The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia

2018 ◽  
Vol 48 (4) ◽  
pp. 443 ◽  
Author(s):  
Jae Woon Lee ◽  
Jae Hyun Ha
Author(s):  
Won Ju Hwang ◽  
Hyun Hee Jo

Improving mental healthcare using mobile apps might be an effective way to increase interest in mental health and respond to the demand for better psychological health. However, few studies have investigated the effectiveness of app-based stress-management programs. This study aimed to assess the efficacy of an app-based stress-management program. A non-equivalent comparison group pretest-posttest design was used. Participants were randomized into the experimental (n = 26) and control (n = 30) groups. The experimental group used an application developed for workers for four weeks. The results indicated that stress, emotional labor, self-efficacy, and well-being were significantly different in the experimental group, but the control group’s average scores did not change significantly. On average, the Perceived Stress Scale scores decreased by 1.5 points (p = 0.035) and the Korean Occupational Stress Scale scores decreased by 0.87 points (p = 0.4). However, depression and anxiety were not significantly different. Emotional labor decreased by 0.16 points (p = 0.027), and well-being and self-efficacy mean scores increased by 0.492 (p = 0.005) and 0.162 (p = 0.025), respectively. These findings support the developed application’s value for promoting mental health and healthy lifestyles. Further research and supplementation are needed for the application’s sustainability.


2021 ◽  
Vol 28 (1) ◽  
pp. 56-66
Author(s):  
Jae Woon Lee ◽  
Jae-Hyun Ha

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.


2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Susy Purnawati ◽  
Putu Gede Adiatmika ◽  
Cokorda Bagus Jaya Lesmana

Objective. Current evidence has shown academic stress to be associated with student maladaptive behavior. This study aimed to investigate the effect of a problem-focused coping stress management program on first-year medical students’ self-efficacy, psychological distress and find its effect on salivary cortisol. Method. Forty students who scored high on academic stress and external locus of control were randomly selected as the intervention (n = 26) and control group (n = 14). An intervention in the form of a problem-focused coping stress management program was organized. The intervention was a 1½-hour training class conducted once a week for four weeks. Results. There was a significant difference in self-efficacy between the intervention and control groups (p-value = 0.029). The self-efficacy score was significantly higher after the intervention (19.31 ± 2.396 vs 21.27 ± 2.677, p = 0.005). Likewise, a significant difference in the psychological distress between the two groups was found after the intervention (control group = 40.14 ± 3.860; intervention group = 37.12 ± 4.537, p < 0.05). We also found a significant decrease in salivary cortisol after the intervention among this group (0.68262 μg/dl ± 0.367 to 0.43304 μg/dl ± 0.231, p < 0.05), but there was no significant difference in cortisol between intervention and control group after the intervention (0.49479 μg/dl ± 0.264 and 0.43304 μg/dl ± 0.231, p = 0.448). Conclusion. The problem-focused coping stress management program improved self-efficacy and decreased the psychological distress and salivary cortisol of first-year medical students in this research.


2020 ◽  
Author(s):  
Natsu Sasaki ◽  
Kotaro Imamura ◽  
Thuy Thi Thu Tran ◽  
Huong Thanh Nguyen ◽  
Kazuto Kuribayashi ◽  
...  

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.


2018 ◽  
Vol 34 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Silvia Bonino ◽  
Federica Graziano ◽  
Martina Borghi ◽  
Davide Marengo ◽  
Giorgia Molinengo ◽  
...  

Abstract. This research developed a new scale to evaluate Self-Efficacy in Multiple Sclerosis (SEMS). The aim of this study was to investigate dimensionality, item functioning, measurement invariance, and concurrent validity of the SEMS scale. Data were collected from 203 multiple sclerosis (MS) patients (mean age, 39.5 years; 66% women; 95% having a relapsing remitting form of MS). Fifteen items of the SEMS scale were submitted to patients along with measures of psychological well-being, sense of coherence, depression, and coping strategies. Data underwent Rasch analysis and correlation analysis. Rasch analysis indicates the SEMS as a multidimensional construct characterized by two correlated dimensions: goal setting and symptom management, with satisfactory reliability coefficients. Overall, the 15 items reported acceptable fit statistics; the scale demonstrated measurement invariance (with respect to gender and disease duration) and good concurrent validity (positive correlations with psychological well-being, sense of coherence, and coping strategies and negative correlations with depression). Preliminary evidence suggests that SEMS is a psychometrically sound measure to evaluate perceived self-efficacy of MS patients with moderate disability, and it would be a valuable instrument for both research and clinical applications.


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