A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training

被引:128
作者
Flaxman, Paul E. [1 ]
Bond, Frank W. [2 ]
机构
[1] City Univ London, Dept Psychol, London EC1V 0HB, England
[2] Univ London Goldsmiths Coll, Dept Psychol, London SE14 6NW, England
关键词
Stress management; Stress inoculation training; Acceptance and commitment therapy; Mediators of change; COGNITIVE THERAPY; MENTAL-HEALTH; MANAGEMENT INTERVENTION; MEDIATORS; IMPACT; STRATEGIES; MODERATORS; DISORDERS; ATTITUDES; ANXIETY;
D O I
10.1016/j.brat.2010.05.004
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
In this comparative intervention study, 107 working individuals with above average levels of distress were randomly assigned to one of three conditions: acceptance and commitment therapy (ACT; n = 37); stress inoculation training (SIT; n = 37); or a waitlist control group (n = 33). The interventions were delivered to small groups in the workplace via two half-day training sessions. ACT and SIT were found to be equally effective in reducing psychological distress across a three month assessment period. Mediation analysis indicated that the beneficial impact of ACT on mental health resulted from an increase in psychological flexibility rather than from a change in dysfunctional cognitive content. Contrary to hypothesis, a reduction in dysfunctional cognitions did not mediate change in the SIT condition. Results suggest that the worksite may offer a useful, yet underutilised, arena for testing cognitive-behavioural theories of change. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:816 / 820
页数:5
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