Exploring the Effectiveness of Web-based Psychoeducation on Imagery Rescripting Techniques for Workplace Stress: A randomized controlled trial (Japanese)

Objective: Workers may experience p anxiety and stress related to work and professional life. In addition to problems with the quantity and quality of work, job failures, and responsibilities, there are also unreasonable reassignments and One surgery, Significant workplace stress, such as workplace bullying, can lead to the development of depression, adjustment disorder, and other mental illnesses. The purpose of this study was to examine whether a self-help cognitive-behavioral therapy web-based psychoeducation program (Psychoeducation: PE group) was more effective than a control group (CON group) of a sham web-based educational program for adult workers who suffer from painful memories of workplace stress. Methods: A randomized controlled trial was conducted with two groups of workers aged 18 to 65 years old who suffered from painful memories of workplace stress: a web-based psychoeducation program (PE) group that met once a week for 20 minutes for a total of four sessions (4 weeks), and a control sham web-based education program (CON) group. The primary endpoint was the IES-R, which measures posttraumatic stress symptoms. Secondary measures of health and work performance (WHO-HPQ), depression (PHQ-9, CES-D), anxiety (GAD-7), sleep (AIS), core schema (BCSS), and strength and difficulty (SDQ) were measured at 4 and 8 weeks. Results: A total of 1010 patients who met the eligibility criteria were assigned to the two groups, and 533 patients (269 in the PE group and 264 in the CON group) who participated in the program at least once were included in the analysis. At 4 weeks (immediately after completion of the program), the PE group showed no significant difference in the IES-R of the primary endpoint compared to the CON group, but pre- and post- comparisons showed an improvement in the respective IES-R of both PE and CON groups. Other secondary assessments also showed no significant differences between groups at 4 weeks, but the PE group showed significant improvement compared to the CON group on a 5-point scale of overall improvement at 8 weeks. Because of the limitations of the study, including the lack of data comparing the non-intervention group (or wait-list group) to a third control group, interpretation of the results of this study should be approached with caution and a larger study with a different study design is required.