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1

Srivastava, Nivedita, and Biswajeet Pattanayak. "Managing Stress Through Progressive Relaxation Therapy." Management and Labour Studies 27, no. 4 (October 2002): 245–54. http://dx.doi.org/10.1177/0258042x0202700402.

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The present paper intends to study the effect of progressive muscle relaxation on executives with coronary heart disease. The main objectives of the study were to compare the job stress level, coping strategies and personality type of public sector senior executives with and without CHD. The Sample for the study consisted of 70 senior executives from B.H.E.L, Bhopal. To have a comparative study of the variables, matched group design was opted. The findings reveal that there is significant difference in the stress levels, coping strategies and personality type among executives with and without CHD. Executives with CHD had more job stress, ineffective coping strategies and type A personality in comparison to the executives without CHD. Further, the practice of progressive muscle relaxation brings significant reduction in the stress levels of CHD patients.
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Urizar, Guido G., Menchie Caliboso, Cassandra Gearhart, Ilona S. Yim, and Christine Dunkel Schetter. "Process Evaluation of a Stress Management Program for Low-Income Pregnant Women: The SMART Moms/Mamás LÍSTAS Project." Health Education & Behavior 46, no. 6 (August 8, 2019): 930–41. http://dx.doi.org/10.1177/1090198119860559.

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Background. The SMART Moms/Mamás LÍSTAS Project was a randomized control trial that tested the efficacy of a prenatal stress management program in reducing stress and cortisol levels among low-income women. The current study is a process evaluation of the stress management program (intervention arm of the original randomized controlled trial) and assessed whether implementation fidelity factors (i.e., intervention delivery, receipt, and enactment) were associated with lower stress (perceived stress, salivary cortisol), improved negative and positive mood states (Positive and Negative Affect Schedule), and increased confidence to use relaxation and coping skills. Method. Fifty-five low-income pregnant women (71% Latina, 76% annual income <$20,000) attended weekly group-based sessions over an 8-week period in which a clinically trained researcher taught relaxation and coping skills. Process evaluation measures were obtained via participant self-report and videotaped class sessions that were coded for delivery, receipt, and enactment of the intervention to determine which implementation factors were associated with changes in program outcomes (stress, mood, confidence) over the 8-week period. Results. Women in stress management showed a significant reduction in their stress and cortisol levels ( p < .001), improvements in negative and positive mood states ( p < .001) and were more confident in using relaxation and coping skills postintervention (74%). The implementation factors of delivery (i.e., instructor adherence to intervention content; p = .03) and enactment (i.e., participant use of intervention skills; p = .02) were most associated with improvements in program outcomes. Conclusion. These findings highlight that implementation factors should be considered when delivering stress management interventions in underserved communities.
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Stein, Franklin, and Janet Smith. "Short-term Stress Management Programme with Acutely Depressed In-Patients." Canadian Journal of Occupational Therapy 56, no. 4 (October 1989): 185–92. http://dx.doi.org/10.1177/000841748905600407.

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A short-term stress management programme was carried out as a pilot study with seven acutely depressed in-patients. Various techniques in muscle relaxation and biofeedback were used in a six-session programme designed to decrease anxiety and to cope more effectively with stress. One occupational therapist served as a group facilitator and teacher of stress management techniques while a second occupational therapist served as the group recorder. During the one and a half hour sessions specific techniques were practised by the patients. These techniques included Benson ‘s Relaxation Response, visual imagery, Jacobson's Progressive Relaxation, heart rate and finger temperature biofeedback and behavioural rehearsal. A Stress Management Questionnaire, developed by the first author, was used to help the patients become more aware of the symptoms of stress, stressors that “trigger” symptoms and everyday activities that can be used to control stress. The State — Anxiety Scale was administered pre- and post-intervention to assess the reduction of anxiety. Results showed that there was a significant reduction in anxiety at the .05 level using a correlated t-test. Qualitative comments from the patients at the end of the stress management programme indicated that the sessions had a positive effect in increasing their ability to relax and in learning to recognize individual stress reactions as well as new alternatives to coping with stress.
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Buhmann, C., D. Jungnickel, and E. Lehmann. "Stress Management Training (SMT) Improves Coping of Tremor-Boosting Psychosocial Stressors and Depression in Patients with Parkinson’s Disease: A Controlled Prospective Study." Parkinson's Disease 2018 (October 28, 2018): 1–12. http://dx.doi.org/10.1155/2018/4240178.

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Background. Stress reduction and relaxation exercises are therapeutically suggested to patients with Parkinson’s disease (PD) and tremor, but data regarding efficacy or preferential methods are missing.Objective. To investigate the effect of a standardized stress management training (SMT) according to Kaluza on coping with tremor-boosting psychosocial stress factors.Methods. 8-week SMT was applied to 82 PD patients with tremor and 30 controls. Changes in stress-associated factors were measured applying four scales: Kaluza’s “warning signs for stress” and “stress-amplifying thoughts” and Beck Depression Inventory (BDI) and quality of life (PDQ-8). Short-term outcome (8 weeks) was evaluated in both groups, and long-term outcome (3–6 months) was evaluated only in PD patients.Results. At baseline, PDQ-8 was worse in PD patients compared to controls. PD patients improved significantly regarding short- and long-term outcome scores of “warning signs for stress,” “stress-amplifying thoughts,” and BDI scores, independently of disease severity or duration. Younger and male PD patients showed the best benefit. Controls improved comparably to PD patients but significantly only with respect to “stress-amplifying thoughts.” Retrospectively, 88% (29/33) of PD patients were rated SMT as helpful 12–18 months later. Self-practicing SMT exercises correlated significantly with subjectively better coping with tremor-related daily impairment and subjective short-term and long-term tremor reduction.Conclusion. SMT should be a part of therapy of PD patients with tremor.
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Dawson, Michelle A., Jennifer Jordan Hamson-Utley, Rodney Hansen, and Michael Olpin. "Examining the Effectiveness of Psychological Strategies on Physiologic Markers: Evidence-Based Suggestions for Holistic Care of the Athlete." Journal of Athletic Training 49, no. 3 (June 1, 2014): 331–37. http://dx.doi.org/10.4085/1062-6050-49.1.09.

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Context: Current holistic rehabilitation blends both physical and psychological techniques. However, validation of the usefulness of psychological strategies is limited in the literature. Objective: To quantify the effects of psychological strategies on both physiologic (salivary cortisol) and subjective assessments of stress. Design: Randomized controlled clinical trial. Setting: Laboratory. Patients or Other Participants: A total of 97 college-aged students (age = 20.65 ± 4.38 years), most with little to no experience with psychological strategies. Intervention(s): A 15-minute script via an iPod led the participant through visual imagery (cognitive relaxation) or deep breathing exercises (somatic relaxation) cues. The control group listened to 15 minutes of ambient nature sounds. Main Outcome Measure(s): Two samples (pretest, posttest) of salivary cortisol were analyzed using an enzyme immunoassay kit; the average was used for statistical analysis. Descriptive statistics and correlations were conducted to examine group differences in time of day, salivary cortisol, sex, Stress-O-Meter values, and Perceived Stress Scale scores. Results: Salivary cortisol levels were lower in the treatment group than the control group (F2,97 = 15.62, P &lt; .001). Females had higher scores on both the pretest Stress-O-Meter (5.15 ± 1.796) and the Perceived Stress Scale (18.31 ± 5.833) than males (4.25 ± 1.741 and 15.272 ± 5.390, respectively). Conclusions: Both cognitive and somatic relaxation strategies reduced cortisol levels. Participants who received verbal guidance achieved a larger cortisol reduction. However, the change in cortisol level was uncorrelated with the change in report of acute stress; females reported higher levels of stress. Clinical implications include attention to sex when assessing stress and providing coping skills during the rehabilitation process.
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Denninger, John W., Jacob P. Laubach, Andrew Jenho Yee, Elizabeth O'Donnell, Eric A. Macklin, Giselle Katiria Perez, Lara N. Traeger, et al. "Psychosocial effects of the relaxation response resiliency program (SMART-3RP) in patients with MGUS and smoldering multiple myeloma: A waitlist controlled randomized clinical trial." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): 10051. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.10051.

