Cognitive-behavioral Stress Management Training Research Articles

The Effectiveness of Online Cognitive-Behavioral Stress Management Training on Blood Glucose Control and Problems in Sexual Function of Married Women with Diabetes During the Coronavirus Pandemic: A Quasi-Experimental Study

The Effectiveness of Online Cognitive-Behavioral Stress Management Training on Blood Glucose Control and Problems in Sexual Function of Married Women with Diabetes During the Coronavirus Pandemic: A Quasi-Experimental Study

The Effectiveness of Cognitive-Behavioral Stress Management Training on Anxiety and Depression in the COVID-19 Patients of Masih Daneshvari Hospital

Background: COVID-19 is not just a severe threat to the human body but can also jeopardize mental health. Thus, the prevalence of anxiety and depression has increased during the COVID-19 pandemic. Objectives: The present study aimed to evaluate the effectiveness of cognitive-behavioral stress management training on the anxiety and stress of COVID-19 patients in Masih Daneshvari Hospital, Tehran, Iran. Methods: The present study used a quasi-experimental pretest-posttest design with a control group. The population included all COVID-19 patients in Masih Daneshvari Hospital in April-May 2021, of whom 120 patients were selected using the convenience sampling method and randomly divided into an experimental group (60 participants) and a control group (60 participants). The data were collected using the Corona Disease Anxiety Scale (CDAS) by Alipour et al. (2020) and Beck’s Depression Inventory. The collected data were analyzed using the COVARIANCE analysis in SPSS24. Results: The results showed that cognitive-behavioral stress management training significantly affected the COVID-19 patients of Masih Daneshvari Hospital. Conclusions: There was a significant implication for counselors and psychologists. Cognitive-behavioral stress management training reduced anxiety and depression in COVID-19 patients and improved mental health.

The Effectiveness of Cognitive-Behavioral Stress Management Training on Marital Commitment and Communication Beliefs in Mothers with Low Marital Satisfaction

The Effectiveness of Cognitive-Behavioral Stress Management Training on Marital Commitment and Communication Beliefs in Mothers with Low Marital Satisfaction

The effectiveness of cognitive-behavioral stress management training on improving quality of life and happiness in women with multiple sclerosis in Shiraz

The effectiveness of cognitive-behavioral stress management training on improving quality of life and happiness in women with multiple sclerosis in Shiraz

Effectiveness of Cognitive-Behavioral Stress Management Training (CBSM) on Reducing Stress Symptoms of Women with Multiple Sclerosis (MS)

Effectiveness of Cognitive-Behavioral Stress Management Training (CBSM) on Reducing Stress Symptoms of Women with Multiple Sclerosis (MS)

The Effectiveness of Cognitive-Behavioral Stress Management Training on Job Stress and Psychological Well-Being

The Effectiveness of Cognitive-Behavioral Stress Management Training on Job Stress and Psychological Well-Being

The feasibility of a group stress management Liver SMART intervention for patients with end-stage liver disease: A pilot study.

Structured, empirically supported psychological interventions are lacking for patients who require organ transplantation. This stage IA psychotherapy development project developed and tested the feasibility, acceptability, tolerability, and preliminary efficacy of an 8-week group cognitive behavioral stress management intervention adapted for patients with end-stage liver disease awaiting liver transplantation. Twenty-nine English-speaking United Network for Organ Sharing-registered patients with end-stage liver disease from a single transplantation center enrolled in 8-week, group cognitive-behavioral liver stress management and relaxation training intervention adapted for patients with end-stage liver disease. Patients completed pre- and postintervention surveys that included the Beck Depression Inventory II and the Beck Anxiety Inventory. Feasibility, acceptability, tolerability, and preliminary efficacy were assessed.ResultAttendance rate was 69.40%. The intervention was rated as "good" to "excellent" by 100% of participants who completed the postintervention survey in teaching them new skills to relax and to cope with stress, and by 94.12% of participants in helping them feel supported while waiting for a liver transplant. No adverse events were recorded over the course of treatment. Attrition was 13.79%. Anxious and depressive symptoms were not statistically different after the intervention.Significance of resultsThe liver stress management and relaxation training intervention is feasible, acceptable, and tolerable to end-stage liver disease patients within a transplant clinic setting. Anxious and depressive symptoms remained stable postintervention. Randomized controlled trials are needed to study the intervention's effectiveness in this population.

