Self-help for stress and burnout without therapist contact: An online randomised controlled trial
研究检验了一本基于接纳承诺疗法的自助书在无治疗师接触下对减轻压力和倦怠的效果，发现干预组在压力和倦怠上显著改善，效果量较大。
Interventions designed to reduce stress and burnout may be costly and access is limited. This study examined the effectiveness of a self-help book, using Acceptance and commitment therapy (ACT) to target stress and burnout in a randomised controlled online trial without any therapist contact. Participants were recruited through a newsletter of a health insurance company. Participants (N = 119) who reported at least moderate levels of stress were randomly assigned to an immediate intervention (n = 61) or a waitlist group (n = 58). Measures before and after the intervention assessed stress, burnout (primary outcomes), depression, well-being, emotion regulation (secondary outcomes) and ACT-specific constructs. Compared to the waitlist group, participants in the immediate intervention group reported lower stress and burnout and higher psychological flexibility at post-assessment. Effects between groups were large for stress (d = 0.9), moderate to large for burnout (d = 0.5–0.8) and large for psychological flexibility (d = 0.8). All primary and most secondary outcomes and ACT processes continued to improve in the 3-month-follow-up period. Results suggest that an ACT self-help book without any therapist contact is effective in reducing stress and burnout for various occupations. Thus, it may provide a cost-effective public health intervention for reducing stress and burnout.