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10051 Background: Monoclonal gammopathy of undetermined significance (MGUS) and smoldering multiple myeloma (SMM) are asymptomatic clonal precursors to multiple myeloma, a hematological malignancy. Because observation is currently the standard of care, a diagnosis of MGUS or SMM can be associated with stress and worry about progression. We evaluated the efficacy of the evidence-based mind-body intervention, the Stress Management and Resiliency Training: Relaxation Response Resiliency Program (SMART-3RP) in reducing distress and stress reactivity in patients with MGUS and SMM. Methods: In participants diagnosed with intermediate or high risk MGUS or SMM, this randomized, waitlist controlled trial (Oct 2013 – Sep 2016) assessed distress (10-point scale) as the primary outcome and perceived stress (PSS-10), stress reactivity (MOCS-A), and mindfulness (FFMQ) as secondary outcomes and hypothesized mediators of distress reduction. We collected self-report measures at enrollment (T1), 3 months (T2), and 6 months (T3). The immediate treatment arm received the 8-session, 1.5 hour/week SMART-3RP group intervention from T1 to T2 and continued practicing skills from T2 to T3; the waitlist arm received the intervention from T2 to T3. Results: 93 participants (59% women) diagnosed with MGUS (n = 49) or SMM (n = 44) were randomized to immediate treatment (n = 45) or waitlist (n = 48). In an ITT analysis of immediate SMART-3RP vs. waitlist (T1-T2), we found significantly greater improvement in distress (-1.4 vs. -0.3, p = .04) and stress reactivity (0.39 vs. 0.02, p < .001), but not perceived stress (-3.9 vs. -2.2, p = .12) or mindfulness (2.4 vs. -0.1, p = .17). Improvements in stress reactivity were maintained for the immediate treatment group (T2-T3), but only partially for distress. Conclusions: The SMART-3RP, compared to waitlist, reduced distress in participants with intermediate or high-risk MGUS and SMM, with improvements in stress reactivity as a primary mediator of distress reduction. Participants strongly endorsed the intervention’s ability to enhance coping and reduce distress. Clinical trial information: NCT01955395.
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Schrempf, Matthias Christian, Julian Quirin Petzold, Hugo Vachon, Morten Aagaard Petersen, Johanna Gutschon, Sebastian Wolf, Florian Sommer, Marcus Murnauer, and Matthias Anthuber. "Virtual reality-based relaxation for enhancement of perioperative well-being and quality of life: protocol for a randomised pilot trial." BMJ Open 11, no. 4 (April 2021): e044193. http://dx.doi.org/10.1136/bmjopen-2020-044193.

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IntroductionPatients with cancer undergoing surgery often suffer from reduced quality of life and various forms of distress. Untreated distress can negatively affect coping resources as well as surgical and oncological outcomes. A virtual reality-based stress reduction intervention may increase quality of life and well-being and reduce distress in the perioperative phase for patients with cancer. This pilot trial aims to explore the feasibility of the proposed intervention, assess patient acceptability and obtain estimates of effect to provide data for sample size calculations.Methods and analysisPatients with colorectal cancer and liver metastasis undergoing elective surgery will be recruited for this single-centre, randomised pilot trial with a three-arm design. A total of 54 participants will be randomised at 1:1:1 ratio to one of two intervention groups or a control receiving standard treatment. Those randomised to an intervention group will either receive perioperative virtual reality-based stress reduction exercises twice daily or listen to classical music twice daily. Primary feasibility outcomes are number and proportions of participants recruited, screened, consented and randomised. Furthermore, adherence to the intervention, compliance with the completion of the quality of life questionnaires and feasibility of implementing the trial procedures will be assessed. Secondary clinical outcomes are measurements of the effectiveness of the interventions to inform sample size calculations.Ethics and disseminationThe study protocol, the patient information and the informed consent form have been approved by the ethics committee of the Ludwigs-Maximilians-University, Munich, Germany (Reference Number: 19–915). Study findings will be submitted for publication in peer-reviewed journals.Trial registration numberDRKS00020909.
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Rao, Kiran, Prameela Vanguri, and Smita Premchander. "Community-Based Mental Health Intervention for Underprivileged Women in Rural India: An Experiential Report." International Journal of Family Medicine 2011 (August 9, 2011): 1–7. http://dx.doi.org/10.1155/2011/621426.

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Objective. To share experiences from a project that integrates a mental health intervention within a developmental framework of microcredit activity for economically underprivileged women in rural India. Method. The mental health intervention had two components: group counseling and stress management. The former comprised of ventilation and reassurance and the latter strengthening of coping skills and a relaxation technique. Focus group discussions were used to understand women's perception of how microcredit economic activity and the mental health intervention had affected their lives. Results. Women in the mental health intervention group reported reduction in psychological distress and bodily aches and pains. Majority (86%) reported that the quality of their sleep had improved with regular practice of relaxation and that sharing their problems in the group had helped them to unburden. The social support extended by the members to each other, made them feel that they were not alone and could face any life situation. Conclusion. The study provided qualitative evidence that adding the mental health intervention to the ongoing economic activity had made a positive difference in the lives of the women. Addressing mental health concerns along with livelihood initiatives can help to enhance both economic and social capital in rural poor women.
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Simshäuser, Kathrin, Marianne Lüking, Holger Kaube, Claudia Schultz, and Stefan Schmidt. "Is Mindfulness-Based Stress Reduction a Promising and Feasible Intervention for Patients Suffering from Migraine? A Randomized Controlled Pilot Trial." Complementary Medicine Research 27, no. 1 (August 7, 2019): 19–30. http://dx.doi.org/10.1159/000501425.

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Aim: We performed a pilot study in order to evaluate the feasibility and to estimate effect sizes of mindfulness-based stress reduction (MBSR) in a sample of patients suffering from migraine. Method: Migraine patients (n = 62, mean age 44 years, 92% female) were randomly allocated to either MBSR or an active control intervention based on progressive muscle relaxation and psychoeducation. The primary outcome was the number of migraine days per month assessed by headache diaries covering one month before and one month after the intervention. Secondary outcomes included functional impairment, use of medication, psychological symptoms, quality of life, pain acceptance, pain self-efficacy, pain perception and self-attributed mindfulness. To measure feasibility, questionnaires assessing study compliance and contentment were administered. Results: The primary outcome migraine frequency showed no significant group difference. Compared to the control group, the MBSR group showed greater improvements in variables of psychological symptoms, pain self-efficacy and sensory pain perception. Within the MBSR condition, all variables showed significant improvements over the course span with effect sizes ranging from d = 0.37 to 0.81, apart from the primary outcome (27% reduction in migraine days, p = 0.07). Compliance and contentment rates were good, supporting the feasibility of the MBSR intervention. Conclusion: Overall, participants in the MBSR group showed more adaptive coping strategies and decreased levels of psychological impairment compared to the control group, indicating a reduced impact of migraine on their everyday lives. It is concluded that this feasibility study demonstrates the ability of mindfulness-based interventions to reduce suffering in patients with migraine.
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Mackay, Alison M., Robert Buckingham, Raymond S. Schwartz, Suzanne Hodgkinson, Roy G. Beran, and Dennis J. Cordato. "The Effect of Biofeedback as a Psychological Intervention in Multiple Sclerosis: A Randomized Controlled Study." International Journal of MS Care 17, no. 3 (May 1, 2015): 101–8. http://dx.doi.org/10.7224/1537-2073.2014-006.

