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Int. J. Environ. Res. Public Health 2018, 15(2), 255; https://doi.org/10.3390/ijerph15020255

Long-Term Effectiveness of Stress Management at Work: Effects of the Changes in Perceived Stress Reactivity on Mental Health and Sleep Problems Seven Years Later

1
Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Universitätsstrasse 1, 40225 Düsseldorf, Germany
2
Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Ludolf-Krehl-Strasse 7-11 68167 Mannheim, Germany
3
Department of Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, University of Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany
4
Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, Grazer Str. 4, 28195 Bremen, Germany
*
Author to whom correspondence should be addressed.
Received: 8 December 2017 / Revised: 25 January 2018 / Accepted: 30 January 2018 / Published: 3 February 2018
(This article belongs to the Special Issue Workplace Health Promotion 2018)
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Abstract

The reduction of stress reactivity resulting from stress management interventions prevents disorders and improves mental health, however, its long-term sustainability has been little examined. The objective of this study was, therefore, to determine the effectiveness of a stress management intervention, designed to improve stress reactivity, for mental health and sleep problems seven years later, using longitudinal data from 101 male industrial workers. Linear regressions estimated the adjusted effects of the changes in stress reactivity in general as well as in its six subdimensions (work overload, social conflict, social stress, failure at work, and anticipatory and prolonged reactivity) on depression, anxiety, and sleep problems seven years later. The improvement of the prolonged reactivity had positive effects on depression, anxiety, and sleep problems (unstandardized regression coefficients [Bs] ≥ 0.35, all p-values ≤ 0.01). Depression and sleep problems were further improved by a reduction of the reactivity to social conflicts (Bs ≥ 0.29, p-values < 0.05), and an improvement in the overall reactivity score positively influenced sleep problems (B = 0.07, p = 0.017). In conclusion, the improvement of stress reactivity resulting from a work stress intervention was effective and generally long-lasting in preventing mental health and sleep problems. The reduction of the prolonged reactivity seems of particular importance and efficient in inhibiting negative stress manifestations. View Full-Text
Keywords: stress reactivity; work stress; mental health; sleep problems; longitudinal; stress management intervention; long-term effectiveness stress reactivity; work stress; mental health; sleep problems; longitudinal; stress management intervention; long-term effectiveness
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Herr, R.M.; Barrech, A.; Riedel, N.; Gündel, H.; Angerer, P.; Li, J. Long-Term Effectiveness of Stress Management at Work: Effects of the Changes in Perceived Stress Reactivity on Mental Health and Sleep Problems Seven Years Later. Int. J. Environ. Res. Public Health 2018, 15, 255.

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