Reduction of Chronic Stress and Trait Anxiety by Inquiry of Cognitive Appraisals with the Inquiry-Based Stress Reduction (IBSR) Method
Open accessAbstract
Abstract Background: Chronic stress and anxiety can impair individuals’ health. Appraisal theories assume that stress and anxiety are experienced if individuals appraise a situation as threatening for their well-being. Thus, the modification of cognitive appraisals can be expected to reduce stress and anxiety. A potentially effective method to modify individuals’ appraisals is inquiry-based stress reduction (IBSR; Mitchell & Mitchell, 2003). Aims: The present study assesses the effects of IBSR on chronic stress and trait anxiety in comparison to a matched control group. Method: We used a quasi-experimental repeated-measurement design and a non-clinical sample of N = 199. Participants’ chronic stress and anxiety levels were assessed before and three months after a nine-day IBSR training. To account for the consequences of missing randomization, propensity score matching was applied. Results: As expected, data analyses revealed that in the IBSR training group chronic stress and trait anxiety statistically significantly decreased over the course of three months whereas in the matched control group, the levels of chronic stress and trait anxiety did not statistically significantly change. Conclusions: IBSR seems to effectively reduce trait anxiety and chronic stress in a non-clinical sample.
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?
Other studies conducted with the IBSR intervention technique that examined its effect on anxiety in the general population reported a significant improvement in trait anxiety as part of the STAI instrument.
“Other studies conducted with the IBSR intervention technique that examined its effect on anxiety in the general population reported a significant improvement in trait anxiety as part of the STAI instrument [37,56,59].”
From Inquiry based stress reduction (Ibsr) improves overall stuttering experience among adults who stutter: A randomized controlled trial (2021) · cites this paper as [56]
Another research study has demonstrated the ability of IBSR method to reduce chronic stress and trait anxiety in a general (non-clinical) population.
“Another research study has demonstrated the ability of IBSR method to reduce chronic stress and trait anxiety in a general (non-clinical) population [56].”
From Inquiry based stress reduction (Ibsr) improves overall stuttering experience among adults who stutter: A randomized controlled trial (2021) · cites this paper as [56]
Re-evaluation and modification of cognitive perceptions are expected to reduce stress and anxiety.
“Thus, re-evaluation and modification of cognitive perceptions are expected to reduce stress and anxiety [56].”
From Inquiry based stress reduction (Ibsr) improves overall stuttering experience among adults who stutter: A randomized controlled trial (2021) · cites this paper as [56]
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
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
Statistical power analyses using G∗Power 3.1: tests for correlation and regression analyses
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009) · Behavior Research Methods · doi:10.3758/brm.41.4.1149 · Cited by 37,615 · see citing works
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833 · see citing works
Confirmation Bias: A Ubiquitous Phenomenon in Many Guises
Nickerson, R. S. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.2.175 · Cited by 7,267 · see citing works
Pekrun, R. (2006) · Educational Psychology Review · doi:10.1007/s10648-006-9029-9 · Cited by 5,566 · cited 4× · see citing works
“We interpret the results according to the theoretical assumptions of appraisal theories (Lazarus, 1999; Lazarus & Folkman, 1984; Pekrun, 2006), which state that stress and anxiety are caused by cognitive appraisals.”
BackgroundMethodResultInfluentialStress and Health: Psychological, Behavioral, and Biological Determinants
Schneiderman, N., Ironson, G., & Siegel, S. D. (2005) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.144141 · Cited by 2,252 · see citing works
McEwen, B. S. (2008) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2007.11.071 · Cited by 1,864 · see citing works
Appraisal Theories of Emotion: State of the Art and Future Development
Moors, A., Ellsworth, P. C., Scherer, K. R., & Frijda, N. H. (2013) · Emotion Review · doi:10.1177/1754073912468165 · Cited by 1,675 · see citing works
Das State-Trait-Angstinventar (STAI) : theoretische Grundlagen und Handanweisung
Laux, L. (1981) · Beltz eBooks · Cited by 750 · see citing works
A Primer for Applying Propensity-Score Matching
Heinrich, C. J., Maffioli, A., & Vázquez, G. (2010) · doi:10.18235/0008567 · Cited by 280 · see citing works
Trierer Inventar zum Chronischen Stress (TICS) [Trier Inventory for Chronic Stress (TICS)]
Schulz, P. J., Schlotz, W., & Becker, P. (2004) · ePrints Soton (University of Southampton) · Cited by 168 · see citing works
Rational Emotive Behavior Therapy
(2017) · Springer Publishing Company eBooks · doi:10.1891/9780826168665.0006 · Cited by 168 · see citing works
West, S. G., Cham, H., Thoemmes, F. J., Renneberg, B., Schulze, J., & Weiler, M. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0036387 · Cited by 113 · see citing works
Self-generated persuasion: effects of the target and direction of arguments.
Briñol, P., Mccaslin, M., & Petty, R. (2012) · Journal of Personality and Social Psychology · doi:10.1037/a0027231 · Cited by 112 · see citing works
Smernoff, E., Mitnik, I., Kolodner, K., & Lev-ari, S. (2015) · EXPLORE · doi:10.1016/j.explore.2014.10.003 · Cited by 22 · cited 4× · see citing works
“Altogether, these attrition rates are lower than the usual range reported in similar studies (e.g., Smernoff et al., 2015, reported a dropout rate of 48%).”