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Background: Relaxation, mindfulness, social support, and education (RMSSE) have been shown to improve emotional symptoms, coping, and fatigue in multiple sclerosis (MS). Biofeedback was trialed as a psychological intervention, designed to improve self-control, in two groups of patients with MS. Both groups received RMSSE, and one group additionally received biofeedback. Methods: Forty people with relapsing-remitting MS were recruited from three sites in Sydney, Australia. The mean disability score (Expanded Disability Status Scale; EDSS) was 2.41 ± 1.46 (95% confidence interval [CI], 1.46–3.36); the mean age in years was 45.9 ± 12.42 (95% CI, 41.92–49.87). Participants were randomly assigned to two active treatment groups (n = 20 per group). All participants received one 1-hour session per week for 3 weeks of RMSSE, while biofeedback equipment measured breathing rate and muscle tension. Members of one group used biofeedback screens to regulate physiological response. Results: Whole-group pre- and post-treatment scores demonstrated a reduction of 38% for anxiety and 39% for depression scores (P = .007 and P = .009, respectively). A post-treatment comparison failed to demonstrate any significant difference between the two active treatment groups in anxiety and depression scores. The biofeedback group showed significant pre- to post-treatment improvement or trends toward improvement in anxiety, fatigue, and stress (P = .05, .02, and .03, respectively). Comparison of pre-post treatment results between groups showed improvements for the biofeedback group in breathing rate and muscle tension (P = .06 and .09). Conclusions: For relapsing-remitting MS patients receiving biofeedback in addition to RMSSE, there was a demonstrable reduction in anxiety, fatigue, and stress. There was also a trend toward significant reduction of breathing rate and muscle tension in favor of biofeedback.
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Gajdos, Panna, and Adrien Rigó. "Irritábilisbél-szindróma: komorbid pszichiátriai zavarok és pszichológiai kezelési lehetőségek." Orvosi Hetilap 159, no. 50 (December 2018): 2115–21. http://dx.doi.org/10.1556/650.2018.31247.

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Abstract: Irritable bowel syndrome is a chronic functional gastrointestinal disorder with a prevalence of 7–21%. It has a negative impact on health-related quality of life and work productivity and it is associated with increased psychological distress and mental comorbidity, like major depression disorder and generalised anxiety disorder. Due to biopsychosocial factors and the brain-gut axis playing a key role in the aetiology of the disease, the use of psychological treatments has great importance in the therapy of irritable bowel syndrome. These interventions focus on central mechanisms, like visceral sensitivity, pain amplification, hypervigilance and gastrointestinal symptom-specific anxiety. They significantly reduce damaging illness-related cognitions, the use of maladaptive coping strategies, catastrophic appraisals of bodily sensations and chronic muscle tension. The utilization of these treatments is associated with clinically significant symptom improvement and positive mental health outcomes. This review study focuses on the psychiatric comorbidity of irritable bowel syndrome and the use of evidence-based psychological therapies in the treatment of the disease. Using ScienceDirect and PubMed databases, almost 60 studies have been selected. A high number of studies investigate the efficacy of cognitive behaviour therapy and hypnotherapy with meta-analyses included. There is also growing evidence on the beneficial impacts of mindfulness-based stress reduction. Future research will need to concentrate on studying the utility of mind-body therapies such as relaxation techniques in the treatment of irritable bowel syndrome with meta-analyses on the effects of mindfulness-based interventions. Orv Hetil. 2018; 159(50): 2115–21121.
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Benight, Charles C., Kotaro Shoji, Carolyn M. Yeager, Pamela Weisman, and Terrance E. Boult. "Predicting Change in Posttraumatic Distress Through Change in Coping Self-Efficacy After Using the My Trauma Recovery eHealth Intervention: Laboratory Investigation." JMIR Mental Health 5, no. 4 (November 29, 2018): e10309. http://dx.doi.org/10.2196/10309.

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Background Technology offers a unique platform for delivering trauma interventions (ie, eHealth) to support trauma-exposed populations. It is important to evaluate mechanisms of therapeutic change in reducing posttraumatic distress in eHealth for trauma survivors. Objective This study evaluated a proactive, scalable, and individually responsive eHealth intervention for trauma survivors called My Trauma Recovery. My Trauma Recovery is an eHealth intervention aiming to support trauma survivors and consisting of 6 modules: relaxation, triggers, self-talk, professional help, unhelpful coping, and social support. It was designed to enhance trauma coping self-efficacy (CSE). We tested 3 hypotheses. First, My Trauma Recovery would decrease posttraumatic stress symptoms (PTSS). Second, My Trauma Recovery would increase CSE. And last, changes in CSE would be negatively correlated with changes in PTSS. Methods A total of 92 individuals exposed to trauma (78/92, 85% females, mean age 34.80 years) participated. Our study was part of a larger investigation and consisted of 3 sessions 1 week apart. Participants completed the baseline online survey assessing PTSS and CSE. Each session included completing assigned modules followed by the online survey assessing CSE. PTSS was remeasured at the end of the last module. Results PTSS significantly declined from T1 to T9 (F1,90=23.63, P<.001, η2p=.21) supporting the clinical utility of My Trauma Recovery. Significant increases in CSE for sessions 1 and 2 (F8,83=7.51, P<.001) were found. No significant change in CSE was found during session 3 (N=92). The residualized scores between PTSS T1 and T9 and between CSE T1 and T9 were calculated. The PTSS residualized score and the CSE residualized score were significantly correlated, r=–.26, P=.01. Results for each analysis with a probable PTSD subsample were consistent. Conclusions The findings of our study show that participants working through My Trauma Recovery report clinically lower PTSS after 3 weeks. The results also demonstrate that CSE is an important self-appraisal factor that increased during sessions 1 and 2. These improvements are correlated with reductions in PTSS. Thus, changes in CSE may be an important mechanism for reductions in PTSS when working on a self-help trauma recovery website and may be an important target for eHealth interventions for trauma. These findings have important implications for trauma eHealth interventions.
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HIRSCH, C., R. GAUSS, and T. SOMMER. "Coping with stress: cellular relaxation techniques." Trends in Cell Biology 16, no. 12 (December 2006): 657–63. http://dx.doi.org/10.1016/j.tcb.2006.10.006.

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Matheny, Kenneth B., David W. Aycock, James L. Pugh, William L. Curlette, and Kathleen A. Silva Cannella. "Stress Coping." Counseling Psychologist 14, no. 4 (October 1986): 499–549. http://dx.doi.org/10.1177/0011000086144001.

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This article presents a two-pronged attempt to synthesize the research on stress coping: (1) a review of models and taxonomies of behaviors and resources related to stress coping and (2) a meta-analysis of recent experimental and quasi- experimental studies of stress coping. The review led to the construction of a taxonomy and, in conjunction with the meta-analysis, to a comprehensive model of stress coping in two parts (stress and coping). In the meta-analysis an unbiased effect size of .57 was obtained by comparing groups administered treatments to reduce stress with comparison groups. Social skills training, problem solving, cognitive restructuring, and relaxation training appeared to be among the more effective treatments. In comparing the frequency of treatments identified in the meta-analysis with those in the taxonomy, some treatment domains (such as problem solving) were well represented in the taxonomy but appeared infrequently in the meta-analysis. Implications for stress-coping treatment and research are offered.
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Haugstad, Gro Killi, Unni Kirste, Siv Leganger, Elin Haakonsen, and Tor S. Haugstad. "Somatocognitive therapy in the management of chronic gynaecological pain. A review of the historical background and results of a current approach." Scandinavian Journal of Pain 2, no. 3 (July 1, 2011): 124–29. http://dx.doi.org/10.1016/j.sjpain.2011.02.005.

