Stress management for middle managers via an acceptance and commitment-based smartphone application: A randomized controlled trial

article i nfo Stress is a major health problem in today's workplace. Recent studies suggest that acceptance and commitment therapy (ACT) is effective for reducing stress at work, specifically among managers. Moreover, smartphone- delivered treatments have been developed and increasingly used in research. The objective of our study was to evaluate the efficacy of an ACT-based smartphone treatment among middle managers at medium- and large-sized companies (N50 employees) in Sweden. A total of 73 participants were randomized to either receive the six-week stress intervention (n = 36) or to a waitlist control group (n = 37). Results showed small to moderate within-group effect sizes (Cohen's d range 0.37-0.62) for the treatment group, and small to moderate between group effects (Cohen's d range 0.41-0.50). In conclusion, the study indicates that a smartphone administered stress intervention based on ACT can reduce perceived stress and increase general health among Swedish middle managers in the private sector. © 2014 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license

[1]  Scott A. Herbst,et al.  Expanding the Scope of Organizational Behavior Management , 2006 .

[2]  Jonathan W. Roberti,et al.  Further Psychometric Support for the 10‐Item Version of the Perceived Stress Scale , 2006 .

[3]  Eileen P. Kelly,et al.  Book Reviews: Transformational Leadership: Industry, Military and Educational Impact Bernard M. Bass Lawrence Erlbaum Associates, 1998 208 pp., Paperback, $29.95 , 1999 .

[4]  J. Krystal,et al.  Move over ANOVA: progress in analyzing repeated-measures data and its reflection in papers published in the Archives of General Psychiatry. , 2004, Archives of general psychiatry.

[5]  Philip Lindner,et al.  Guided and unguided CBT for social anxiety disorder and/or panic disorder via the Internet and a smartphone application: study protocol for a randomised controlled trial , 2013, Trials.

[6]  Cary L. Cooper,et al.  Well‐being and occupational health in the 21st century workplace , 2001 .

[7]  D. Moran ACT for Leadership: Using Acceptance and Commitment Training to Develop Crisis-Resilient Change Managers. , 2010 .

[8]  Bruce J. Avolio,et al.  A Meta-Analysis of Transformational and Transactional Leadership Correlates of Effectiveness and Satisfaction: An Update and Extension , 2013 .

[9]  Per Carlbring,et al.  Development and initial evaluation of a smartphone application based on acceptance and commitment therapy , 2012, SpringerPlus.

[10]  Gerhard Andersson,et al.  A Comparison of Psychometric Properties Between Internet and Paper Versions of Two Depression Instruments (BDI-II and MADRS-S) Administered to Clinic Patients , 2010, Journal of medical Internet research.

[11]  Per Carlbring,et al.  Internet administration of self-report measures commonly used in research on social anxiety disorder: A psychometric evaluation , 2010, Comput. Hum. Behav..

[12]  Bruce J. Avolio,et al.  Transformational and Charismatic Leadership: The Road Ahead , 2002 .

[13]  T. Wall,et al.  The impact of psychological distress on absence from work. , 2003, The Journal of applied psychology.

[14]  B. Bass,et al.  Predicting unit performance by assessing transformational and transactional leadership. , 2003, The Journal of applied psychology.

[15]  G. Andersson Using the Internet to provide cognitive behaviour therapy. , 2009, Behaviour research and therapy.

[16]  Steven C Hayes,et al.  ScholarWorks @ Georgia State University , 2018 .

[17]  Per Carlbring,et al.  Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial , 2014, BMJ Open.

[18]  C. Kirschbaum,et al.  Burnout, perceived stress, and cortisol responses to awakening. , 1999, Psychosomatic medicine.

[19]  K. Wilson,et al.  Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial , 2004 .

[20]  H. Hesser,et al.  Acceptance and commitment therapy for the treatment of stress among social workers: a randomized controlled trial. , 2011, Behaviour research and therapy.

[21]  Per Carlbring,et al.  Consensus statement on defining and measuring negative effects of Internet interventions , 2014 .

[22]  G. Andersson,et al.  Internet-Based Vs. Face-To-Face Cognitive Behaviour Therapy for Psychiatric and Somatic Disorders : a Systematic Review and Meta-Analysis , 2014 .

[23]  Gerhard Andersson,et al.  Randomized Controlled Trial of Internet-Based Stress Management , 2003, Cognitive behaviour therapy.

