TY  - JOUR
PY  - 2018//
TI  - Internet-based stress management for distressed managers: results from a randomised controlled trial
JO  - Occupational and environmental medicine
A1  - Persson Asplund, Robert
A1  - Dagöö, Jesper
A1  - Fjellström, Ida
A1  - Niemi, Linnea
A1  - Hansson, Katja
A1  - Zeraati, Forough
A1  - Ziuzina, Masha
A1  - Geraedts, Anna
A1  - Ljótsson, Brjánn
A1  - Carlbring, Per
A1  - Andersson, Gerhard
SP  - 105
EP  - 113
VL  - 75
IS  - 2
N2  - OBJECTIVE: The aim of this randomised controlled trial (RCT) was to evaluate the efficacy of a guided internet-based stress management intervention (iSMI) among distressed managers compared with a attention control group (AC) with full access to treatment-as-usual. <br><br>METHOD: A total sample of 117 distressed managers, mainly employed in the healthcare, IT, communication and educational sector, were randomised to either iSMI (n=59) or an AC group (n=58). The iSMI consisted of eight modules including cognitive behavioural stress management and positive management techniques. Participants received a minimal and weekly guidance from a psychologist or master-level psychology student focusing on support, feedback and adherence to the intervention. Self-report data were assessed at pre, post and 6 months after the intervention. The primary outcome was perceived stress (Perceived Stress Scale-14). The secondary outcomes included mental and work-related health outcomes. <br><br>RESULTS: Participants in the iSMI intervention reported significantly less symptoms of perceived stress (d=0.74, 95% CI 0.30 to 1.19) and burnout (d=0.95, 95% CI 0.53 to 1.37) compared with controls, at postassessment. Significant medium-to-large effect sizes were also found for depression, insomnia and job satisfaction. Long-term effects (6 months) were seen on the mental health outcomes. <br><br>CONCLUSION: This is one of the first studies showing that iSMIs can be an effective, accessible and potentially time-effective approach of reducing stress and other mental-related and work-related health symptoms among distressed managers. Future studies are needed addressing distressed managers and the potential of indirect effects on employee stress and satisfaction at work.<br><br>© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.<p />  <p>Language: en</p>
LA  - en
SN  - 1351-0711
UR  - http://dx.doi.org/10.1136/oemed-2017-104458
ID  - ref1
ER  -