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AbstractHistoric background and development of our somatocognitive approachMensendieck physiotherapy of the Oslo School is a tradition of physiotherapy founded by the American physician Bess Mensendieck, a contemporary and fellow student of Sigmund Freud at the Paris School of Neurology. It builds on the principles of functional anatomy and the theories of motor learning. We have further developed the theory and practice from this physiotherapy tradition, challenged by the enormous load of patients with longstanding, incapacitating pain on western health care systems, by seeking to incorporate inspirational ideas from body oriented dynamic psychotherapy and cognitive psychotherapy. We developed somatocognitive therapy as a hybrid of physiotherapy and cognitive psychotherapy by focusing on the present cognitive content of the mind of the patient, contrary to a focus on analysis of the subconscious and interpretation of dreams, and acknowledging the important role of the body in pain-eliciting defense mechanisms against mental stress and negative emotions.The core of this somatocognitive therapy(1) To promote awareness of own body, (2) graded task assignment related to the motor patterns utilized in daily activities, (3) combined with an empathic attitude built on dialogue and mutual understanding, and emotional containment and support. The goal is for the patient to develop coping strategies and mastery of own life. In addition, (4) manual release of tensed muscles and applied relaxation techniques are important.Methods and results of an illustrative studyOne area in particular need of development and research is sexual pain disorders. We have applied this somatocognitive therapy in a randomized, controlled intervention study of women with chronic pelvic pain (CPP).Wesummarize methods and results of this study.Methods40 patients with CPP were included in a randomized, controlled intervention study. The patients were randomized into (1) a control group, receiving treatment as usual (Standard Gynecological Treatment, STGT) and (2) a group receiving STGT + Mensendieck Somatocognitive Therapy (MSCT). The patients were assessed by means of Visual Analogue Scale of Pain (VASP), Standardized Mensendieck Test (SMT) for analysis of motor patterns (posture, movement, gait, sitting posture and respiration), and General Health Questionnaire (GHQ-30) assessing psychological distress, at baseline (inclusion into study), after three months of out-patient therapy and at 1 year follow-up. Results: The women averaged 31 years, pain duration 6.1 years, average number of previous surgical procedures 1.8 per women. In the STGT group, no significant change was found, neither in pain scores, motor patterns or psychological distress during the observation period. In the group receiving STGT + MSCT, significant reduction in pain score and improvement in motor function were found at the end of therapy, and the significant improvement continued through the follow-up (64% reduction of pain scores, and 80% increase in the average score for respiration, as an example of motor pattern improvement). GHQ scores were significantly improved for anxiety and coping (p < 0.01).ConclusionsSomatocognitive therapy is anewapproach that appears to be very promising in the management of chronic gynecological pain. Short-term out-patient treatment significantly reduces pain scores and improves motor function.ImplicationsChronic pelvic pain in women is a major health care problem with no specific therapies and poor prognosis. A novel, somatocognitive approach has documented positive effects. It is now studied by other clinical researchers in order to reinforce its evidence base.
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Lee, Stephanie J., Jennifer Le Rademacher, Heather Jim, Karen L. Syrjala, John R. Wingard, Brent R. Logan, Juan Wu, et al. "Exercise and Stress Management Training For Patients Undergoing Autologous Or Allogeneic Hematopoietic Cell Transplantation. Results From Blood and Marrow Transplant Clinical Trials Network (BMT CTN) 0902." Blood 122, no. 21 (November 15, 2013): 699. http://dx.doi.org/10.1182/blood.v122.21.699.699.

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Abstract Following up on single institution studies suggesting that engaging patients in exercise and/or stress reduction techniques during hematopoietic cell transplantation (HCT) improves functional status and quality of life, we conducted a randomized study through the Blood and Marrow Transplant Clinical Trials Network (BMT CTN). METHODS: Patients (n=711) at 21 US centers provided symptom and quality of life data at enrollment. They were randomized to 1 of 4 groups using a 2x2 factorial design, stratified by center and transplant type. Prior to HCT, each group received a 15 minute stress management training session or a 15 minute exercise training session, both, or neither, with trained personnel to discuss the importance of managing stress and/or keeping active during HCT. The 3 intervention groups were also given a DVD, pamphlet and diary to track participation in exercise and/or stress management. The trainer reviewed the goals of practicing the intervention, proper technique, identification of barriers and plans to overcome them. Exercise training also included calculation of target heart rate. The exercise goal was walking 3-5 times a week for at least 20-30 minutes at 50-75% of estimated heart rate reserve. The stress management goal was to use paced abdominal breathing, progressive muscle relaxation with guided imagery, and coping self-statements to decrease stress. The interventionists re-contacted patients at 30 and 60 days after HCT to review the training goals, discuss barriers and provide encouragement. The fourth group was a usual care control group. All groups received a DVD of general information about HCT. Participants provided self-reported assessments at 30, 60, 100 and 180 days after transplant. The primary endpoints were the physical (PCS) and mental (MCS) component subscales of the SF36 at day 100. The study was designed to have 85% power to detect a difference of 0.5 STD in the exercise or stress management groups on each of the two endpoints, maintaining an overall type I error rate of 0.05. Primary analysis was on an intention to treat (ITT) basis with values assigned to patients who died or otherwise did not provide information. Enrollment occurred from January 2011-June 2012. Results The groups were well-balanced for baseline characteristics. There were no differences in the primary endpoints of PCS and MCS at day +100 among any of the groups based on the ITT analysis (Table). Results were similar using other conditional and imputed methods. Higher PCS at day +100 was associated with higher PCS at enrollment (p<0.0001), being employed (coefficient 1.85, p=0.01), and having an autologous transplant rather than a myeloablative allogeneic HCT (coefficient 4.47, p<0.0001) or reduced intensity/non-myeloablative allogeneic HCT (coefficient 3.10, p=0.0003). There was no difference between the two types of allogeneic conditioning intensities (p=0.12). Higher MCS at day +100 was associated with higher enrollment MCS (p<0.0001) and higher income (greater than $50,000, coefficient 3.3, p<0.0001). Patients assigned to stress management training reported using these techniques more than those who did not get stress management training. Patients assigned to exercise training did not report greater exercise up to day 100 but this group did report greater activity at day +180 (p=0.04) and better PCS scores at day +180 (coefficient 1.84, p=0.02), although the effect was not significant (p=0.20) in a model including multiple imputation. There were no differences observed in overall survival, hospitalization days until day +100 or in other patient-reported outcomes, including treatment-related distress, sleep quality, pain, and nausea. Conclusions No improvements in functional status as measured by PCS and MCS at day +100 were evident between the groups. Functional status was highly associated with pre-transplant functioning and type of transplant but not with conditioning regimen intensity.TableDay 100 SF36 scoresExercise (n=358) Median (25th-75th)No Exercise (n=353) Median (25th-75th)p-valuePCS37.5 (19.7-46.7)39.7 (27.1-47.7)0.14MCS49.4 (27.3-57.7)50.1 (34.2-57.8)0.33Stress Management (n=356) Median (25th-75th)No Stress Management (n=355) Median (25th-75th)PCS37.8 (22.1-46.6)39.7 (25.7-47.9)0.21MCS50.7 (31.0-58.2)49.1 (30.5-56.8)0.30 Disclosures: No relevant conflicts of interest to declare.
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Warrier, Uma, and Aisha M Sheriff. "Significance of Eq in Stress Reduction & Coping." Ushus - Journal of Business Management 6, no. 1 (January 11, 2007): 33–47. http://dx.doi.org/10.12725/ujbm.10.3.

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Emotional Intelligence, as the name suggest, is the ability of individuals to use emotions intelligently. It helps a person to be aware of one's own feelings and others feelings, to be able to differentiate among them and to use the information to guide one's thinking and behaviour. Most people associate stress with emotions of anger; fear, anxiety sadness and frustration. So it would seem logical to define stress in terms of an emotional experience. Stress is a consequence of interaction between an environmental Stimulus, called a stressor and individuals response, which is the emotional part. In this study we are dealing with the harmful effect of stress, which is generally known as distress. This study is an attempt to relate stress coping ability with EQ of employees. The positive effects of stress, the Eustress is also studied. The findings of the study can be used as a pointer to formulate HR strategy where EQ tests could be used for screening during the hiring process to identify prospective employees with higher EQ levels. This concept can have wider application in tackling attrition. This study draws input from primary research, cited in reference, and other secondary research findings.
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Bennett, Ellen Sullivan, and James E. Swasey. "Perceived Stress Reduction in Urban Public Gardens." HortTechnology 6, no. 2 (April 1996): 125–28. http://dx.doi.org/10.21273/horttech.6.2.125.

