Stress Management for Atopic Dermatitis

1999 ◽  
Vol 16 (4) ◽  
pp. 226-236 ◽  
Author(s):  
Suzanne Habib ◽  
Shirley Morrissey
Keyword(s):  
Atopic Dermatitis ◽  
Social Anxiety ◽  
Stress Management ◽  
Intervention Group ◽  
Management Program ◽  
Waiting List ◽  
Adjunctive Treatment ◽  
Control Group ◽  
Stress Management Program

AbstractAtopic dermatitis (AD) is a chronic, debilitating skin disorder that accounts for up to 20% of dermatological diagnoses. A 6-week psychoeducational stress management program was developed, implemented, and evaluated as an adjunctive treatment for AD. The participants (n = 17) were randomly assigned to a treatment or waiting-list control group. Participants in both the intervention and waiting-list control groups were assessed for dermatitis severity by a blind rater both pre and posttreatment and at a follow-up conducted 8 weeks after the conclusion of the program. At posttest the intervention group had significantly reduced pruritus and global severity of atopic dermatitis, and reduced levels of social anxiety and private self-consciousness. At an 8-week follow-up, pruritus was entirely absent and global severity was continuing to decrease, as were levels of social anxiety and private self-consciousness. The psychoeducational stress-management program provided a short effective treatment that resulted in reduction of symptoms and provided long-term management strategies to sufferers of atopic dermatitis.

A Pilot Randomized Controlled Trial of the Shogi-assisted Cognitive Behavioral Therapy (S-CBT) Preventive Stress Management Program

2021 ◽  
Author(s):  
Hirokazu Furukawa ◽  
Shota NODA ◽  
Chiho KITASHIMA ◽  
Manami OMINE ◽  
Takumi FUKUMOTO ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Stress Management ◽  
Behavioral Therapy ◽  
Management Program ◽  
Waiting List ◽  
Automatic Thoughts ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Problem Solving Skills ◽  
Stress Management Program

Abstract Background: Shogi is a traditional board game in Japan, and a preventative stress management program based on Shogi-assisted cognitive behavioral therapy (S-CBT) has been applied in the Japanese municipality of Kakogawa City. The study aimed to develop an S-CBT preventive stress management program for the elderly and determine its efficacy.Methods: The participants were 67 elderly men with amateur-level Shogi skills. They were randomly assigned to either the S-CBT group (n = 33) or the waiting-list control group (n = 34). The S-CBT program was conducted over six 90-min sessions. The outcome measures were recorded using the K6 instrument, the Japanese version of the abbreviated Lubben Social Network Scale, five items on cognitive behavioral functioning, and subjective well-being.Results and Conclusions: The dropout rates of the S-CBT group and waiting-list control groups were 36.4% and 44.1%, respectively. Effect sizes (Cohen’s d) and 95% confidence intervals (CIs) were calculated for each group. Domains that changed immediately after the S-CBT intervention were problem-solving skills, self-reinforcement, and negative automatic thoughts. Future research should promote mental and physical health through the design of intervention programs using familiar materials.Trial registration: University Hospital Medical Information Network (UMIN CTR) UMIN000036003.

scholarly journals A pilot randomized controlled trial of the shogi-assisted cognitive behavioral therapy (S-CBT) preventive stress management program

2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Hirokazu Furukawa ◽  
Shota Noda ◽  
Chiho Kitashima ◽  
Manami Omine ◽  
Takumi Fukumoto ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Stress Management ◽  
Behavioral Therapy ◽  
Management Program ◽  
Waiting List ◽  
Automatic Thoughts ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Problem Solving Skills ◽  
Stress Management Program

