Web-Based Training Program Using Cognitive Behavioral Therapy to Enhance Cognitive Flexibility and Alleviate Psychological Distress Among Schoolteachers: Pilot Randomized Controlled Trial

Oishi, Satoru; Takizawa, Takeya; Kamata, Naoki; Miyaji, Shingo; Miyaoka, Hiroaki

doi:10.2196/resprot.8541

Cited by 11 publications

(9 citation statements)

References 33 publications

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“…Evidence on computer‐based interventions shows promising results for the treatment of clinical problems like depression and anxiety disorders (Hedman et al, 2012), eating disorders (ter Huurne et al, 2015), or addictive behaviour (Postel et al, 2010), but also for the treatment of subclinical problems in different population, depending of some characteristics, like the group age (adolescents, young adults or older adults) (Välimäki et al, 2017; Vanoh et al, 2018), or the belonging to a risk profession, like health professionals (Hersch et al, 2016) or teachers (Oishi et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Internet‐based cognitive behavioural therapy programme with and without videoconference guidance sessions: A randomized controlled trial to treat work‐related symptoms of anxiety and depression

Elvira

Ivars

Giráldez

et al. 2021

Clin Psychology and Psychoth

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This study provides the results from the implementation of a highly structured therapist‐guided iCBT programme for people with work‐related anxiety and depression, in terms of programme efficacy, participants' adherence and satisfaction. Seventy‐seven national police workers were randomly allocated to one of two groups: without additional videoconference sessions (web platform with guidance of therapist) and with additional videoconference sessions (same intervention as the previous group, plus two videoconference guidance sessions with a psychologist). The intervention was composed of 12 sessions and took place for 17–20 weeks. We found an adherence rate of 36.4%, with no differences between groups. All participants endorsed lower depression (BDI‐II F(1) = 36.98, p < .001; ATQ F(1) = 24.22, p < .001), and anxiety (STAI‐State F(1) = 76.62, p < .001) after the programme. As a variable related to anxiety and depression in workplace, participants also showed higher assertiveness levels (RAS F(1) = 8.96, p < .001). A significant reduction of the mean level of anxiety perceived by participants as the intervention programme progressed was observed in both groups (F(2) = 7.44; p = .003). Participants were satisfied with the therapists' intervention and with the programme. No significant group effects were found for any of the measures. Reduction in depression levels was maintained in the 12‐month follow‐up, but levels of anxiety increased. This study is innovative, as it is the first controlled trial to analyse the effect of two added videoconference sessions, and it includes short‐ and long‐term measures, which is not usual. The results are discussed to clarify the role of the contact with the therapist to improve treatment adherence.

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Section: Introductionmentioning

confidence: 99%

Internet‐based cognitive behavioural therapy programme with and without videoconference guidance sessions: A randomized controlled trial to treat work‐related symptoms of anxiety and depression

Elvira

Ivars

Giráldez

et al. 2021

Clin Psychology and Psychoth

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“…Four studies were conducted in the UK,14 24–26 seven studies were from the USA,12 13 15 27–30 four from Hong Kong,11 31–33 four studies from Nigeria 34–37. Others were from Spain,38 Australia,39 Netherlands,40 Japan,41 India,42 Germany43 and Poland 44. These studies were published between 1999 and 2021.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of interventions on the stress management of schoolteachers: a systematic review and meta-analysis