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The negative effects of the urban situation on human well-being are well documented, contribute to stress, weaken coping skills, and evoke a negative self-appraisal from residents continually surrounded by bleak settings (Stainbrook, 1973). The following research suggests that urban residents may visit public gardens as a means of coping with the stresses of city life. Results of a survey of urban visitors to two urban public gardens indicate that stress reduction is an important reason for visiting the gardens. The research also indicates a trend of reduced levels of self-perceived stress after a garden visit.
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Urbanska, Anna, Leslaw Kulmatycki, Krystyna Boron-Krupinska, and Katarzyna Torzynska. "Relaxation techniques interventions during physical exercise classes and coping with stress." Human Movement 19, no. 3 (2018): 38–47. http://dx.doi.org/10.5114/hm.2018.76078.

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Kraft, Frederic B., Devdeep Maity, and Stephen Porter. "The salesperson wellness lifestyle, coping with stress and the reduction of turnover." Journal of Business & Industrial Marketing 34, no. 2 (March 4, 2019): 347–59. http://dx.doi.org/10.1108/jbim-03-2017-0058.

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PurposeIt is well known that job stress is major cause of salesperson job dissatisfaction and turnover. Salespeople require the resources to cope adequately with a multitude of job stressors, and the purpose of this study is to demonstrate that salesperson wellness promotes the ability of salespeople to use effective coping strategies in the workplace and as a result decrease their intentions of leaving the firm.Design/methodology/approachData including measures of coping strategies and a wellness lifestyle orientation were collected from a sample of 441 full-time professional salespeople in two metropolitan statistical areas of the USA. Structural equation modeling was used to demonstrate the relationship of a wellness lifestyle to coping strategies and in turn the relationship of coping strategies to job satisfaction and turnover intentions.FindingsThe study demonstrated the influence of the wellness lifestyle on salespeople’s ability to cope effectively with job stress. It extends previous research by demonstrating the direct influence of salesperson wellness on coping behaviors and demonstrates the nomological validity of the wellness lifestyle construct by modeling its relationship with job satisfaction and the intent to leave the organization.Research limitations/implicationsThe study recommends new research on the synergies that might be produced by simultaneous consideration of the social, physical, and psychological elements of the multicomponent wellness lifestyle. This should be particularly valuable in the context of the Challenger Sale.Practical implicationsWellness programs may be introduced or improved following an assessment of coping resource weaknesses of the sales force. New employees could be screened by examining their wellness profiles.Originality/valueMajor firms have promoted wellness lifestyle programs for years, but no studies have examined the influence of such programs on coping with job stress by salespeople. The paper demonstrates the value of the salesperson wellness lifestyle by showing that it promotes the most adjustive form of coping strategy, problem-focused coping.
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Wright, Erin M. "Evaluation of a Web-Based Holistic Stress Reduction Pilot Program Among Nurse-Midwives." Journal of Holistic Nursing 36, no. 2 (April 24, 2017): 159–69. http://dx.doi.org/10.1177/0898010117704325.

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Purpose: Work-related stress among midwives results in secondary traumatic stress, posttraumatic stress disorder, and job attrition. The purpose of this pilot project was to evaluate the effectiveness of a holistic, web-based program using holistic modalities for stress reduction and improved coping among certified nurse-midwives. Design and Method: A convenience sample of 10 midwives participated in a web-based holistic stress reduction intervention using yoga, mindfulness-based stress reduction, and meditation for four days each week over 4 weeks. Participants completed pre- and postintervention questionnaires (Perceived Stress Scale [PSS] and the Coping Self-Efficacy Scale [CSES]) for evaluation of effectiveness. Findings: The PSS means showed improvement in midwives’ stress (16.4-12.3). The CSES means showed improvement in coping (174.8-214.5). Improvement was shown in each subscale of the CSES (“uses problem-focused coping”: 19.2%; “stops unpleasant thoughts and emotions”: 20.3%; and “gets support from family and friends”: 16.6%). Conclusion: Findings suggest the potential for stress reduction and improved coping skills after using holistic techniques in a web-based format within a cohort of nurse-midwives. Further research of web-based, holistic intervention for stress reduction among midwives is warranted.
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Iwanaga, Makoto, Hiroshi Yokoyama, and Hidetoshi Seiwa. "Coping availability and stress reduction for optimistic and pessimistic individuals." Personality and Individual Differences 36, no. 1 (January 2004): 11–22. http://dx.doi.org/10.1016/s0191-8869(03)00047-3.

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Tyson, Paul D., and Rana Pongruengphant. "Avoidance as a Coping Strategy for Nurses in Thailand." Psychological Reports 79, no. 2 (October 1996): 592–94. http://dx.doi.org/10.2466/pr0.1996.79.2.592.

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Multiple regression analyses indicated a significant relationship between the coping strategy of avoidance, job satisfaction, and occupational stress. Although it was the best predictor of stress compared to problem solving, social support, and relaxation, avoidance did not have an interactive buffering effect on occupational stress for 200 Thai nurses.
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Stanton, Harry E. "Relaxation, deepening, and ego-enhancement: A stress reduction “package”." Australian Psychologist 23, no. 3 (November 1988): 315–22. http://dx.doi.org/10.1080/00050068808255614.

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Kaspereen, Dana. "Relaxation intervention for stress reduction among teachers and staff." International Journal of Stress Management 19, no. 3 (2012): 238–50. http://dx.doi.org/10.1037/a0029195.

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McClure Brenchley, Kimberly J., and Lynn M. Donahue. "Stress reduction in a high stress population: A service-learning project." Journal of Social and Political Psychology 5, no. 2 (November 8, 2017): 463–76. http://dx.doi.org/10.5964/jspp.v5i2.813.

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Psychology students delivered stress and coping workshops to homeless adolescent mothers as part of a college service-learning project. In this vulnerable and underserved population, stress reduction is critical. Service-learning was used as an avenue to enhance student learning and growth while helping meet this need in our community. The psychology students developed deeper learning, professional skills, and social awareness. The adolescent mothers developed stress reduction skills that they were able to successfully implement. Challenges and recommendations for the implementation of similar service-learning projects are discussed.
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Lee, Meery, and Reed Larson. "Effectiveness of Coping in Adolescence: The Case of Korean Examination Stress." International Journal of Behavioral Development 19, no. 4 (December 1996): 851–69. http://dx.doi.org/10.1177/016502549601900410.

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This study tested the hypothesis that coping is related to a reduction in psychological distress and physical symptoms, as experienced by adolescents while enduring highly demanding examination stress. Using the university entrance examination stress faced by Korean adolescents, the study examined whether specific coping strategies for exam stress are related to psychological and physical adjustment and whether these strategies moderate the relationship between additional life event stress and adjustment. A sample of 358 Korean students in the 12th grade reported their level of additional life event stress, the coping strategies they were using to cope with exam and non-exam stress, and their levels of depression and physical symptoms. Problem-solving and information-seeking coping were found to be related to reduction in depression; however, emotional-discharge coping was related to increase in physical symptoms. Coping with exam stress was found to be related to adjustment and independent of the level of additional life event stress.
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Crowe, Brandi M., Marieke Van Puymbroeck, and Arlene A. Schmid. "Yoga as Coping: A Conceptual Framework for Meaningful Participation in Yoga." International Journal of Yoga Therapy 26, no. 1 (January 1, 2016): 123–29. http://dx.doi.org/10.17761/1531-2054-26.1.123.

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Yoga facilitates relaxation and connection of mind, body, and spirit through the use of breathing, meditation, and physical postures. Participation in yoga has been extensively linked to decreased stress, and as a result, is considered a therapeutic intervention by many. However, few theories exist that explain the link between yoga participation and improved psychosocial wellbeing. The leisure-stress coping conceptual framework suggests that through participation in leisure, an individual can decrease stress while concurrently restoring and building up sustainable mental and physical capacities. Three types of leisure coping strategies exist: palliative coping, mood enhancement, and companionship. The purpose of this article is to propose the leisure-stress coping conceptual framework as a model for explaining benefits received from yoga participation via leisure coping strategies, which may explain or support improved ability to manage stress.
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Kim, Soon– Ae, and Seung–Eun Oh. "Effects of Relaxation Training(Autogenic Training) on Stress and Stress Coping Styles of Nursing College Students." Journal of the Korean society for Wellness 16, no. 1 (February 28, 2021): 322–28. http://dx.doi.org/10.21097/ksw.2021.02.16.1.322.

