Title Longitudinal interplay between subjective stress, anxiety, depression, and well-being in internet-based stress recovery intervention for nurses /
Authors Truskauskaitė, Inga ; Dumarkaitė, Austėja ; Nomeikaitė, Augustė ; Andersson, Gerhard ; Kazlauskas, Evaldas
DOI 10.1017/S1352465824000456
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Is Part of Behavioural and cognitive psychotherapy.. Cambridge : Cambridge University Press. 2024, Early Access, p. [1-10].. ISSN 1352-4658. eISSN 1469-1833
Keywords [eng] anxiety ; cross-lagged effect modelling ; depression ; internet-based CBT ; stress
Abstract [eng] Background: Cognitive behavioural therapy (CBT) interventions are effective in reducing subjective stress. Nevertheless, the longitudinal links between mental health indicators are rarely studied in intervention research. Therefore, it is unknown how the intervention effects are sustained. Aim: The current study investigated mechanisms explaining sustained intervention effects in a sample of medical nurses who receive a CBT-based internet-delivered stress recovery program. Method: A single-group longitudinal study design with three measurement points, pre-test, post-test, and 3-month follow-up, was used in the current study. The sample consisted of nurses and assistant nurses from Lithuania (n=111, age: M (SD) = 41.69 years (10.85)) who had participated in a 6-week CBT internet intervention targeting stress recovery. Data were collected as the randomised control trial, the treatment samples were combined, and the data were analysed using cross-lagged panel analysis with four variables representing the psychological well-being and symptoms of stress, anxiety, and depression. Results: The results revealed that decreased anxiety and increased psychological well-being at post-test predicted reduced stress levels at the 3-month follow-up. In addition, decreased anxiety at post-test predicted decreased depression at follow-up. Conclusions: Decreased anxiety and increased well-being could explain the sustainability of reduced stress following a CBT-based internet intervention for nurses. The implications of this for research and practice are discussed.
Published Cambridge : Cambridge University Press
Type Journal article
Language English
Publication date 2024
CC license CC license description