ResultInfluentialStress and Your Health: From Vulnerability to Resilience
Anisman, H. (2015) · Cited by 21 · see citing works
Krispenz, A., & Dickhäuser, O. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00201 · Cited by 21 · see citing works
Self-citationA Prospective Pilot Clinical Trial of “The Work” Meditation Technique for Survivors of Breast Cancer
Lev-ari, S., Zilcha-Mano, S., Rivo, L., Geva, R., & Ron, I. (2013) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2013.07.003 · Cited by 19 · see citing works
Effects of “The Work” Meditation on Psychopathologic Symptoms: A Pilot Study
Leufke, R., Zilcha-Mano, S., Feld, A., & Lev-ari, S. (2013) · Alternative and Complementary Therapies · doi:10.1089/act.2013.19303 · Cited by 19 · see citing works
Wessler, R. L. (2002) · Elsevier eBooks · doi:10.1016/b0-12-343010-0/00048-9 · Cited by 4 · see citing works
Lev‐Ari, S. (2015) · Medical Research Archives · doi:10.18103/mra.v0i4.191 · Cited by 2 · see citing works
Flagged first, then by citations
2 of the 23 references couldn’t be matched to a known paper.
Research works printed but not linked: 6
- Arnold, M. B. (1960). Emotion and personality: Volume 1 -Psychological aspects. New York, NY: Columbia University Press. Unangemeldet Heruntergeladen am | 16.07.19 13:31
- Blascovich, J. (2008). Challenge and treat. In A. J. Elliot (Ed.), Handbook of approach and avoidance motivation (pp. 431-474). New York: Psychology Press.
- Chen, S., & Chaiken, S. (1999). The heuristic-systematic model in its broader context. In S. Chaiken & Y. Trope (Eds.), Dual process theories in social psychology (pp. 73-96). New York: Guilford Press.
- Lazarus, R. S. (1999). Stress and emotion. New York: Springer.
- Mitchell, B. K., & Mitchell, S. (2003). Loving what is: Four questions that can change your life (2 nd edition). New York: Three Rivers Press.
- Scherer, K. R. (1984). On the nature and function of emotions: A component process approach. In K. R. Scherer & P. Ekman (Eds.), Approaches to emotion (pp. 293-317). Hillsdale, NJ: Erlbaum.
Cited by
Sorted by citations
Rakei, A., Tan, J. S., & Bhattacharya, J. (2022) · PLoS ONE · doi:10.1371/journal.pone.0265936 · Cited by 29 · see citing works
Tajnia, S., Iranmanesh, S., Asadi, N., & McDermott, M. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03764-y · Cited by 16 · see citing works
Feldman, O., Goldstien, E., Rolnik, B., Ganz, A. B., & Lev-Ari, S. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10102187 · Cited by 13 · see citing works
Stan, R., & Vîrgă, D. (2021) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12739 · Cited by 15 · see citing works
Inquiry-based stress reduction: A systematic review of the empirical literature
Hook, J. N., Kim Penberthy, J., Davis, D. E., & Van Tongeren, D. R. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23120 · Cited by 9 · see citing works
Impact of Inquiry-Based Stress Reduction Intervention on Pharmacy Students’ Test Anxiety
Ndungu, M., Galal, S. M., Tran, E. N., Peng, M., Chang, J., Vyas, D., Mayberry, J. K., & Chima, A. K. (2024) · Trends in Higher Education · doi:10.3390/higheredu3040069 · Cited by 1 · see citing works
Jamali, M., Farokhzadian, J., Torkaman, M., & Miri, S. (2025) · BMC Nursing · doi:10.1186/s12912-025-03401-5 · Cited by 1 · see citing works
Salsabila, A., Rahmat, A., & Hamdiyati, Y. (2024) · JPBI (Jurnal Pendidikan Biologi Indonesia) · doi:10.22219/jpbi.v10i2.33297 · Cited by 4 · see citing works
Mor, S., Sela, Y., & Lev‐Ari, S. (2025) · medRxiv · doi:10.1101/2025.11.04.25339519
Brandner, C. J., & Krispenz, A. (2026) · Current Psychology · doi:10.1007/s12144-026-09356-3
Self-citation
- Authors
- Krispenz, A., & Dickhäuser, O.
- Affiliations
- University of Mannheim (DE)
- Corresponding author
- Krispenz, Ann
- Venue
- Open Psychology
- Publisher
- Walter de Gruyter GmbH
- Published
- 2019-01-01
- Volume
- 1
- Issue
- 1
- Pages
- 185-199
- ISSN
- 2543-8883 (ISSN-L)
- OpenAlex
- W2931871724
- Cited by
- 10
- References
- 23
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2022: 2 · 2021: 3
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Open Psychology (publishedVersion, cc-by)
- MADOC (University of Mannheim) (acceptedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Open Access CRIS of the University of Bern
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- chronic stress, trait anxiety, cognitive appraisal, appraisal theory, stress reduction training, non-clinical sample
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