ABSTRACT

Internet-delivered CBT interventions effectively improve different aspects of mental health, although the therapist’s role remains unclear. The aim of this trial was to evaluate the efficacy of a therapist-supported 6-week internet-delivered intervention in improving stress recovery among healthcare workers compared to a group with optional therapist support. A total of 196 participants were recruited and randomly allocated to regular therapists’ support or optional therapists’ support groups. The primary outcome measure was the Recovery Experiences Questionnaire (REQ), developed to assess four components of stress recovery: psychological detachment, relaxation, mastery, and control. Secondary outcomes measured perceived stress (PSS-10), anxiety (GAD-7), depression (PHQ-9), and psychological well-being (WHO-5). All four stress recovery skills improved significantly after participating in the intervention at a 3-month follow-up, with small to medium effects (0.27–0.65) in both groups. At follow-up, we also found a significant reduction in perceived stress, depression, and anxiety in both groups, as well as an improvement in psychological well-being. The results indicate that ICBT can be effective in improving stress recovery skills among healthcare workers with optional support from the therapist, provided at the participants’ request. This RCT suggests that optional therapist support could meet participants’ needs and reduce resources needed in routine care.

摘要

尽管治疗师的角色仍不清楚，但互联网提供的 CBT 干预措施有效地改善了心理健康的各个方面。该试验的目的是评估治疗师支持的为期 6 周的互联网干预措施与接受可选治疗师支持的组相比，在改善医护人员压力恢复方面的效果。总共招募了 196 名参与者，并随机分配到常规治疗师支持组或可选治疗师支持组。主要结果指标是恢复体验问卷（REQ），旨在评估压力恢复的四个组成部分：心理疏离、放松、掌握和控制。次要结局测量感知压力 (PSS-10)、焦虑 (GAD-7)、抑郁 (PHQ-9) 和心理健康 (WHO-5)。在 3 个月的随访中参与干预后，所有四种压力恢复技能均显着提高，两组均具有小到中等效果（0.27-0.65）。在随访中，我们还发现两组的感知压力、抑郁和焦虑均显着减少，心理健康状况也有所改善。结果表明，ICBT 可以有效提高医护人员的压力恢复技能，并根据参与者的要求提供治疗师的可选支持。该随机对照试验表明，可选的治疗师支持可以满足参与者的需求并减少日常护理所需的资源。我们还发现两组的感知压力、抑郁和焦虑均显着减少，心理健康状况也有所改善。结果表明，ICBT 可以有效提高医护人员的压力恢复技能，并根据参与者的要求提供治疗师的可选支持。该随机对照试验表明，可选的治疗师支持可以满足参与者的需求并减少日常护理所需的资源。我们还发现两组的感知压力、抑郁和焦虑均显着减少，心理健康状况也有所改善。结果表明，ICBT 可以有效提高医护人员的压力恢复技能，并根据参与者的要求提供治疗师的可选支持。该随机对照试验表明，可选的治疗师支持可以满足参与者的需求并减少日常护理所需的资源。