et al. 2022

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BackgroundThis systematic review aimed to analyse the effectiveness of interventions on the stress management of schoolteachers.MethodsWe searched the Medline, PsycINFO, CINAHL and Education Research Complete until 30 November 2021, to identify relevant studies using relevant key words. Job or occupational stress was used as the outcome measure. Stress was defined as Perceived Stress Scale, Teacher Stress Inventory, Maslach Burnout Inventory, Teacher’s Distress, Brief Symptoms Inventory or Global Severity Index. Study selection, data extraction, risk of bias assessment was performed by two independent reviewers. The pooled estimate of the effect by the type of outcome measurement tool and by type of interventions used was calculated using random effects meta-analysis. We used Grades of Recommendations, Assessment, Development and Evaluation to assess the overall quality of the evidence.ResultsWe reviewed 26 studies, of which 24 were randomised trials and 2 pre-test/post-test studies. Based on meta-analysis, a positive effect of intervention (pooled estimate −1.13, 95% CI −1.52 to −0.73) with high heterogeneity among studies (χ2=426.88, p<0.001, I2=94%) was found by type of interventions used. Cognitive–behavioural therapy had the strongest positive effect, followed by meditation among the types of interventions studied. We identified evidence of a moderate quality for interventions aiming to manage the stress level of schoolteachers.ConclusionsThe meta-analysis showed a positive effect of interventions, suggesting that interventions might reduce the stress level among teachers. The quality of the evidence was moderate.PROSPERO registration numberCRD42021225098

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“…The results of this study revealed that individual behavioral factors, such as proper sleep habits and stress coping skills, are important preventative factors for depression. Further, the findings indicated the validity of promoting existing measures to prevent depression among middle-aged residents in Japan, such as providing interventions for reconstructing stress-sensitive cognition, [ 35 ] encouraging help-seeking behavior, [ 36 ] and improving sleep quality. [ 37 ] However, it is difficult to promote these interventions in the community because they can be burdensome for busy middle-aged people.…”

Section: Discussionmentioning

confidence: 99%

“…For example, previous studies that implemented interventions based on cognitive behavioral therapy to reduce stress consisted of 2 hours of group education and 3 months of web-based homework. [ 35 ] For the general, healthy population, attending a group health education class and continuing homework for 3 months would likely be too burdensome to complete the program. Furthermore, while intervention programs to improve SOC are being developed, the current programs still lack sufficient evidence regarding their effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive analysis of depression-related factors among middle-aged residents in Japan, an Eastern culture

2021

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There is a need to comprehensively identify depression-related factors, including individual and socioeconomic factors, in each country or cultural area, to consider effective measures to address depression within communities. However, there are not enough studies on middle-aged residents in Japan or other Eastern countries to currently achieve this. Thus, the aim of this study was to comprehensively identify factors related to depression in middle-aged residents in Japan, an Eastern country. The study design was cross-sectional. A questionnaire survey was conducted among all community residents aged 40 to 59 in a rural municipality in Western Japan. The questionnaire contained items on demographic characteristics, psychological factors, health-related behaviors, and socioeconomic factors. A Chi-Squared test or Fisher exact test was used to analyze the relationships between depression and each assessed factor. Next, a logistic regression analysis was performed to identify comprehensive relationships between depression and its related factors. Data from 362 participants were analyzed. The average age was 51.5 years; 148 were male. A Chi-Squared test or Fisher exact test demonstrated that many psychological factors, health-related behaviors, and socioeconomic factors ware significantly related to depression. A logistic regression analysis showed that depression was significantly associated with male gender, low sense of coherence, high cognitive stress levels, low help-seeking behavior, poor quality sleep, and a lack of hobbies. Nagelkerke R 2 was 51%. This study revealed through multivariate analysis that depression was primarily associated with personal behavioral and psychological factors in Japan, an Eastern country with a holistic cultural background. This result is consistent with findings from Western countries. This study can contribute the promotion and evaluation of preventive measures for depression in Eastern culture that focus on individual behavioral and psychological factors.

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Web-Based Training Program Using Cognitive Behavioral Therapy to Enhance Cognitive Flexibility and Alleviate Psychological Distress Among Schoolteachers: Pilot Randomized Controlled Trial

Cited by 11 publications

References 33 publications

Internet‐based cognitive behavioural therapy programme with and without videoconference guidance sessions: A randomized controlled trial to treat work‐related symptoms of anxiety and depression

Internet‐based cognitive behavioural therapy programme with and without videoconference guidance sessions: A randomized controlled trial to treat work‐related symptoms of anxiety and depression

Effectiveness of interventions on the stress management of schoolteachers: a systematic review and meta-analysis

Comprehensive analysis of depression-related factors among middle-aged residents in Japan, an Eastern culture

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