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

A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training
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DOI:
10.1016/j.brat.2010.05.004
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发表时间:
2010-08-01
影响因子:
4.1
通讯作者:
Bond, Frank W.
Bond, Frank W.
中科院分区:
心理学2区
文献类型:
--
作者:
Flaxman, Paul E.;Bond, Frank W.

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在这项比较干预研究中,107名工作人员与以上平均水平的痛苦被随机分配到三个条件之一:接受和承诺治疗(ACT; n = 37);压力接种培训(SIT; n = 37);或候补对照组(n = 33)。通过两个半天的培训课程向工作场所的小团体提供干预措施。ACT和SIT在三个月的评估期内同样有效地减少了心理困扰。中介分析表明,ACT对心理健康的有益影响来自心理灵活性的增加,而不是功能失调的认知内容的变化。与假设相反,功能失调认知的减少并不能介导SIT状况的变化。结果表明,工作场所可能为测试认知行为变化理论提供了一个有用但未充分利用的竞技场。(C)2010爱思唯尔有限公司版权所有。
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.