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Noh, Young-Eun, Tony Morris, and Mark B. Andersen. "Occupational Stress and Coping Strategies of Professional Ballet Dancers in Korea." Medical Problems of Performing Artists 24, no. 3 (September 1, 2009): 124–34. http://dx.doi.org/10.21091/mppa.2009.3027.

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Twenty professional ballet dancers from Korea were interviewed to identify the stressors they experience and the coping strategies they use during practice and performance. Inductive content analysis of the data identified four major sources of stress: physical (i.e., physical appearance, poor physical condition), psychological (i.e., desire, slump, personality), interpersonal (i.e., relationship with a dance director, relationship with other dancers), and situational factors (i.e., performance demands, finances). The results demonstrated that, within physical factors, physical appearance (e.g., maintaining a particular body type, keeping low body weight) was a preeminent problem. We also found three general dimensions for coping: psychological strategies (i.e., individual cognitive and emotional strategies, avoidance strategies), behavioral strategies (i.e., dysfunctional behavior, hobby activities, social interaction, dance-related behavior), and physical relaxation. The coping strategies mentioned most frequently were in the behavioral strategies dimension. Identifying sources of stress and coping strategies in dance can provide a basis for intervention programs, which can help to reduce stress by developing effective coping skills.
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Edwards, Kerry Lynne, Yvonne M. Eaton-Stull, and Sarah Kuehn. "Police Officer Stress and Coping in a Stress-Awareness Era." Police Quarterly 24, no. 3 (February 15, 2021): 325–56. http://dx.doi.org/10.1177/1098611120984162.

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This study was conducted as controversy and turmoil engulfed police worldwide. Police-community conflict was widespread and conceivably increased officers’ stress levels. Because stress affects officers’ health and job performance, it is important to understand the phenomenon. This study was designed to ascertain officers’ stress levels, coping mechanisms, and perspectives regarding police-community relations, their perceived stress-related needs, and their perceptions of departmental assistance. Participants (N = 128) were police officers across several jurisdictions of various sizes in the northeastern United States. Both quantitative and qualitative data were collected; analytic methods included statistical correlations and regression, as well as qualitative, thematic analysis. Results indicated the following: Participants experienced stress across multiple areas; some coping mechanisms predicted higher expressions of stress, as did certain perspectives of police-community relations and years in law enforcement. Participants’ perspectives of their needs and their suggestions for action contributed to data-driven policy recommendations regarding both prevention and symptom reduction approaches.
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Sorbi, Marjolijn, and Bert Tellegen. "Differential Effects of Training in Relaxation and Stress-Coping in Patients with Migraine." Headache: The Journal of Head and Face Pain 26, no. 9 (October 1986): 473–81. http://dx.doi.org/10.1111/j.1526-4610.1986.hed2609473.x.

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Bukowski, Elaine L. "The use of self-Reiki for stress reduction and relaxation." Journal of Integrative Medicine 13, no. 5 (September 2015): 336–40. http://dx.doi.org/10.1016/s2095-4964(15)60190-x.

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Takahashi, Hiroki, Akihiro Nishiguchi, Hirotoshi Nagata, Haruki Kataoka, and Masahide Fujishima. "Structural relaxation and stress reduction in hydrogenated silicon oxide films." Journal of Applied Physics 79, no. 5 (March 1996): 2787–89. http://dx.doi.org/10.1063/1.361111.

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Bennion, Erica, Michael N. Olpin, and Mark DeBeliso. "A comparison of four stress reduction modalities on measures of stress among university students." International Journal of Workplace Health Management 11, no. 1 (February 5, 2018): 45–55. http://dx.doi.org/10.1108/ijwhm-11-2017-0090.

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Purpose High levels of stress reported at college campuses has led to the need for stress management interventions. College students often do not know how to deal with the increase in stress during college which may lead to ineffective ways to manage stress, such as drugs, alcohol, and under the worst circumstance, suicide. Several universities have implemented stress relieving centers where students can participate in various modalities to relax and reduce symptoms of stress. The purpose of this paper is to compare four stress reduction modalities on the amount of physiologic and perceived stress (PS) reduction in a stress relief center. Design/methodology/approach Archival information of 5,526 students (2,759 female, 2,767 male) were analyzed. During their time at the relaxation center, these students would participate in one of four relaxation modalities (massage chair, chi machine, rejuvenation lounger, or sitting meditation). Upon entering and exiting the center, PS, systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were measured. The dependent variables were compared from pre- to post-relaxation with paired tests. Gain scores were calculated for each dependent variable and compared between modalities with an ANOVA and post hoc independent t-tests. The α was set at=0.05 for statistical significance. Findings Results indicated that all four modalities showed an overall decrease in stress-related symptoms for both men and women (p<0.05). There was no statistical difference in dependent variable gain scores between the relaxation modalities (p>0.05) for men. There was no statistical difference in dependent variable gain scores between the relaxation modalities (p>0.05) for women except for SBP and DBP where the massage chair, chi machine, and sitting meditation all reduced SBP and DBP to a greater degree than the rejuvenation lounger (p<0.05). Originality/value The results of this study suggest that the use of these stress reduction modalities (massage chair, chi machine, rejuvenation lounger, or sitting meditation) is effective at transiently reducing physiologic and perceived measures of stress of college students. Universities should recognize the importance of stress relief centers in order to help students manage stress symptoms and effectively manage their daily stress levels.
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Gage, Lois W., and Yuzuru J. Takeshita. "Coping with Stress in a Cross Cultural Setting." AAOHN Journal 44, no. 6 (June 1996): 278–87. http://dx.doi.org/10.1177/216507999604400605.

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The purpose of this pilot study was to compare the psychosocial distress of Japanese auto workers with that of the American employees working in a Japanese managed plant, to describe mediating factors related to their distress, and recommend interventions. Japanese and American workers and spouses responded to five questionnaires and two open ended questions about changes in health, function, and time, and needs, problems, and recommendations for stress reduction. Japanese men had higher General Health Questionnaire scores than American workers. Psychosocial distress was related to work self confidence and individual responsibility for Japanese men, with social support for Japanese women, and with individual responsibility for American men and women. Stress was related to communication problems and misunderstanding about the management practices and cultural norms. Culturally appropriate worksite and community interventions are discussed.
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Kartika, Ayu, and Mita Aswanti Tjakrawiralaksana. "Efektivitas online group CBT pada stres dan coping strategy remaja perempuan yang terdampak covid-19." Jurnal Ilmiah Psikologi Terapan 9, no. 2 (August 17, 2021): 179–90. http://dx.doi.org/10.22219/jipt.v9i2.15023.

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The COVID-19 pandemic has prompted the Indonesian government to implement a distance learning system. Changes and uncertainties might deteriorate mental health, especially in female adolescents who were initially prone to experiencing stress based on their developmental stage and gender. This study aims to determine the effectiveness of stress management training with Online Group Cognitive Behavioral Therapy approaches in reducing stress and developing adaptive coping strategies. A total of 8 participants (ages 14-15) were recruited online with the purposive sampling technique. Changes in stress levels and coping strategies were tested using Friedman’s ANOVA test. There was a significant reduction in stress that continued until 1-month follow-up and increased adaptive coping strategies after the intervention (post-test). Participants also reported positive changes in cognition and emotion, including increased belief about their ability to handle stress in the future. However, there was no statistically significant reduction in a maladaptive coping strategy. Additional factors, such as individual differences and interactions with the environment influenced the intervention's effectiveness.
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Scales, Monica B., Jennifer L. Monahan, Nancy Rhodes, David Roskos-Ewoldsen, and Ashani Johnson-Turbes. "Adolescents' Perceptions of Smoking and Stress Reduction." Health Education & Behavior 36, no. 4 (May 13, 2008): 746–58. http://dx.doi.org/10.1177/1090198108317628.

