Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-19T15:24:41.675Z Has data issue: false hasContentIssue false

Men with chronic occupational stress benefit from behavioural/psycho-educational group training: a randomized, prospective, controlled trial

Published online by Cambridge University Press:  06 December 2006

C. NICKEL
Affiliation:
Clinic for Psychosomatic Medicine, Inntalklinik, Simbach/Inn, Germany
S. TANCA
Affiliation:
Clinic for Psychosomatic Medicine, Inntalklinik, Simbach/Inn, Germany
S. KOLOWOS
Affiliation:
Clinic for Psychosomatic Medicine, Inntalklinik, Simbach/Inn, Germany
F. PEDROSA-GIL
Affiliation:
Psychosomatic Out-Patient Clinic, LM University, Munich, Germany
E. BACHLER
Affiliation:
Out-patient Therapeutic Family Counselling, Salzburg, Austria
T. H. LOEW
Affiliation:
Department of Psychosomatic Medicine, University Clinic, Regensburg, Germany
M. GROSS
Affiliation:
Dr Mueller Clinic for Internal Medicine, Munich, Germany
W. K. ROTHER
Affiliation:
Clinic for Psychosomatic Medicine, Inntalklinik, Simbach/Inn, Germany
M. K. NICKEL*
Affiliation:
University Clinic for Psychiatry 1, PMU, Salzburg, Austria Clinic Bad Aussee for Psychosomatic and Psychotherapy, Medical University of Graz, Austria
*
*Address for correspondence: Dr Marius Nickel, Clinic Bad Aussee for Psychosomatic and Psychotherapy, Medical University of Graz, Sommersbergseestr. 395, 8990 Bad Aussee, Austria. (Email: [email protected])

Abstract

Background

Overworking is one of the most frequent stressors. The purpose of this study was to determine the effectiveness of behavioural/psycho-educational group training in men who are chronically stressed from overworking.

Method

Of 72 male subjects, 36 were randomly assigned to training for 8 weeks and another 36 formed the control group, which received a placebo intervention. Primary outcome measures were systolic blood pressure, salivary cortisol concentration upon awakening, and self-reported changes on the scales of the Trier Inventory for the Assessment of Chronic Stress (TICS), the State-Trait Anger Expression Inventory (STAXI) and the 36-item Short Form Health Survey (SF-36).

Results

A significant reduction in mean values was observed in daily systolic blood pressure and salivary cortisol concentration on all the TICS and most of the STAXI and SF-36 scales.

Conclusions

Behavioural/psycho-educational group training appears to be effective in the treatment of men suffering from chronic stress due to overworking.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Bullinger, M. & Kirchberger, I. (1998). Health Survey (SF-36). Hogrefe: Goettingen.Google Scholar
Chandola, T., Brunner, E. & Marmot, M. (2006). Chronic stress at work and the metabolic syndrome: prospective study. British Medical Journal 332, 521525.CrossRefGoogle ScholarPubMed
Davidson, R. J., Putnam, K. M. & Larson, C. L. (2000). Dysfunction in the neural circuitry of emotion regulation: a possible prelude to violence. Science 289, 591594.CrossRefGoogle ScholarPubMed
Federenko, I. S., Scholz, W., Kirchbaum, C., Bartels, M., Hellhammer, D. H. & Wust, S. (2006). The heritability of perceived stress. Psychological Medicine 36, 375385.CrossRefGoogle ScholarPubMed
Flannery, R. B. (2004). Managing stress in today's age: a concise guide for emergency services personnel. International Journal of Emergency Mental Health 6, 205209.Google ScholarPubMed
Frese, M. (1989). Theoretical models of control and health. In Job Control and Worker Health (ed. Sauter, S. L., Hurrel, J. J. and Cooper, C. L.), pp. 6881. Wiley: New York.Google Scholar
Jones, D. L., Tanigawa, T. & Weiss, S. M. (2003). Stress management and workplace disability in the US, Europe and Japan. Journal of Occupational Health 45, 17.CrossRefGoogle ScholarPubMed
Muellner, M. (2002). Evidence Based Medicine. Springer: Wien, New York.Google Scholar
Nickel, C., Lahmann, C., Tritt, K., Loew, T. H., Rother, K. R. & Nickel, M. K. (2005). Stressed aggressive adolescents benefit from progressive muscle relaxation: a random, prospective, controlled trial. Stress and Health 21, 169175.CrossRefGoogle Scholar
Nickel, M., Nickel, C., Mitterlehner, F., Leiberich, P., Tritt, K., Lahmann, C., Rother, W. & Loew, T. (2004). Psychosocial characteristics in persons who often change their psychotherapists. Wiener Medizinische Wochenschrift 154, 163169.CrossRefGoogle ScholarPubMed
Pruessner, J. C., Hellhammer, D. H. & Kirchbaum, C. (1999). Burnout, perceived stress, and cortisol responses to awakening. Psychosomatic Medicine 61, 197204.CrossRefGoogle ScholarPubMed
Roberts, A. D., Wessely, S., Chalder, T., Papadopulos, A. & Cleare, A. J. (2004). Salivary cortisol response to awakening in chronic fatigue syndrome. British Journal of Psychiatry 184, 136141.CrossRefGoogle ScholarPubMed
Schulz, P., Scholtz, W. & Becker, P. (2004). Trier Inventory for the Assessment of Chronic Stress [in German]. Hogrefe: Goettingen.Google Scholar
Schwenkmezger, P., Hodapp, V. & Spielberger, C. D. (1992). The State-Trait Anger Expression Inventory [in German]. Huber: Bern, Goettingen, Toronto.Google Scholar
Steptoe, A., Kunz-Ebrecht, S., Owen, N., Feldman, P. J., Willemsen, G., Kirschbaum, C. & Marmot, M. (2003). Socioeconomic status and stress-related biological responses over the working day. Psychosomatic Medicine 65, 461470.CrossRefGoogle ScholarPubMed
Vogel, H., Worringen, U. & Wagner, R. F. (2000). Stress and coping with stress. In Actively Promoting Health (ed. Association of German Pension Insurance Funds, VDR), pp. 171193 [in German]. Schattauer: Stuttgart.Google Scholar
Wagner, R. F. & Vogel, H. (1996). Training for coping with stress. A cognitive behavioral approach in different types of disorders. Fundamenta Psychiatrica 10, 115120.Google Scholar
Wang, J. (2005). Work stress as a risk factor for major depressive episode(s). Psychological Medicine 35, 865871.CrossRefGoogle ScholarPubMed
Yehuda, R. & McEwen, B. S. (2004). Protective and damaging effects of the biobehavioral stress response: cognitive, systemic and clinical aspects: ISPNE XXXIV meeting summary. Psychoneuroendocrinology 29, 12121222.CrossRefGoogle ScholarPubMed