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Internet-Based Cognitive Behavioral Therapy for Chronic Stress: A Randomized Controlled Trial.

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Internet-based cognitive behavioral therapy (ICBT) effectively reduces stress symptoms in patients with adjustment disorder (AD) and exhaustion disorder (ED). This accessible treatment shows sustained results, offering a promising solution for chronic stress management.

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Area of Science:

  • Psychiatry and Behavioral Sciences
  • Digital Health Interventions
  • Clinical Psychology

Background:

  • Chronic stress leads to significant suffering, functional impairment, and societal costs.
  • Access to traditional psychological treatments for stress is often limited.
  • Internet-based cognitive behavioral therapy (ICBT) shows promise for stress symptom reduction, but its efficacy in clinical populations requires further investigation.

Purpose of the Study:

  • To evaluate the effectiveness of a 12-week ICBT program for patients diagnosed with adjustment disorder (AD) or exhaustion disorder (ED).
  • To assess the impact of ICBT on perceived stress levels, mental health symptoms, functional impairment, and work ability.

Main Methods:

  • A randomized controlled trial involving 100 adults diagnosed with AD or ED.
  • Participants were assigned to either a 12-week ICBT group (n=50) or a waitlist control group (n=50).
  • Primary outcome: Perceived Stress Scale (PSS); Secondary outcomes: mental health symptoms, functional impairment, work ability, assessed at baseline, post-treatment, and 6-month follow-up.

Main Results:

  • The ICBT group demonstrated large, significant improvements in perceived stress (d = 1.09) compared to the control group.
  • Moderate to large improvements were observed in secondary symptom domains, with effects sustained at 6-month follow-up.
  • No significant differences were found between groups regarding functional impairment or work ability.

Conclusions:

  • A brief ICBT intervention is effective for reducing stress-related symptoms in a clinical sample of patients with AD and ED.
  • ICBT has the potential to significantly enhance treatment accessibility for stress-related conditions.
  • Further research is needed to replicate findings and explore the relationship between symptom reduction and functional outcomes.