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The present study examined how adolescents perceive the relationship between smoking and stress and where they learn that smoking cigarettes may be an effective stress-reduction mechanism. Eight focus groups were conducted with low-income African American and European American 14- to 16-year-olds in urban and rural locations, in which they suggested that the primary reasons why they smoked—namely, as a coping mechanism (to calm nerves), for social acceptance, and because of environmental influences. Family issues, boyfriend/girlfriend problems, and school were common stressors. Although participants overwhelmingly believed that people smoke to reduce their stress, a few believed that cigarettes do not actually reduce stress. When asked for examples of smoking in popular media, teens predominantly generated examples of individuals smoking to reduce stress. Ethnic and gender differences were found among the types of media in which they had seen smoking, their opinions of anti-smoking messages, and the media's perceived influence.
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Bravo-Mehmedbasic, A., D. Salčić, A. Kučukalić, S. Fadilpaić, L. Čaković, and E. Mehmedika-Suljic. "Impact of Psychoeducation on Professional Stress Reduction within Prison Guards." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71473-7.

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Aim:Evaluation of psychoeducation effects on professional stress consequences within prison guards.Method:In the research were included 122 prison guards from three prisons in Bosnia and Herzegovina. All of them have been tested before and after psychoeducation was finished using following instruments: Index of reaction, STAI questionnaire, SAMAČA questionnaire.Results:Differences between first and second measuring of subjects included in this study in Sarajevo prison indicated statistically significant reduction of stress reactions, improvement of coping strategies and communication skills. In prisons in Zenica and Kula there are differences between first and second measurement in stress reactions reduction, improvement of coping strategies and overcoming of stress and improvement of communication skills as well, which are not statistically significant. In Kula Prison, significant differences between two measurements in attitudes of prison guards toward detainees were observed.Conclusions:Results of this study show that prison guards within prisons where are detained persons with long period of imprisonment (Zenica, Kula) are more exposed to professional stress, comparing to prison guards who are employed in investigation prison (Sarajevo). Psychoeducation resulted in positive effects and it should be obligatory included in prison guards training with the aim of decreasing of psychological consequences of prolonged professional stress to which they are exposed to. Psychoeducation should be on continuous basis and led by educated mental health professionals.
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Pi, Jin Hong, Zhang Zhong Wang, Xiu Ming Zhao, and Hai Feng Wu. "Study on Anti-Stress Relaxation Behavior of Non-Quenched Steel." Advanced Materials Research 785-786 (September 2013): 8–11. http://dx.doi.org/10.4028/www.scientific.net/amr.785-786.8.

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The cold draw MFT8 steels with different reduction in cross sectional areas were investigated to understand the effect of aging time on the anti-stress relaxation ability of non-quenched and tempered steel. The hardness and the anti-stress relaxation ability of cold draw NQT MFT8 steel was improved after aging at 300°Csince the precipitation of submicron particles within deformed ferrite. The cold draw NQT MFT8 becomes harder and more resistant to stress relaxation with increasing aging time. The cold draw MFT8 with both 25% and 30% reduction in cross sectional areas are stress relaxation resistant after aged at 300°C for 2 hours.
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Arif, Summaiya, Sabeen Rahim, and Saima Perwez. "Effects of Guided Imagery, Zikar Azkar, and Priming Technique on Stress and Relaxation Level Among University Students." 2021, VOL. 36, NO. 2 36, no. 2 (June 30, 2021): 225–40. http://dx.doi.org/10.33824/pjpr.2021.36.2.13.

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This study was conducted to find out the effectiveness of the three relaxation techniques which are Guided Imagery, Zikar Azkar, and Priming Technique on coping with stress and on the relaxation state of an individual. The total sample included 51 university students in which each group had 17 female students. Smith Relaxation States Inventory 3 and Perceived Stress Scale were used to measure relaxation states and perceived stress levels of the participants. The Smith Relaxation States Inventory 3 has two subscales. The State Version (SRSI3) measures the current relaxation state of a person and the Disposition Scale (SRSI3d) evaluates how often individuals experience worries, stress, and negative emotions. The participants were randomly assigned to three groups. The questionnaires were administered before and after four weeks to the participants. The findings of the study showed that all the three relaxation techniques were effective in reducing stress, however, the results show that Zikar Azkar was more effective than Guided Imagery and Priming Technique. It was also found that Zikar Azkar was also effective in improving the relaxation state of individuals besides being more effective than Guided Imagery, and Priming Technique in reducing negative emotions and stress.
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Morton, Kate, and Mark Cescato. "The Efficacy of Relaxation Training with Year 12 Students." Australian Journal of Guidance and Counselling 10, no. 1 (November 2000): 133–44. http://dx.doi.org/10.1017/s1037291100004192.

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This study explored the potential benefits of an eight-week relaxation training program for students in their final year of high school. The relaxation program was structured around the concept of applied relaxation, consisting of a blend of progressive muscle relaxation, cue-controlled, and rapid relaxation, whilst also incorporating a cognitive coping strategies component, and goal-directed visualisation. Treatment participants were compared with control group members on measures of anxiety, stress, and locus of control. Overall, the results support the efficacy of a school-based relaxation training program in reducing student stress and anxiety levels, but not on influencing locus of control orientation towards internality. Furthermore the results of this project indicate that it is possible to incorporate relaxation training within a preventative framework as part of the regular school curriculum.
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Can, Yekta Said, Heather Iles-Smith, Niaz Chalabianloo, Deniz Ekiz, Javier Fernández-Álvarez, Claudia Repetto, Giuseppe Riva, and Cem Ersoy. "How to Relax in Stressful Situations: A Smart Stress Reduction System." Healthcare 8, no. 2 (April 16, 2020): 100. http://dx.doi.org/10.3390/healthcare8020100.

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Stress is an inescapable element of the modern age. Instances of untreated stress may lead to a reduction in the individual’s health, well-being and socio-economic situation. Stress management application development for wearable smart devices is a growing market. The use of wearable smart devices and biofeedback for individualized real-life stress reduction interventions has received less attention. By using our unobtrusive automatic stress detection system for use with consumer-grade smart bands, we first detected stress levels. When a high stress level is detected, our system suggests the most appropriate relaxation method by analyzing the physical activity-based contextual information. In more restricted contexts, physical activity is lower and mobile relaxation methods might be more appropriate, whereas in free contexts traditional methods might be useful. We further compared traditional and mobile relaxation methods by using our stress level detection system during an eight day EU project training event involving 15 early stage researchers (mean age 28; gender 9 Male, 6 Female). Participants’ daily stress levels were monitored and a range of traditional and mobile stress management techniques was applied. On day eight, participants were exposed to a ‘stressful’ event by being required to give an oral presentation. Insights about the success of both traditional and mobile relaxation methods by using the physiological signals and collected self-reports were provided.
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Wyner, Dana R. "Pilot Study of a University Counseling Center Stress Management Program Employing Mindfulness and Compassion-Based Relaxation Training with Biofeedback." Biofeedback 43, no. 3 (November 1, 2015): 121–28. http://dx.doi.org/10.5298/1081-5937-43.3.01.

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A pilot study was conducted with clients at a university student counseling center stress management and biofeedback clinic to determine whether mindfulness and compassion-based instruction in relaxation strategies, along with peripheral biofeedback, would reduce perceived stress, enhance perceived coping, and lead to improvement in symptoms of anxiety, depression, and academic distress. Results support that the inclusion of mindfulness and compassion-based biofeedback may enhance treatment efficacy for stress and its associated problems above and beyond that of mindfulness and compassion-based relaxation skills training provided in the absence of biofeedback.
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45

Strongylaki, Nefeli Paraskevi, Georgios Pilafas, Anastasia Dermati, Despina Menti, and Georgios Lyrakos. "Effect of coping strategies on acute stress during the COVID–19 pandemic in Greece." Health & Research Journal 7, no. 3 (July 3, 2021): 98. http://dx.doi.org/10.12681/healthresj.27473.