Abstract Background Shogi is a traditional board game in Japan. A preventive stress management program based on Shogi-assisted cognitive behavioral therapy (S-CBT) was applied in the Japanese municipality of Kakogawa City. The study aimed to develop an S-CBT preventive stress management program for the elderly and determine its efficacy. Methods The participants were 67 elderly men with amateur-level Shogi skills. They were randomly assigned to either the S-CBT group (n = 33) or the waiting-list control group (n = 34). The S-CBT program was conducted over six 90-min sessions. The outcome measures were recorded using K6 instrument, the Japanese version of the abbreviated Lubben Social Network Scale, five items on cognitive behavioral functioning, and subjective well-being scale. Results and conclusions The dropout rates of the S-CBT group and waiting-list control groups were 36.4 and 44.1%, respectively. Effect sizes (Cohen’s d) and 95% confidence intervals (CIs) were calculated for each group. Domains that changed immediately after the S-CBT intervention were problem-solving skills, self-reinforcement, and negative automatic thoughts. Future research should promote mental and physical health through the design of intervention programs using familiar materials. Trial registration University Hospital Medical Information Network (UMIN CTR) UMIN000036003.

scholarly journals Effects of smartphone-based stress management on improving work engagement among nurses in Vietnam: a secondary analysis of a three-arm randomized controlled trial (Preprint)

2020 ◽  
Author(s):  
Natsu Sasaki ◽  
Kotaro Imamura ◽  
Thuy Thi Thu Tran ◽  
Huong Thanh Nguyen ◽  
Kazuto Kuribayashi ◽  
...  
Keyword(s):  
Stress Management ◽  
Work Engagement ◽  
Controlled Trial ◽  
Well Being ◽  
Management Program ◽  
Control Group ◽  
Full Time ◽  
Small Effect Size ◽  
Stress Management Program

BACKGROUND Work engagement is important for employee’s well-being and work performance. However, no intervention study has investigated the effect of eMental Health intervention on work engagement among workers in low- and middle-income countries (LMICs). OBJECTIVE The aim of the study was to examine the effects of the newly developed smartphone-based stress management program (“ABC stress management”) on improving work engagement among hospital nurses in Vietnam, a LMIC. METHODS Full-time nurses (N= 949) were randomly assigned to two types of intervention groups and a control group. A 6-week, 6-lesson program offering basic cognitive behavioral therapy (CBT-based stress management skills); provided in free-choice (Program A) and fixed order (Program B). Work engagement was assessed at baseline, 3- and 7-month follow-ups in each of the three groups. RESULTS Program B showed a significant intervention effect on improving work engagement at 3-month follow-up (p = 0.049) with a small effect size (Cohen’s d = 0.16). Neither program achieved effectiveness at a 7-month follow-up. CONCLUSIONS The study demonstrated that a smartphone-based stress management program was effective in improving work engagement in nurses in Vietnam, but the effect was small and temporary. This smartphone-based low-cost intervention may improve work engagement for workers in LMICs. CLINICALTRIAL UMIN Clinical Trials Registry (UMIN-CTR) UMIN000033139.

The Comparison of the Effects of a Didactic Stress Management Program and Group Counselling on the Coping Strategies of School Counsellors

2009 ◽  
Vol 19 (1) ◽  
pp. 71-87
Author(s):  
Aysel Esen Coban ◽  
Zeynep Hamamci
Keyword(s):  
Coping Strategies ◽  
Stress Management ◽  
Management Program ◽  
Post Treatment ◽  
Control Group ◽  
Group Counselling ◽  
Management Group ◽  
School Counsellors ◽  
Stress Management Program

AbstractThe aim of this study was to compare the effects of a didactic stress management program, group counselling, and a control group on school counsellors' stress coping strategies. Thirty-four school counsellors were randomly assigned to either a didactic stress management group, group counselling, or a control group. The didactic stress management group and the group counselling for stress management group were conducted concurrently for 10 consecutive weeks. A control group received no treatment. The Ways of Coping Inventory was administered to all participants at three different stages: pre-treatment, post-treatment, and at 6-month follow-up. The results indicated that both the didactic stress management group and the group counselling for stress management group showed a significant reduction in the use of helpless coping strategies and a significant increase in the optimistic coping strategies at post-treatment. At follow-up, there were obvious group differences in the use of helpless coping strategies. Only those who were treated using group counselling exhibited a decrease in helpless coping strategies at the follow-up assessment.