The effectiveness of cognitive–behavioral stress-management training on the readiness for substance use treatment in Iran

ABSTRACTAim: The present study aims to determine the effect of a stress-management training program on the readiness for substance use treatment, based on health belief model (HBM). Method: In this quasi-experimental study, which was conducted in 2013, a number of 85 male substance users in Hamadan were enrolled in the study. The data collection tools were Perceived Stress Scale, Self-efficacy Scale, Stages of Change Readiness, Treatment Eagerness Scale, and questionnaire based on HBM. The intervention was an educational program including five sessions during 5 weeks included nature of stress and stress-management practices. A pre and posttest were performed over a period of 2 months before and after intervention. Analytical and descriptive tests were used for data analysis, at 95% significant level, using Statistical Package for the Social Sciences 16. Results: After the intervention, the mean score of perceived stress decreased to 26.38 in the intervention group, whereas in control group, it remained relatively unchanged (49.19), (P < 0.05). A significant difference was found in HBM constructs in the intervention group, comparing to the control group after educational interventions (P < 0.05). Conclusion: Stress-management training based on HBM might be effective in promoting readiness for substance use treatment.

Efficacy of an internet-based cognitive behavioral stress management training in women with idiopathic preterm labor: A randomized controlled intervention study

ObjectiveThis randomized controlled trial aimed at evaluating the efficacy of an internet-based cognitive behavioral stress management program (IB-CBSM) for pregnant women with preterm labor (PTL) on birth outcome and stress-related psychological and biological parameters. Methods93 pregnant women with PTL (gestational age 18–32) were assigned to either the IB-CBSM (n=50) or a control group (CG) based on distraction (n=43). Participants in both groups worked through six weekly modules. Birth outcome measures included gestational age, neonatal weight and length at birth and the rate of preterm birth (PTB). Questionnaires assessed psychological wellbeing and the activity of the HPA-axis was measured with the cortisol awakening reaction (CAR), both before (T1) and after the intervention (T2). ResultsBirth outcome and psychological wellbeing did not differ between IB-CBSM and CG. However, psychological wellbeing was higher after both interventions (PSS: ηp2=0.455, STAIX1: ηp2=0.455, STAIX2: ηp2=0.936, PRAT: ηp2=0.465, EPDS: ηp2=0.856). Cortisol levels were stable and did not alter differently between groups from T1 to T2. Higher cortisol levels were associated with lower gestational age at birth, whereas no significant correlations were found between weight and length at birth. ConclusionsAlthough there were no significant differences between the two groups and birth outcome, psychological and biological parameters, both interventions (CBSM and CG) showed equivalent effects and proved to be beneficial with regard to psychosocial distress and well-being. Further research is needed to investigate CBSM and distraction interventions for pregnant women at risk for PTB together with a non-intervention control condition.

The Effectiveness of Cognitive-Behavioral Stress Management Training on Quality of Life and Clinical Symptoms of Cardiovascular Patients

Introduction Heart failure is one of the most prevalent cardiovascular disorders and is considered as a chronic, progressive and debilitating disorder. Prevalence of the disease is increased with ageing, so that about 1% of people over 50 years old and about 10% of the elderly people over 80 yea

Efficacy of Cognitive-Behavioral Stress Management Training on Symptoms Severity and Emotional Well-being of Patients with Irritable Bowel Syndrome

Efficacy of Cognitive-Behavioral Stress Management Training on Symptoms Severity and Emotional Well-being of Patients with Irritable Bowel Syndrome

Effectiveness of cognitive-behavioral stress management on psychological stress and glycemic control in gestational diabetes: a randomized controlled trial

Objective: This study was conducted to determine the effect of cognitive-behavioral stress management (CBT) on reducing psychological stress in diabetic pregnant women.Method: This randomized controlled trial applied through pretest and post-test with control group was conducted on 88 eligible women with gestational diabetes. Women who had a stress score more than 15, randomly assigned to intervention or control groups. Intervention group received stress management training within six two-hour sessions for three weeks. Stress and FBS were measured before intervention and two weeks after the last session. Data were analyzed using the SPSS version 19.0. Results were analyzed using chi-square, paired t test and independent sample t test.Results: In CBT training group, stress significantly decreased two weeks after the training (p < 0.001). In the control group, the stress scores were significantly different before and after the intervention and women had a significant increase in the stress scores (p = 0.028). There was a significant difference between two groups in stress scores, two weeks after intervention (p = 0.001).Conclusion: Cognitive-behavioral stress management reduces stress in women with gestational diabetes and reducing stress may also improve the pregnancy outcomes, especially whose glycemic along with stress is not adequately controlled by medication.

