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- Title
A Pilot Evaluation on a Stress Management Programme Using a Combined Approach of Cognitive Behavioural Therapy (CBT) and Complementary and Alternative Medicine (CAM) for Elementary School Teachers.
- Authors
Tsang, Hector W. H.; Cheung, W. M.; Chan, Alan H. L.; Fung, Kelvin M. T.; Leung, Ada Y.; Au, Doreen W.H.
- Abstract
The aim of this study is to explore the efficacy of implementing a stress management programme based on a combined approach using cognitive behavioural therapy and complementary and alternative medicine for elementary school teachers who experienced mild level of stress, anxiety and/or depressive symptoms in Hong Kong. A 12-h programme involving cognitive behavioural therapy, self-management, relaxation techniques (diaphragmatic breathing and progressive muscle relaxation), mindful exercises (qigong and yoga), aromatherapy and acupressure was conducted. A quasi-experimental design was used to compare the intervention groups (n = 47) with the waitlist control groups (n = 46). The primary outcome measures were depression, anxiety and stress. Results indicated that the intervention group had significant reduction in depression [(F = 3.93; degrees of freedom (df) = 2.90; p = 0.023)], anxiety (F = 3.37; df = 2.90; p = 0.039) and stress (F = 3.63; df = 2.89; p = 0.031) when compared with the control group. Participants in both groups demonstrated lowered level of salivary cortisol at the postassessment. The pilot results provided preliminary support to the multi-component stress management programme in relieving affective symptoms of teachers. The programme may be considered as an initial strategy to empower teachers with the abilities to cope with their affective symptoms. Further evaluation using a better designed randomized study with a larger sample size is warranted.
- Subjects
ACUPRESSURE; ALTERNATIVE medicine; ANALYSIS of covariance; ANALYSIS of variance; AROMATHERAPY; COGNITIVE therapy; COMBINED modality therapy; ELEMENTARY schools; RESEARCH methodology; PROBABILITY theory; PSYCHOLOGICAL tests; RESEARCH funding; STRESS management; YOGA; PILOT projects; QI gong; REPEATED measures design
- Publication
Stress & Health: Journal of the International Society for the Investigation of Stress, 2015, Vol 31, Issue 1, p35
- ISSN
1532-3005
- Publication type
Article
- DOI
10.1002/smi.2522