Two psychological treatments for hypochondriasis

1998 ◽  
Vol 173 (3) ◽  
pp. 218-225 ◽  
Author(s):  
David M. Clark ◽  
Paul M. Salkovskis ◽  
Ann Hackmann ◽  
Adrian Wells ◽  
Melanie Fennell ◽  
...  
Keyword(s):  
Stress Management ◽  
Cognitive Therapy ◽  
Specific Treatment ◽  
Post Treatment ◽  
Waiting List ◽  
Control Group ◽  
One Year ◽  
Almost All ◽  
Better Than

BackgroundHypochondriasis is generally considered difficult to manage. This study aimed to assess the effectiveness of cognitive therapy and to compare it with an equally credible, alternative treatment.MethodForty-eight patients with hypochondriasis were initially randomly assigned to either cognitive therapy, behavioural stress management or a no treatment waiting list control group. At the end of the waiting period, patients in the control group were randomly assigned to one of the two treatments. Assessments were at pre-, mid- and post-treatment or waiting list and at three-, six- and 12-month post-treatment follow-up.ResultsComparisons with the waiting list group showed both treatments were effective. Comparisons between the treatments showed that cognitive therapy was more effective than behavioural stress management on measures of hypochondriasis, but not general mood disturbance at mid-treatment and at post-treatment. One year after treatment patients who had received either treatment remained significantly better than before treatment, and on almost all measures the two therapies did not differ from each other.ConclusionsCognitive therapy is a specific treatment for hypochondriasis. Behavioural stress management is also effective but its specificity remains to be demonstrated.

scholarly journals Web-based stress management for newly diagnosed cancer patients (STREAM): A randomized, wait-list controlled intervention study.

2017 ◽  
Vol 35 (18_suppl) ◽  
pp. LBA10002-LBA10002 ◽  
Author(s):  
Viviane Hess ◽  
Astrid Grossert ◽  
Judith Alder ◽  
Sandra Scherer ◽  
Barbara Handschin ◽  
...  
Keyword(s):  
Stress Management ◽  
Cancer Patients ◽  
Controlled Trial ◽  
Intervention Group ◽  
Management Program ◽  
Control Group ◽  
Wait List ◽  
Newly Diagnosed ◽  
Web Based ◽  
Minimal Contact

LBA10002 Background: Being diagnosed with cancer causes major distress, yet the majority of newly diagnosed cancer patients (pts) lack psychological support. Internet interventions overcome many barriers for seeking support. We assess efficacy and feasibility of a web-based minimal-contact stress management intervention (STREAM) for newly diagnosed cancer pts. Methods: In a prospective, wait-list controlled trial, newly diagnosed cancer pts were randomized within 12 weeks of starting anti-cancer treatment to an immediate or delayed (control group) 8-week, web-based intervention. The intervention consisted of 8 modules with weekly written feedback by a psychologist (“minimal-contact”) based on well-established stress management manuals. The aim of this study was to evaluate efficacy in terms of improvement in QoL (FACIT-F), decrease in distress (DT), anxiety/depression (HADS), as compared to pts in the wait-list group. 120 pts were needed to show (80% power, 2-sided α of 0.05) a clinically meaningful difference of ≥ 9 in FACT score after the immediate intervention (week 8 = T2). Results: 225 pts applied online. 128 pts were randomized. Median age was 52 (22-77)y. 108 (84%) were female. The majority of pts were treated in the curative setting (117pts; 91%), with chemotherapy (74 pts; 58%), for breast cancer (91pts; 71%). Self-reported distress at baseline ( = stratification factor) was above 4 on a 10-point scale (DT) with 96 pts (75%). At T2, QoL (FACIT-F) was sign. increased (p = 0.044; ANCOVA adjusted for baseline-distress) and distress sign. lowered (p = 0.032) in the intervention group as compared to the wait-list control. Median score (lower/upper quartile) for FACIT-F at baseline/T2 was 101.0(80.8/120)/119.0(98.0/132) and 108.3(87.8/124.0) /109.5(97.2/121.0); of DT at baseline/T2 was 6(5/8)/4(3/6) and 6(5/8)/6(4/7) for the intervention and control group, respectively. Decrease in HADS was not sign. different between the groups (p = 0.273). Conclusions: With STREAM, we open the field of minimal-contact online interventions to newly diagnosed cancer pts and show that an 8-week web-based stress management program is feasible and effective in improving QoL and distress. Clinical trial information: NCT02289014.