Effect of Stress Management Training with Cognitive-Behavioral Therapy on Marital Adjustment in the Wives of War Veterans Suffering from Post-Traumatic Stress Disorder

INTRODUCTION: The aim of this study was to investigate the efficacy of cognitive behavioral stress management training on marital adjustment in the wives of the war veterans suffering from posttraumatic stress disorder (PTSD). PTSD is known as a stressful issue in veterans' wives; thus, it can decrease their dyadic adjustment. MATERIALS AND METHODS: Experimental group included 12 wives who were selected among 30 after training and 12 wives were selected randomly as a control group. Training program included ten 90-minute sessions. The dyadic adjustment questionnaire was Spanier. RESULTS: The results showed that there were significant differences between experimental pretest, posttest, and follow up data in experimental group. Furthermore, significant differences were observed between posttest follow up results in experimental and control groups but there were no significant difference in pretest scores. CONCLUSION: Marital adjustment can be enhanced by cognitive behavioral stress management training in the wives of the war veterans suffering from PTSD. Department of Psychology, Faculty of Psychology and Education, Alzahra University, Tehran, Iran , ab_mehrinejad@yahoo.com Language: fa

Impact of Prenatal Cognitive-Behavioral Stress Management Intervention on Maternal Anxiety and Depression and Newborns’ Apgar Scores

Background: Motherhood is a transformative and pleasing experience in a woman’s life. However, given the physical and psychological changes, it can induce a degree of stress and anxiety in mothers. The aim of the present study was to evaluate the effects of cognitive-behavioral stress management (CBSM) on maternal anxiety and depression during pregnancy and newborns’ Apgar scores. Methods: This semi-experimental study was performed by applying a pretest-posttest control-group design. Overall, 30 primiparous mothers were selected among women referring to health clinics of Kerman, Iran, using convenience sampling. Subjects were randomly allocated to experimental and control groups. Data were collected, using Pregnancy-Related Anxiety Questionnaire and Edinburgh Postnatal Depression Questionnaire. After completing the pretest, the experimental group was subjected to 12 sessions of CBSM training; posttest data were collected after the intervention. Multivariate analysis of covariance was performed, using SPSS version 16. P-value < 0.05 was considered statistically significant. Results: The obtained results revealed a significant decrement in the average posttest scores of anxiety and depression in the experimental group, compared to pretest scores and the control group. Moreover, differences in 1- and 5-minute Apgar scores between the two groups were statistically significant. These findings indicated the effectiveness of CBSM during pregnancy in reducing maternal anxiety and depression. Conclusion: Pregnant women can benefit from psychological interventions such as CBSM in medical and health care centers.

Effects of Stress Management Training by Using Cognitive-Behavioral Method on Reducing Anxiety and Depression among Parents of Children with Mental Retardation

Present study is designed to investigate the effects of stress management training by using cognitive be- havioral method on anxiety and depression among parents of children with mental retardation. This study is a quasi-experiment that designed as pretest and post-test with control group. The statistical population of study included all parents with mental retarded children from city of Babol in 2011-2012. Sample population was including 40 parents that were selected cluster sampling and allocated in experimental and control groups (20 parents for experimental group and 20 for control group). The experimental group trained during 10 sessions of stress management with method of cognitive-behavioral, whereas during this period the control group did not received any intervention. Both groups in pre-test and post-test assessed by using anxiety and depression scale and results were analyzed by using independent t-test. The results of t-test showed that there were no significant differences between two groups in pre-test, but stress man- agement training with method of cognitive-behavioral in experimental group were significantly reduced scores of anxiety and depression. The results of this study showed that stress management by using cogni- tive-behavioral method decreases depression and anxiety scores compared with the control group. Due to psychological problems of parents with mental retarded children, cognitive-behavioral stress management training program can be used as intervention method to reduce anxiety and depression in order to decrease vulnerability.

The Impact of Cognitive-Behavioral Stress Management Training Program on Job Stress in Hospital Nurses: Applying PRECEDE Model.

Nursing is one of the most stressful jobs. The present study aimed to determine the effect of a cognitive-behavioral stress management training program based on PRECEDE model on stress reduction among nurses. In this quasi-experimental study, which was conducted in 2010, 58 female nurses in Hamadan, northwest Iran were enrolled in the study and were divided into two equal groups included 29 nurses from one Hospital and 29 nurses from the other as intervention and control groups respectively. The data collection tool was a self-administered questionnaire including demographic characteristics and nursing stress scale (NSS). In addition, a questionnaire based on PRECEDE model was used in order to assess predisposing, reinforcing and enabling factors. The intervention was a training program including five sessions during three weeks in which relaxation and problem-solving training was thought. A pre-test and a post-test were performed 1.5 months apart. The t-test, Mann Whitney and Willxocon statistical tests were used for data analysis at 95% significant level using SPSS 13. The baseline score average of job stress was 113.0 and 109.8 for intervention and control groups respectively (P=0.250). After intervention, score average of job stress decreased to 94.0 in experimental group while that of control group remained relatively unchanged (109.2), (P<0.001). A significant difference was found in PRECEDE model constructs and stress management behaviors in intervention group compared to control group after training interventions (P<0.001). Training programs based on PRECEDE model might be effective on decreasing job stress in nurses.

Enhancing the health of women living with HIV: the SMART/EST Women's Project.