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Background: The psychological impact of quarantine, due to the SARS COVID-19 outbreak, was examined with a specific focus on the relationship between 7 coping strategies: (i) active coping, (ii) positive reframing, (iii) acceptance, (iv) use of emotional support, (v) religion, (vi) substance use and (vii) self-blame and acute stress. This study aimed to identify specifically which of those coping strategies could increase or decrease acute stress levels.Method and Material: The data collection took place during the lockdown and was performed using online surveys. The finale sample size reached up to 1154 Greek adults (age M= 40.51). Two adapted and translated scales were used to measure the variables of interest, including: Brief-COPE questionnaire as well as Acute Stress Disorder Scale (ASDS).Results: “Active coping”, “acceptance”, “positive reframing” and “emotional support”, four of the coping strategies examined, that were found to be significantly associated with stress reduction. Meanwhile, “religion”, “self-blame” and “substance use” were not associated with stress reduction. Conclusions: This study initially provides an insight of acute stress and effective coping strategies associated with the quarantine period during the COVID – 19 pandemic in Greece. The outcome of this study equip support for the expected inflation of the mental health issues stemmed from the unusual stressors, and urge clinicians, mental health providers, and public agencies to assemble, in an attempt to make possible the widespread implementation of more effective and beneficial coping strategies.
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Maslova, Jūlija. "THE IMPACT OF PEDAGOGICAL SUPPORT PROGRAM ON COPING STRATEGIES, ACADEMIC ACHIEVEMENT AND STRESS LEVEL IN ADOLESCENCE." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 2 (May 26, 2016): 181. http://dx.doi.org/10.17770/sie2016vol2.1397.

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The article analyses development of coping strategies and coping resources using in adolescence. Adolescents are often not able to cope with stressful situations because their coping strategies still forming, that leads to academic performance reduction. Therefore, a pedagogical support program for developing coping strategies in adolescents is crucial, and it was elaborated and approved as a formative experiment method. Results revealed that after the implementation of pedagogical support program in the experimental group there were identified effective coping strategies. Also, it was observed that the academic achievement level increased and the stress level decreased in the experimental group.
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Jordan, Timothy R., Jagdish Khubchandani, and Michael Wiblishauser. "The Impact of Perceived Stress and Coping Adequacy on the Health of Nurses: A Pilot Investigation." Nursing Research and Practice 2016 (2016): 1–11. http://dx.doi.org/10.1155/2016/5843256.

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Stress and coping abilities influence the health and work performance of nurses. However, little is known about the combined influence of stress perception and perceived coping adequacy and its impact on the health of nurses. This study examined the relationship between stress, coping, and the combined influences of perceived stress and coping abilities on health and work performance. A valid and reliable questionnaire was completed by 120 nurses in a Midwestern hospital in the USA. In general, the nurses were not healthy: 92% had moderate-to-very high stress levels; 78% slept less than 8 hours of sleep per night; 69% did not exercise regularly; 63% consumed less than 5 servings of fruits and vegetables per day; and 22% were classified as binge drinkers. When confronted with workplace stress, 70% of nurses reported that they consumed more junk food and 63% reported that they consumed more food than usual as a way of coping. Nurses in the “high stress/poor coping” group had the poorest health outcomes and highest health risk behaviors compared to those in other groups. The combined variables of perceived stress and perceived coping adequacy influenced the health of nurses. Therefore, worksite health promotion programs for nurses should focus equally on stress reduction, stress management, and the development of healthy coping skills.
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Piščalkienė, Viktorija, and Lijana Navickienė. "GENERAL PRACTICE NURSING STUDENTS‘ STRESS DURING PROFESSIONAL INTERNSHIP: CAUSES AND STRESS COPING METHODS." Health Sciences 30, no. 6 (November 24, 2020): 143–51. http://dx.doi.org/10.35988/sm-hs.2020.156.

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Occupational stress is a phenomenon faced by both phy­sicians working in health care institutions and students studying in the medicine and nursing fields. Early iden­tification of the stress factors and application of timely and targeted stress coping methods are measures allo­wing to maintain a safe socio-educational environment in a real practical place. The aim of the study – to reveal the causes of nursing students’ stress during their professional internship and to identify what strategies students use to cope with the stress. Material and methods. For the study a quantitative rese­arch strategy was used. The survey instrument included questions of two main blocks, one of which was related to stressors, the other one covered stress coping methods. 27 items of stress causes were listed in the questionnaire covering 4 main areas: 1) work content and clinical si­tuations; 2) work conditions and organization; 3) com­munication and collaboration; 4) external stressors. For revealing what measures students use to manage their stress 26 items of stress coping methods were included into the questionnaire. These methods are related to 4 ty­pes of stress coping strategies: 1) Relaxation methods; 2) Rational methods; 3) Organizational and social; 4) Phar­maceutical and health damaging habits. Research instru­ment also included an open question which was aimed to find out positive students’ experiences during the in­ternships. 145 nursing students participated in the study. Results. Stress is a common phenomenon among nur­sing students. All nursing students experience higher or lower level of stress during the professional internships. Factors related to work conditions and organization are the most stressful. Rational stress management methods are the most popular among nursing students in dealing with stressful situations during professional internships. The positive experience expressed by nursing students during internships can be considered as measures helping to successfully adapt psychologically and reduce stress during internships. Basing on the study results such stu­dents support measures could be identified as: student praise and encouragement, friendly team and close coo­peration, nurse-mentor as teacher and consultant, confi­dence in student and the opportunity to act independently, patient‘s gratitude and benevolence.
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Arıöz Düzgün, Ayten, and Emel Ege. "Effects of relaxation exercises on the ways of coping with stress and anxiety level in primiparous pregnant women diagnosed with preterm labor." Journal of Human Sciences 14, no. 4 (October 9, 2017): 3158. http://dx.doi.org/10.14687/jhs.v14i4.4820.

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This experimental study aims to evaluate the effects of relaxation exercises on the ways of coping with stress and anxiety level in primiparous women diagnosed with preterm labor. The study included a total of 60 pregnant women who were admitted to the outpatients clinics of the Department of Obstetrics and Gynecology at a tertiary setting between November 2012 and February 2014. Of these women, 30 were allocated into the intervention group and 30 were allocated into the control group. The Pregnant Women Identity Information Form, Ways of Coping with Stress Inventory, and State-Trait Anxiety Inventory were used as data collection tools.The pregnant women in the intervention group achieved higher scores in the State-Trait Anxiety Inventory in the first assessment and lower scores in the final assessment, and the difference from baseline was significantly different (p<0.005). The women in the control group achieved lower scores in the State-Trait Anxiety Inventory in the first assessment and higher scores in the final assessment, and the difference from baseline was significantly different (p<0.005). The scores of pregnant women in the intervention group in efficient ways of coping subscale increased as from the baseline (p<0.005), whereas there was an increase in the scores of women in the control group in inefficient ways of coping subscale and the difference was statistically significant (p<0.005). Our study results suggest that relaxation exercises are effective in reducing anxiety and coping with stress in pregnant women with imminent premature labor.
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Coban, Aysel Esen, and Zeynep Hamamci. "The Comparison of the Effects of a Didactic Stress Management Program and Group Counselling on the Coping Strategies of School Counsellors." Australian Journal of Guidance and Counselling 19, no. 1 (July 1, 2009): 71–87. http://dx.doi.org/10.1375/ajgc.19.1.71.

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AbstractThe aim of this study was to compare the effects of a didactic stress management program, group counselling, and a control group on school counsellors' stress coping strategies. Thirty-four school counsellors were randomly assigned to either a didactic stress management group, group counselling, or a control group. The didactic stress management group and the group counselling for stress management group were conducted concurrently for 10 consecutive weeks. A control group received no treatment. The Ways of Coping Inventory was administered to all participants at three different stages: pre-treatment, post-treatment, and at 6-month follow-up. The results indicated that both the didactic stress management group and the group counselling for stress management group showed a significant reduction in the use of helpless coping strategies and a significant increase in the optimistic coping strategies at post-treatment. At follow-up, there were obvious group differences in the use of helpless coping strategies. Only those who were treated using group counselling exhibited a decrease in helpless coping strategies at the follow-up assessment.
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