Effects of an Internet-based machine-guided stress management program based on cognitive behavioral therapy applying artificial intelligence technologies on improving depression among workers: a protocol for a randomized controlled trial (Preprint)

2021 ◽  
Author(s):  
Norito Kawakami ◽  
Kotaro Imamura ◽  
Kazuhiro Watanabe ◽  
Yuki Sekiya ◽  
Natsu Sasaki ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Cognitive Behavioral Therapy ◽  
Stress Management ◽  
Repeated Measures ◽  
Primary Outcome ◽  
Behavioral Therapy ◽  
Intervention Group ◽  
Management Program ◽  
Cognitive Behavioral ◽  
Stress Management Program

BACKGROUND The effect of an unguided cognitive-behavioral therapy-based (CBT) stress management program on depression may be enhanced by applying artificial intelligence (AI) technologies to guide participants’ learning. OBJECTIVE The objective of this study is to propose a research protocol to investigate the effect of a newly developed machine-guided CBT stress management program on improving depression among workers during an outbreak of COVID-19. METHODS This study is a two-arm, parallel randomized control trial. Participants (N = 1,400) will be recruited and those who meet the inclusion criteria will be randomly allocated to the intervention or control (treatment as usual) group. A six-week, six-module Internet-based stress management program, SMART-CBT, has been developed that includes machine-guided exercises to help participants acquire CBT skills, applying machine learning and deep learning technologies. The intervention group will participate in the program for 10 weeks. Depression as the primary outcome will be measured using the Beck Depression Inventory II at baseline and in 3- and 6-month follow-up surveys. A mixed model repeated measures analysis will be used to test the intervention effect (group × time interactions) in the total sample (universal prevention), on an intention-to-treat basis. RESULTS The study was at the stage of recruitment of the participants at the time of submission. The data analysis of the primary outcome will start in January 2022, and the results could be published in 2022. CONCLUSIONS This is the first study to investigate the effectiveness of a fully-automated, machine-guided iCBT program on improving subthreshold depression among workers using a RCT design. The study will explore the potential of a machine-guided stress management program that can be disseminated online to a large number of workers with minimal cost in the post-COVID-19 era. CLINICALTRIAL Trial registration number: UMIN000043897 (May 31, 2021).

scholarly journals The Effect of a Job Stress Management Program Based on Acceptance-Commitment Therapy for Firefighting Paramedics

2021 ◽  
Vol 28 (1) ◽  
pp. 56-66
Author(s):  
Jae Woon Lee ◽  
Jae-Hyun Ha
Keyword(s):  
Quality Of Life ◽  
Stress Management ◽  
Job Stress ◽  
Psychological Flexibility ◽  
Management Program ◽  
Control Group ◽  
Acceptance Commitment Therapy ◽  
Stress Management Program ◽  
Experimental Group