The principal objective of these multisite studies (Florida, New York, New Jersey: epicenters for human immunodeficiency virus [HIV] among women) was to develop and implement effective combinations of behavioral interventions to optimize the health status of the most neglected and understudied population affected by the acquired immunodeficiency syndrome (AIDS) epidemic in the United States: poor women of color living with HIV. The two studies enrolled nearly 900 women randomly assigned to “high intensity” (cognitive–behavioral stress management training combined with expressive–supportive therapy [CBSM]+ group) or “low intensity” (individual psychoeducational program) treatment conditions over a period of 9 years. The initial study of the stress management and relaxation training/expressive–supportive therapy (SMART/EST) Women’s Project (SWP I) focused on reducing depression and anxiety, as well as improving self-efficacy and overall quality of life for women with case-defined AIDS. Findings from this study demonstrated the utility of CBSM+ in reducing distress (depression, anxiety) and denial, while improving social support, self-efficacy, coping skills, and quality of life. The second study (SWP II), which included all women living with HIV, extended these findings by demonstrating that exposure to CBSM+ significantly improved the ability of the participants to take advantage of a health behavior change program encouraging the adoption and maintenance of healthier lifestyle behaviors (high levels of medication adherence, appropriate nutritional intake and physical activity, safer sexual practices, and reduced alcohol use/abuse) essential for optimal health in the context of living with HIV. SWP II also determined that the intervention program was equally beneficial to less-acculturated segments of the affected population (ie, non-English speaking HIV+ women) through the creation of culturally and linguistically sensitive Spanish and Creole versions of the program. A third study (SWP III) is currently underway to “translate” this evidence-based treatment program into Community Health Centers in Miami, New York City, and metropolitan New Jersey.

German Version of the Pediatric Incontinence Questionnaire for Urinary Incontinence Health Related Quality of Life

We translated and cross-culturally adapted the English version of the Pediatric Incontinence Questionnaire, and tested the reliability and validity of the German version. This cross-sectional study was done at 3 tertiary referral centers for childhood urinary incontinence. The self-reported and proxy English version was translated and cross-culturally adapted. From July 2007 to April 2008 we evaluated the German version in 91 boys and 54 girls with a mean +/- SD age of 9.3 +/- 2.2 years (range 6 to 18) with nonneurogenic urinary incontinence and in their parents. For concurrent criterion related validity, the German questionnaire scales were compared with those of the DCGM-10/-12. On reliability testing of the self-reported and proxy German versions Cronbach's alpha was 0.84 and 0.86, respectively. Interrater convergence between the self-reported and proxy versions showed an ICC of 0.81. Reproducibility was satisfactory for the self-reported and proxy versions (ICC 0.77, 95% CI 0.77-0.90 and 0.85, 95% CI 0.67-0.84, respectively). German version scores correlated with DCGM-10/-12 scores (self-report and proxy r = -0.71 and -0.69, respectively). Mean German version total scores were 23.0 in boys and 23.9 in girls. Except for a slight significant association between age and German version total score in the proxy version (p = 0.01), age, sex and incontinence type or severity (number of wet days/nights per 14 days) were not significantly associated with German version total scores. The German version of the Pediatric Incontinence Questionnaire is a valid and reliable outcome measure to assess health related quality of life in children and adolescents with urinary incontinence.

Geschlechtsspezifisches Anti-Stress-Training in der Schule

Gender differences in coping suggest the conceptualization of gender-specific stress management trainings for adolescents. In this pilot study, the acceptance of the newly developed school-based cognitive-behavioral stress management training was examined and preliminary results of the effectiveness of our gender-specific program were obtained. The intervention effects on coping were investigated in N=35 girls and N=45 boys of the fifth and sixth grade using a within design, separately analysed for both genders and consisting of three four weeks intervals: The no-treatment period before the intervention served as control period. The stress management training with six sessions within the school setting were delivered in the following experimental period. During the follow-up period the mid term intervention effects were examined. Girls benefited in minimization and relaxation in the short term. Boys improved in relaxation coping in the short and mid term. Boys also decreased in externalizing coping in the short run. Results are discussed with regard to modifications of the gender-specific program.

Cognitive-behavioral stress management training for boys with functional urinary incontinence

Objective To evaluate an inpatient education program involving cognitive-behavioral stress management training of boys (aged 8–12 years) with functional urinary incontinence. Methods The short- and long-term intervention effects of the new program on incontinence frequency, quality of life, and coping with daily and illness-related stressors were investigated in 15 boys, compared to 10 boys on a more knowledge-oriented education program without stress management. The efficacy was evaluated by non-parametric methods. Results In both groups daytime wetting decreased while adaptive coping with daily stressors increased. Only the boys in the experimental group improved their wetting frequency during the night, maladaptive coping with illness-related stressors, and self-esteem. Conclusions Stress management training should be incorporated in patient education programs to enhance coping of children with illness-related stressors and low self-esteem.