A Web-Based Training Program Using Cognitive Behavioral Therapy to Alleviate Psychological Distress Among Employees: Randomized Controlled Pilot Trial

Abstract

BackgroundA number of psychoeducational programs based on cognitive behavioral therapy (CBT) to alleviate psychological distress have been developed for implementation in clinical settings. However, while these programs are considered critical components of stress management education in a workplace setting, they are required to be brief and simple to implement, which can hinder development.ObjectiveThe intent of the study was to examine the effects of a brief training program based on CBT in alleviating psychological distress among employees and facilitating self-evaluation of stress management skills, including improving the ability to recognize dysfunctional thinking patterns, transform dysfunctional thoughts to functional ones, cope with stress, and solve problems.MethodsOf the 187 employees at an information technology company in Tokyo, Japan, 168 consented to participate in our non-blinded randomized controlled study. The training group received CBT group education by a qualified CBT expert and 1 month of follow-up Web-based CBT homework. The effects of this educational program on the psychological distress and stress management skills of employees were examined immediately after completion of training and then again after 6 months.ResultsAlthough the training group did exhibit lower mean scores on the Kessler-6 (K6) scale for psychological distress after 6 months, the difference from the control group was not significant. However, the ability of training group participants to recognize dysfunctional thinking was significantly improved both immediately after training completion and after 6 months. While the ability of participants to cope with stress was not significantly improved immediately after training, improvement was noted after 6 months in the training group. No notable improvements were observed in the ability of participants to transform thoughts from dysfunctional to functional or in problem-solving skills. A sub-analysis of participants who initially exhibited clinically significant psychological distress (K6 score ≥5) showed that the mean K6 score was significantly improved immediately after training completion for the training group compared to the control group (−2.50 vs −0.07; mean difference 2.43, 95% CI 0.55-4.31; d=0.61), with this effect remaining even after 6 months (−3.49 vs −0.50; mean difference 2.99, 95% CI 0.70-5.29; d=0.60).ConclusionsOur results suggest that a brief stress management program that combines group CBT education with Web-based CBT homework moderately alleviates the distress of employees with clinically significant psychological distress. In addition, the program might help improve employees’ ability to evaluate their own stress management skills.

Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy

“…Mori, Tajima, Kimura et al 22) delivered web-based CBT to employees (168 Japanese system engineers) experiencing distress. Participants received a 2.5-h group education CBT session in the workplace and 1 month of online CBT-based homework exercises.…”

Effect of management training in organizational justice: a randomized controlled trial

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The effect for Japanese workers of a self-help computerized cognitive behaviour therapy program with a supplement soft drink

“…Another study examined the effects of a brief CBT-based training program in terms of alleviating psychological distress among employees and facilitating self-evaluation of stress management skills. This program combined group CBT education with web-based CBT homework, and led to a moderate alleviation of symptoms for employees with clinically significant psychological distress [ 17 ]. These reports suggested that Self-help CBT does appear to be a moderately effective intervention for a range of common mental health difficulties in the workplace.…”