The role of therapist support on the efficacy of an internet-delivered stress recovery intervention for healthcare workers: a randomized control trial.

IF 4.3 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Auguste Nomeikaite, Gerhard Andersson, Blake F Dear, Austeja Dumarkaite, Odeta Gelezelyte, Inga Truskauskaite, Evaldas Kazlauskas
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引用次数: 1

Abstract

Internet-delivered CBT interventions effectively improve different aspects of mental health, although the therapist's role remains unclear. The aim of this trial was to evaluate the efficacy of a therapist-supported 6-week internet-delivered intervention in improving stress recovery among healthcare workers compared to a group with optional therapist support. A total of 196 participants were recruited and randomly allocated to regular therapists' support or optional therapists' support groups. The primary outcome measure was the Recovery Experiences Questionnaire (REQ), developed to assess four components of stress recovery: psychological detachment, relaxation, mastery, and control. Secondary outcomes measured perceived stress (PSS-10), anxiety (GAD-7), depression (PHQ-9), and psychological well-being (WHO-5). All four stress recovery skills improved significantly after participating in the intervention at a 3-month follow-up, with small to medium effects (0.27-0.65) in both groups. At follow-up, we also found a significant reduction in perceived stress, depression, and anxiety in both groups, as well as an improvement in psychological well-being. The results indicate that ICBT can be effective in improving stress recovery skills among healthcare workers with optional support from the therapist, provided at the participants' request. This RCT suggests that optional therapist support could meet participants' needs and reduce resources needed in routine care.

网络对医护人员压力恢复干预的作用:一项随机对照试验。
互联网提供的CBT干预有效地改善了心理健康的各个方面,尽管治疗师的角色尚不清楚。本试验的目的是评估治疗师支持的为期6周的网络干预在改善医护人员压力恢复方面的效果,并与有选择性治疗师支持的小组进行比较。总共招募了196名参与者,并随机分配到常规治疗师支持小组或选择性治疗师支持小组。主要结果测量是恢复体验问卷(REQ),用于评估压力恢复的四个组成部分:心理超然、放松、掌握和控制。次要结局测量感知压力(PSS-10)、焦虑(GAD-7)、抑郁(PHQ-9)和心理健康(WHO-5)。在3个月的随访中,所有四项压力恢复技能在参与干预后都有显著改善,两组的效果均为中效(0.27-0.65)。在随访中,我们还发现两组患者在感知压力、抑郁和焦虑方面都有显著减少,心理健康状况也有所改善。结果表明,ICBT可以有效地提高医护人员的压力恢复技能,治疗师可根据参与者的要求提供可选的支持。本随机对照试验表明,选择性治疗师支持可以满足参与者的需求,减少常规护理所需的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cognitive Behaviour Therapy
Cognitive Behaviour Therapy PSYCHOLOGY, CLINICAL-
CiteScore
9.20
自引率
0.00%
发文量
25
期刊介绍: Cognitive Behaviour Therapy is a peer reviewed, multidisciplinary journal devoted to the application of behavioural and cognitive sciences to clinical psychology and psychotherapy. The journal publishes state-of-the-art scientific articles within: - clinical and health psychology - psychopathology - behavioural medicine - assessment - treatment - theoretical issues pertinent to behavioural, cognitive and combined cognitive behavioural therapies With the number of high quality contributions increasing, the journal has been able to maintain a rapid publication schedule, providing readers with the latest research in the field.
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