心理教育
随机对照试验
心理学
临床心理学
接受和承诺疗法
感知压力量表
随机化
干预(咨询)
应力降低
团体心理治疗
规范性
心理健康
压力管理
压力(语言学)
物理疗法
医学
心理治疗师
精神科
内科学
语言学
哲学
认识论
作者
Franziska Binder,Julian Koenig,Franz Resch,Michael Kaess
出处
期刊:Psychotherapy and Psychosomatics
[S. Karger AG]
日期:2024-04-08
卷期号:: 1-12
摘要
Stress affects many adolescents and is associated with physical and mental health symptoms that can have a negative impact on normative development. However, there are very few evidence-based, specific treatment approaches. The aim of the study was to investigate an eight-session group intervention using components of Acceptance and Commitment Therapy (ACT) enriched with elements of CBT (psychoeducation, problem solving) and art therapy, compared to a waitlist control (WLC) group, regarding its efficacy in reducing stress and associated symptoms.We conducted a randomized controlled trial in eight cohorts. Eligible participants were 13-18 years old with elevated stress levels. Via block-randomization (n = 70), participants were allocated to receive ACT (n = 38) or WLC (n = 32) and subsequent ACT. We used a multimodal assessment (self-reports, interviews, ecological momentary assessment, physiological markers) before treatment (T1), after the training of the ACT group (T2) and after subsequent training in the WLC group (T3). Primary outcome was perceived stress at T2 assessed with the Perceived Stress Scale. The trial was preregistered at the German Clinical Trials Register (ID: DRKS00012778).Results showed significantly lower levels of perceived stress in the ACT group at T2, illustrating superiority of ACT compared to WLC with a medium to large effect size (d = 0.77). Furthermore, the training was effective in the reduction of symptoms of school burnout and physical symptoms associated with stress.Indicated prevention, especially when based on the principles of ACT and CBT, seems efficient in significantly decreasing stress in adolescents with increased stress.
科研通智能强力驱动
Strongly Powered by AbleSci AI