which consisted of psychoeducation on stress management, behavior activation, and cognitive restructuring. The supplement soft drink was taken every day during the program. The participants were instructed to watch on-demand video clips and read the self-help guidebook and supporting comic strip weekly on the Internet or smartphone. The Japanese version of the Profile of Mood States (POMS) was administered before and after completion of the program. Scores on the POMS tension-anxiety (POMS-TA), depression (POMS-D), and fatigue (POMS-F) subscales were used to assess the effect of the program. Somatic symptoms were assessed using the Brief Job Stress Questionnaire. RESULTS: -tests revealed significant improvement on the POMS-TA, but not the POMS-D or POMS-F subscales. Moreover, participants reported a significant reduction in the severity of low back pain. CONCLUSION: Our brief intervention moderately improved anxiety levels and the symptom of low back pain. These findings suggest that the brief ICBT program is effective in non-patient populations. Future directions for brief ICBT are discussed. TRIAL REGISTRATION: This study was registered on February 10, 2016 at UMIN. The registration number is UMIN000020962.
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Several precedents exist for using POMS to capture affective and cognitive change following interventions designed to improve well-being.
“Several precedents exist for using POMS to capture affective and cognitive change following interventions designed to improve well-being [66–68].”
From Five studies evaluating the impact on mental health and mood of recalling, reading, and discussing fiction (2022) · cites this paper as [68]
The Methods (Measures) report using POMS before and after the program to assess tension-anxiety, depression, and fatigue, making this paper a precedent for measuring affective change after an intervention. The cited passages do not show POMS being used to capture cognitive change. (LLM, conf=0.85)
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- Authors
- Shirotsuki, K., Nonaka, Y., Takano, J., Abe, K., Adachi, S.-I., Adachi, S., & Nakao, M.
- Affiliations
- Musashino University (JP)
- Suntory Global Innovation Center Ltd. (Japan) (JP)
- Teikyo University Hospital (JP)
- Corresponding author
- Shirotsuki, Kentaro
- Venue
- BioPsychoSocial Medicine
- Published
- 2017-09-01
- Volume
- 11
- Issue
- 1
- Pages
- 25-25
- ISSN
- 1751-0759 (ISSN-L)
- PMC
- PMC5579873
- OpenAlex
- W2752424322
- Cited by
- 14
- References
- 8
- Citations by year
- 2025: 2 · 2024: 2 · 2022: 4 · 2021: 4 · 2019: 1 · 2017: 1
- FWCI
- 0.63
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BioPsychoSocial Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Japan Society for the Promotion of Science (15K08681)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- internet-based cognitive behavioral therapy, self-help intervention, anxiety, somatic symptoms, low back pain, occupational stress, workers, stress management, behavioral activation, cognitive restructuring, psychoeducation, Profile of Mood States, Japanese workers
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