Purpose: The purpose of this study was to develop an acceptance-commitment therapy (ACT) based job stress management programs for firefighting paramedics and to examine the effects on the psychological flexibility, job stress (i.e. psychological, physiological and behavioral areas) and quality of life.Methods: This study consisted of a pre-test-posttest for a nonequivalent control group design. Participants were 45 firefighting paramedics working at two fire stations located in specific areas (experimental group: 22, control group: 23). The experimental group received the ACT based job stress management program twice a week for a total of 3 weeks. The study was carried out from August 12 to 31, 2019, and data were analyzed using IBM SPSS/WIN 25.0 with a x2 test, Fisher's exact test, and independent t-test.Results: The differences between experimental and control groups were statistically significant for psychological flexibility (t=4.91, p<.001), psychological job stress (t=-6.10, p<.001) and quality of life (t=3.78, p<.001). However, physiological stress (t=-1.91, p=.063) and behavioral stress (t=-1.18, p=.243) were not significantly different between the two groups.Conclusion: The results of this study suggest that ACT based job stress management program can be used as an effective community mental health nursing intervention to improve the psychological flexibility, psychological job stress and quality of life of firefighting paramedics.

Stress Management and Athletic Performance

1993 ◽  
Vol 7 (3) ◽  
pp. 221-231 ◽  
Author(s):  
Gretchen Kerr ◽  
Larry Leith
Keyword(s):  
Stress Management ◽  
Athletic Performance ◽  
Management Program ◽  
Superior Performance ◽  
Control Group ◽  
Mental Rehearsal ◽  
Competitive Anxiety ◽  
Attentional Skills ◽  
Stress Management Program ◽  
Experimental Group

The authors investigated the effects of a stress-management program on performance, mental rehearsal, attentional skills, and competitive anxiety. The subjects included 24 male and female, international-caliber gymnasts, matched into pairs and assigned to either an experimental or control group. Over an 8-month period, both groups completed attentional, competitive anxiety, and mental rehearsal inventories and received performance scores from competitions. The experimental group received a stress-management program, based upon Meichenbaum’s stress inoculation training. Compared with the control group, the experimental group demonstrated superior performance, mental rehearsal, and attentional skills. Competitive anxiety levels were significantly higher for the experimental group, perhaps due to an increase in facilitative rather than debilitative anxiety. Specific implications for optimizing athletic performance are discussed.

scholarly journals Maternal mental health and partner delivered massage: a pilot study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Hall ◽  
N Munk ◽  
B Carr ◽  
S Fogarty ◽  
S Holton ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Stress Management ◽  
Mental Health Problems ◽  
Management Program ◽  
The Self ◽  
Anxiety And Depression ◽  
Control Group ◽  
Stress Management Program ◽  
Anxiety Depression

Abstract Background Mental health problems place a significant burden on the health system and are an important public health issue. Many pregnant women experience anxiety and depression, which can negatively impact health outcomes for both mother and baby. Partner-delivered massage may provide a cost effective and accessible approach to support the mental wellbeing of pregnant women. Methods A feasibility randomised controlled trial was conducted to compare partner-delivered relaxation massage (intervention) with a self-directed stress management program (control), for pregnant women with mild anxiety. Women attended an initial workshop at 28-32 weeks gestation, followed by the completion of either the self-directed massage or stress management program. Qualitative feasibility and acceptability data (primary outcomes) were collected via online participant diaries and post-birth interviews. Anxiety, depression and stress symptoms (secondary outcomes) were assessed using the Depression and Anxiety Stress Scale (DASS-21). Results 14 women/partner dyads attended the partner- delivered massage group and 13 women attended the self-directed stress management group. Participants from both groups reported the programs were feasible and acceptable. Mean scores on all DASS-21 subscales significantly decreased over time in both the intervention and the control group. Conclusions The partner-delivered massage program was feasible and acceptable. Both programs decreased women's symptoms of anxiety, depression and stress, with no significant between-group differences identified. An adequately powered, experimental study is needed to determine the effectiveness of partner-delivered relaxation massage. Key messages Many women experience anxiety and depression during pregnancy and this can have a negative impact on both mother and baby. Partner-delivered relaxation massage, at least once a week in the third trimester, may help reduce women’s symptoms of anxiety, depression and stress.

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