OBJECTIVE: This randomized controlled trial evaluated the efficacy of an Internet-based intervention, which aimed to improve recovery from work-related strain in teachers with sleeping problems and work-related rumination. In addition, mechanisms of change were also investigated. METHODS: A sample of 128 teachers with elevated symptoms of insomnia (Insomnia Severity Index [ISI] ≥ 15) and work-related rumination (Cognitive Irritation Scale ≥ 15) was assigned to either an Internet-based recovery training (intervention condition [IC]) or to a waitlist control condition (CC). The IC consisted of 6 Internet-based sessions that aimed to promote healthy restorative behavior. Self-report data were assessed at baseline and again after 8 weeks. Additionally, a sleep diary was used starting 1 week before baseline and ending 1 week after postassessment. The primary outcome was insomnia severity. Secondary outcomes included perseverative cognitions (i.e., work-related rumination and worrying), a range of recovery measures and depression. An extended 6-month follow-up was assessed in the IC only. A serial multiple mediator analysis was carried out to investigate mechanisms of change. RESULTS: IC participants displayed a significantly greater reduction in insomnia severity (d = 1.37, 95% confidence interval: 0.99-1.77) than did participants of the CC. The IC was also superior with regard to changes in all investigated secondary outcomes. Effects were maintained until a naturalistic 6-month follow-up. Effects on insomnia severity were mediated by both a reduction in perseverative cognitions and sleep effort. Additionally, a greater increase in number of recovery activities per week was found to be associated with lower perseverative cognitions that in turn led to a greater reduction in insomnia severity. CONCLUSIONS: This study provides evidence for the efficacy of an unguided, Internet-based occupational recovery training and provided first evidence for a number of assumed mechanisms of change. (PsycINFO Database Record (c) 2015 APA, all rights reserved).
RCT Entities:
OBJECTIVE: This randomized controlled trial evaluated the efficacy of an Internet-based intervention, which aimed to improve recovery from work-related strain in teachers with sleeping problems and work-related rumination. In addition, mechanisms of change were also investigated. METHODS: A sample of 128 teachers with elevated symptoms of insomnia (Insomnia Severity Index [ISI] ≥ 15) and work-related rumination (Cognitive Irritation Scale ≥ 15) was assigned to either an Internet-based recovery training (intervention condition [IC]) or to a waitlist control condition (CC). The IC consisted of 6 Internet-based sessions that aimed to promote healthy restorative behavior. Self-report data were assessed at baseline and again after 8 weeks. Additionally, a sleep diary was used starting 1 week before baseline and ending 1 week after postassessment. The primary outcome was insomnia severity. Secondary outcomes included perseverative cognitions (i.e., work-related rumination and worrying), a range of recovery measures and depression. An extended 6-month follow-up was assessed in the IC only. A serial multiple mediator analysis was carried out to investigate mechanisms of change. RESULTS: IC participants displayed a significantly greater reduction in insomnia severity (d = 1.37, 95% confidence interval: 0.99-1.77) than did participants of the CC. The IC was also superior with regard to changes in all investigated secondary outcomes. Effects were maintained until a naturalistic 6-month follow-up. Effects on insomnia severity were mediated by both a reduction in perseverative cognitions and sleep effort. Additionally, a greater increase in number of recovery activities per week was found to be associated with lower perseverative cognitions that in turn led to a greater reduction in insomnia severity. CONCLUSIONS: This study provides evidence for the efficacy of an unguided, Internet-based occupational recovery training and provided first evidence for a number of assumed mechanisms of change. (PsycINFO Database Record (c) 2015 APA, all rights reserved).
Authors: Randy P Auerbach; Philippe Mortier; Ronny Bruffaerts; Jordi Alonso; Corina Benjet; Pim Cuijpers; Koen Demyttenaere; David D Ebert; Jennifer Greif Green; Penelope Hasking; Elaine Murray; Matthew K Nock; Stephanie Pinder-Amaker; Nancy A Sampson; Dan J Stein; Gemma Vilagut; Alan M Zaslavsky; Ronald C Kessler Journal: J Abnorm Psychol Date: 2018-09-13
Authors: D D Ebert; L Donkin; G Andersson; G Andrews; T Berger; P Carlbring; A Rozenthal; I Choi; J A C Laferton; R Johansson; A Kleiboer; A Lange; D Lehr; J A Reins; B Funk; J Newby; S Perini; H Riper; J Ruwaard; L Sheeber; F J Snoek; N Titov; B Ünlü Ince; K van Bastelaar; K Vernmark; A van Straten; L Warmerdam; N Salsman; P Cuijpers Journal: Psychol Med Date: 2016-10 Impact factor: 7.723
Authors: Tori L Crain; Leslie B Hammer; Todd Bodner; Ryan Olson; Ellen Ernst Kossek; Phyllis Moen; Orfeu M Buxton Journal: J Occup Health Psychol Date: 2018-05-28
Authors: Jiaxi Lin; Lasse Sander; Sarah Paganini; Sandra Schlicker; David Ebert; Matthias Berking; Jürgen Bengel; Stephanie Nobis; Dirk Lehr; Oskar Mittag; Heleen Riper; Harald Baumeister Journal: BMJ Open Date: 2017-12-28 Impact factor: 2.692