Changes in stress and coping from a randomized controlled trial of a three-month stress management intervention
Open accessAbstract
OBJECTIVES: To investigate whether a group-based stress management intervention, based on principles from cognitive behaviour therapy, can reduce stress and alter coping strategies in an occupationally diverse population with extensive symptoms of work-related stress. METHODS: Using a randomized wait list control design, 102 participants were divided into two groups: intervention and wait list control (WLC). The intervention was a three-month group-based stress management program. Outcomes measures were the Perceived Stress Scale (PSS-10, range 0-40 points) and five dimensions from the Brief COPE questionnaire (range 2-8 points) at baseline and three-, six- and nine-months follow-up. Data were analyzed with a univariate analysis of variance. RESULTS: On the PSS-10 from baseline to three months, the intervention group changed -6.45 (95% CI -8.25--4.64) points, compared to -1.12 (95% CI -2.94-0.70) points in the WLC group. The between-groups difference was -5.32 (95% CI -7.89--2.76) points, equalling a standardized mean difference of -0.84 (95% CI -1.27--0.42) favouring the intervention. One coping dimension, positive reframing, differed between the two groups. Here the intervention group changed -0.86 (95% CI -1.25--0.48) points from baseline to three months, compared to -0.18 (-0.58-0.22) points in the WLC-group. We found a between-groups difference of -0.67 (95% CI -1.24--0.11) points, equalling a standardized mean difference of -0.48 (95% CI -0.89--0.07) favouring the intervention. The gains achieved during treatment were maintained when followed up three months later. CONCLUSIONS: Treatment is superior to the control condition in positively affecting perceived stress and positive reframing. When followed up, the gains achieved are maintained.
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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 [35]
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- Authors
- Willert, M. V., Thulstrup, A. M., Hertz, J., & Bonde, J. P.
- Affiliations
- Aarhus University Hospital (DK)
- Venue
- Scandinavian Journal of Work, Environment & Health
- Published
- 2009-03
- Volume
- 35
- Issue
- 2
- Pages
- 145-152
- ISSN
- 0355-3140 (ISSN-L)
- 1795-990X
- OpenAlex
- W2117237051
- Cited by
- 56
- References
- 23
- Citations by year
- 2026: 4 · 2024: 3 · 2023: 10 · 2022: 2 · 2021: 2 · 2020: 3 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 4
- FWCI
- 3.92
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Scandinavian Journal of Work Environment & Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Aarhus Universitet
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- stress management interventions, occupational stress, coping strategies, positive reframing, perceived stress, cognitive behavioral therapy, group intervention, occupational health, maintenance therapy
- MeSH terms
- Adaptation, Psychological, Female, Humans, Interview, Psychological, Male, Occupational Diseases, Stress, Psychological, Cognitive Behavioral Therapy, Treatment Outcome, Workplace
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