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Bibliotherapy to decrease stress and anxiety and increase resilience and mindfulness: a pilot trial.

Varun Sharma, Amit Sood, Kavita Prasad, Laura L Loehrer, Darrell R Schroeder, Bauer Brent

Explore 2014 DOI: 10.1016/j.explore.2014.04.002 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pre-post intervention study Pilot study Peer reviewed
Sample size 37
Population Employees at a large medical center
Duration 12 weeks
Topics Anxiety Meditation
Keywords Bibliotherapy Psychological resilience Psychological stress
Key points A self-directed SMART program delivered only through written materials was associated with statistically significant improvements at 12 weeks in perceived stress, resilience, mindfulness, anxiety, and quality of life among employees who completed it. The authors conclude the program provided short-term effectiveness for these outcomes.

Abstract

Interventions to decrease stress and enhance resiliency and mindfulness are more likely to be widely implemented if they can be offered without the need for in-person training. The purpose of this study was to assess effectiveness of a self-directed Stress Management and Resiliency Training (SMART) program delivered using only written material for improving stress, resiliency, and mindfulness. A total of 37 employees at a large medical center were recruited and given written material on the SMART program. Subjects were instructed to practice the skills presented in the written materials without any additional training. The skills included education about the neuropsychology of stress and resilience, training attention to focus in the present moment, and refining interpretations. Primary outcome measures assessed resilience, perceived stress, anxiety, and quality of life. Out of 37 employees, 34 (89%) enrolled subjects completed the study and provided the baseline and follow-up data. A statistically significant improvement in perceived stress, resilience, mindfulness, anxiety, and quality of life was observed at 12 weeks. This study demonstrated that a brief, self-directed program to decrease stress and enhance resilience and mindfulness provided excellent short-term effectiveness for enhancing resilience, mindfulness and quality of life, and decreasing stress and anxiety.

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