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Experiences of internet-delivered and work-focused cognitive behavioral therapy for stress: A qualitative study
Linköpings universitet, Psykologi.ORCID iD: 0000-0001-7627-1729
Karolinska Inst, Sweden.
Karolinska Inst, Sweden.
Karolinska Inst, Sweden.
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2019 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 18, article id 100282Article in journal (Refereed) Published
Abstract [en]

Introduction

Stress is one of the major challenges of modern society, causing significant costs and personal problems. In the recent decade a growing body of research has provided support for the efficacy of internet interventions for stress. However, few studies have focused on how participants experience internet interventions for stress.

Method

The current study was a qualitative follow-up study of an internet-delivered and work-focused cognitive behavioral treatment for stress. The aim was to capture participants' experiences of the treatment and their views on effects on health and well-being. Participants were selected from a controlled study (n = 27), using a criterion-based sampling approach selecting those participants who had completed all treatment modules. Nine semi-structured interviews were held, and the material was analyzed using Thematic Analysis.

Results

The results indicated that most of the participants experienced positive effects on their mental health and well-being in both life and at work. All participants emphasized the importance of having access to therapist support. In line with previous research, participants found the intervention to be extensive and demanding and expressed the need for extended treatment time and therapist support.

Conclusions

Considering the limitations of the present study, future research could examine the feasibility of reducing the length of each session, extending deadlines and increasing therapist support. This could improve treatment efficacy and further enhance utilization in the target population.

Place, publisher, year, edition, pages
Elsevier , 2019. Vol. 18, article id 100282
Keywords [en]
Stress; Experiences; Internet; Cognitive behavior therapy; Work
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:gih:diva-8083DOI: 10.1016/j.invent.2019.100282ISI: 000500917500026PubMedID: 31737490Scopus ID: 2-s2.0-85074567848OAI: oai:DiVA.org:gih-8083DiVA, id: diva2:1834152
Note

Funding Agencies|Swedish Council for Working and Life Research (FORTE); Swedens Municipalities and County Councils (SKL)

Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-02-13
In thesis
1. Learning how to recover from stress-related disorders via internet-based interventions
Open this publication in new window or tab >>Learning how to recover from stress-related disorders via internet-based interventions
2021 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Att lära sig återhämtning från stressrelaterad ohälsa via internet-baserade interventioner
Abstract [en]

Stress has become one of the major challenges of modern society, especially within the working population, causing significant costs and personal problems. However, the range of prevention and treatment is not at all proportionate to the needs of the public. Internet provides new options for broad dissemination and a growing body of evidence suggest that internet-based interventions for stress could be effective. However, few studies have examined the efficacy in clinical samples or how participants experience these new treatment delivery formats. Further, only a limited number of studies have evaluated the efficacy of work-focused stress interventions on work-related outcomes (e.g., absenteeism), and if recovery has the potential in stress-prevention.

In the present thesis, internet-based cognitive behavioural stress interventions (iCBT), designed to reduce symptoms of stress and increase recovery and workparticipation among 117 managers and 260 employees, were evaluated in three randomized controlled trials (Study I, III and IV) and a qualitative study (Study II). Results of Study I and III indicate that the iCBT for managers and employees with stress-related disorders was effective in reducing symptoms of chronic stress. In Study III effects on work-related outcomes, e.g., work ability and absenteeism, were only seen in the work-focused iCBT. In Study II, participants found the work-focused iCBT to be accessible and feasible and reported positive experiences on stress and well-being in both life and at work. Finally, preliminary results in Study IV suggest that recovery experiences, an important protective factor against chronic stress, could be improved by a brief internet-based recovery intervention.

In conclusion, if implemented, these relatively brief and accessible interventions could be a feasible way to increase access to treatment and learning distressed employees and others how to prevent and recover from stress-related disorders. 

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2021. p. 85
Keywords
Stress, Internet-based, Interventions, Recovery, Work, Cognitive behavioural therapy
National Category
Applied Psychology
Identifiers
urn:nbn:se:gih:diva-8082 (URN)10.3384/diss.diva-172685 (DOI)9789179297220 (ISBN)
Public defence
2021-02-12, Online through Zoom (contact maria.hugo-linden@liu.se) and TEMCAS, Building T, Campus Valla, 13:00 (Swedish)
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Supervisors
Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-02-13Bibliographically approved

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Andersson, Gerhard

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