Testing the Efficacy of a New Intervention Against Stress and Psychosomatic Symptoms

Georgios Pilafas, Penelope Louka, Georgios Lyrakos
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Abstract

The present study is conducted with a view to providing the first evidence in support of a new cognitive behavioral intervention that was designed to decrease several stress-related mental and somatic symptoms of health professionals during the COVID-19 pandemic in Greece, as well as to increase resilience and self-efficacy. The study is a randomized-control trial, and Factorial (2*3) Mixed ANOVAs were employed to present the effect of the intervention on 6 variables (psychosomatics, stress, anxiety, depression, resilience and self-efficacy) over time (as baseline [T1], post-intervention [T2] and 3-month follow-up [T3]). The intervention was delivered by two different instructors. 48 Greek health professionals (Mage= 36.1, SD= 12.66) were randomly allocated in two groups, as one group received the intervention (Nexperimental= 25), while the other nothing (Nnon-experimental= 20) with no great loses for both groups. All variables were measured through self-reported tools including PSSQ-29 (psychosomatics), the Greek versions of DASS-21 (stress, anxiety and depression), NMRQ (resilience) and GSE (self-efficacy). The results show that the intervention group showed significant differences in all DVs between T1 and T2 as well as between T1 and T2, while there were no differences between T2 and T3. The results of the present study are limited, but still promising for the efficiency and efficacy of the new intervention. The study took place through the spread of COVID-19 in Greece and thus new studies may test the intervention on other conditions. Keywords: Psychosomatic symptoms; Stress management; COVID-19; randomized-control trial; RCT
测试针对压力和心身症状的新干预措施的效果
本研究旨在为一项新的认知行为干预措施提供第一手证据支持,该干预措施旨在减少希腊 COVID-19 大流行期间卫生专业人员与压力相关的若干精神和躯体症状,并提高复原力和自我效能。该研究是一项随机对照试验,采用因子(2*3)混合方差分析来显示干预措施对 6 个变量(心身医学、压力、焦虑、抑郁、复原力和自我效能)随时间变化(基线 [T1]、干预后 [T2] 和 3 个月随访 [T3])的影响。干预由两名不同的教师实施。48 名希腊卫生专业人员(年龄= 36.1,标准差= 12.66)被随机分配到两组,一组接受干预(实验组= 25 人),另一组不接受干预(非实验组= 20 人),两组均无重大损失。所有变量均通过自我报告工具进行测量,包括 PSSQ-29(心身医学)、希腊语版 DASS-21(压力、焦虑和抑郁)、NMRQ(复原力)和 GSE(自我效能)。结果显示,干预组在 T1 和 T2 之间以及 T1 和 T2 之间的所有 DVs 均有显著差异,而 T2 和 T3 之间则没有差异。本研究的结果是有限的,但对新干预措施的效率和效果仍有希望。这项研究是通过 COVID-19 在希腊的传播进行的,因此新的研究可能会对其他情况下的干预措施进行测试:心身症状;压力管理;COVID-19;随机对照试验;RCT
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