[24]  G. Andersson,et al.  Guided internet-delivered cognitive behavior therapy for post-traumatic stress disorder: A randomized controlled trial , 2014 .

[25]  Sheldon Cohen,et al.  Who ’ s Stressed ? Distributions of Psychological Stress in the United States in Probability Samples from 1983 , 2006 , and 20091 S , 2012 .

[26]  Tom Buchanan,et al.  Internet-based Questionnaire Assessment: Appropriate Use in Clinical Contexts , 2003, Cognitive behaviour therapy.

[27]  Michael E. Labhard,et al.  Mobile Therapy: Case Study Evaluations of a Cell Phone Application for Emotional Self-Awareness , 2010, Journal of medical Internet research.

[28]  M. Taccetta-Chapnick Transformational leadership. , 1996, Nursing administration quarterly.

[29]  M. Isaac,et al.  The General Health Questionnaire (GHQ) , 1989, Social Psychiatry and Psychiatric Epidemiology.

[30]  Gerhard Andersson,et al.  Advantages and limitations of Internet‐based interventions for common mental disorders , 2014, World psychiatry : official journal of the World Psychiatric Association.

[31]  Kevin B. Lowe,et al.  Addendum: Don’t You Love it When a Plan Comes Together? Update on Meta-Analytic Findings for Transformational and Transactional Leadership , 2013 .

[32]  Ian Stewart,et al.  Relational Frame Theory and Industrial/Organizational Psychology , 2006 .

[33]  In-Sue Oh,et al.  Transformational Leadership and Performance Across Criteria and Levels: A Meta-Analytic Review of 25 Years of Research , 2011 .

[34]  Feng Li,et al.  An Introduction to Metaanalysis , 2005 .

[35]  Sheldon Cohen,et al.  Psychological stress and disease. , 2007, JAMA.

[36]  W. Schaufeli,et al.  Job burnout. , 2001, Annual review of psychology.

[37]  A. Schiff General Health Questionnaire , 1978, British Journal of Psychiatry.

[38]  Len Holden,et al.  The depowerment of European middle managers: Challenges and uncertainties , 2004 .

[39]  S. Hayes,et al.  Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change , 1999 .

[40]  B. Bass Transformational Leadership: Industrial, Military, and Educational Impact , 1997 .

[41]  S. Michie,et al.  Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy , 2010, Journal of medical Internet research.

[42]  Per Carlbring,et al.  Internet vs. paper and pencil administration of questionnaires commonly used in panic/agoraphobia research , 2007, Comput. Hum. Behav..

[43]  S. Hayes,et al.  Psychological Flexibility, ACT, and Organizational Behavior , 2006 .

[44]  H. Christensen,et al.  Smartphones for Smarter Delivery of Mental Health Programs: A Systematic Review , 2013, Journal of medical Internet research.

[45]  G. Andersson,et al.  Therapist Experience and Knowledge Acquisition in Internet-Delivered CBT for Social Anxiety Disorder: A Randomized Controlled Trial , 2012, PloS one.

[46]  J. Lani,et al.  General Health Questionnaire (GHQ) , 2010 .

[47]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[48]  J. Eid,et al.  Big five personality factors, hardiness, and social judgment as predictors of leader performance , 2009 .

[49]  Per Carlbring,et al.  Guided Internet‐based vs. face‐to‐face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta‐analysis , 2014, World psychiatry : official journal of the World Psychiatric Association.

[50]  F. Bond,et al.  A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. , 2010, Behaviour research and therapy.

[51]  L. Hedges,et al.  Introduction to Meta‐Analysis , 2009, International Coaching Psychology Review.

[52]  Leanne M. Casey,et al.  The use of mobile telephones as adjuncts to cognitive behavioral psychotherapy. , 2008 .

[53]  A. Kavelaars,et al.  Immune and Endocrine Function in Burnout Syndrome , 2006, Psychosomatic medicine.

[54]  C. Butler,et al.  Transformational Leadership: Industrial, Military, and Educational Impact , 1999 .

[55]  Richie Poulton,et al.  Work stress precipitates depression and anxiety in young, working women and men , 2007, Psychological Medicine.

[56]  Sheldon Cohen,et al.  Who's Stressed? Distributions of Psychological Stress in the United States in Probability Samples from 1983, 2006, and 2009 , 2012 .

[57]  S. Hayes,et al.  The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors , 2004 .