Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/32025
Title: A pilot evaluation on a stress management programme using a combined approach of Cognitive Behavioural Therapy (CBT) and Complementary and Alternative Medicine (CAM) for elementary school teachers
Authors: Tsang, HWH 
Cheung, WM
Chan, AHL
Fung, KMT
Leung, AY
Au, DWH
Keywords: Cognitive behavioural therapy
Complementary and alternative medicine
Stress
Teachers
Therapeutic intervention
Issue Date: 2015
Publisher: John Wiley & Sons
Source: Stress and health, 2015, v. 31, no. 1, p. 35-43 How to cite?
Journal: Stress and health 
Abstract: The aim of this study is to explore the efficacy of implementing a stress management programme based on a combined approach using cognitive behavioural therapy and complementary and alternative medicine for elementary school teachers who experienced mild level of stress, anxiety and/or depressive symptoms in Hong Kong. A 12-h programme involving cognitive behavioural therapy, self-management, relaxation techniques (diaphragmatic breathing and progressive muscle relaxation), mindful exercises (qigong and yoga), aromatherapy and acupressure was conducted. A quasi-experimental design was used to compare the intervention groups (n = 47) with the wait-list control groups (n = 46). The primary outcome measures were depression, anxiety and stress. Results indicated that the intervention group had significant reduction in depression [(F = 3.93; degrees of freedom (df) = 2.90; p = 0.023)], anxiety (F = 3.37; df = 2.90; p = 0.039) and stress (F = 3.63; df = 2.89; p = 0.031) when compared with the control group. Participants in both groups demonstrated lowered level of salivary cortisol at the post-assessment. The pilot results provided preliminary support to the multi-component stress management programme in relieving affective symptoms of teachers. The programme may be considered as an initial strategy to empower teachers with the abilities to cope with their affective symptoms. Further evaluation using a better designed randomized study with a larger sample size is warranted.
URI: http://hdl.handle.net/10397/32025
ISSN: 1532-3005
EISSN: 1532-2998
DOI: 10.1002/smi.2522
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