Functional assertiveness with acceptance and commitment therapy for employees returning to work: a preliminary
Daisuke Ito1,2, Yushun Okabe3,4, Aya Nobushige5
1Graduate School of Education, Hyogo University of Teacher Education, Kato, Japan.
Frontiers in Psychology
|February 11, 2025
Summary
This pilot study found that a functional assertiveness training program, using acceptance and commitment therapy (ACT), improved mindfulness, psychological flexibility, and assertiveness in employees returning to work after mental health leave.
Area of Science:
- Occupational Health Psychology
- Clinical Psychology
- Mental Health Interventions
Background:
- The global mental health crisis necessitates effective support for employees returning to work after mental health leave.
- Challenges in returning to work include difficulties with workplace relationships and psychological adjustment.
- Assertiveness training combined with Acceptance and Commitment Therapy (ACT) shows potential for addressing these challenges.
Purpose of the Study:
- To preliminarily examine the efficacy of a functional assertiveness training program incorporating ACT.
- To assess the program's impact on mindfulness, psychological flexibility, functional assertiveness, and return-to-work difficulties.
- To evaluate the program's benefits for individuals on mental health leave.
Main Methods:
- A pilot study involving 29 participants on mental health leave.
- Eight group sessions of functional assertiveness training incorporating ACT.
- Assessment of mindfulness, psychological flexibility, functional assertiveness, and return-to-work difficulties using paired t-tests and Cohen's d.
Main Results:
- Significant increases in mindfulness (observing, non-reactivity, non-judging), psychological flexibility, and functional assertiveness.
- A decrease in perceived difficulty in returning to work, particularly concerning workplace relationships.
- High completion rate (28/29 participants).
Conclusions:
- The functional assertiveness training program incorporating ACT shows promise in aiding employees' return to work after mental health leave.
- Improvements were observed in key psychological flexibility and assertiveness metrics.
- Further research with a control group is recommended to confirm these preliminary findings.
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