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Title: Psychosomatic and physical responses to a multi-component stress management program among teaching professionals : a randomized study of cognitive behavioral intervention (CB) with complementary and alternative medicine (CAM) approach
Authors: Au, DWH
Tsang, HWH 
Lee, JLC
Leung, CHT
Ngai, SPC 
Cheung, WM
Keywords: Cognitive behavioral intervention
Complementary and alternative medicine
Mental health
Physical responses
Psychosomatic symptoms
Issue Date: 2016
Publisher: Elsevier
Source: Behaviour research and therapy, 2016, v. 80, p. 10-16 How to cite?
Journal: Behaviour research and therapy 
Abstract: Background: The present study aims to assess psychosomatic and physical responses to a multi-component stress management program with the use of CAM and CB approaches among teaching professionals in Hong Kong.
Method: A random controlled trial (RCT) was used to compare between CB group (n = 26) and the CAM-CB group (n = 30). Interventions were administered for 1.5 h once a week for eight consecutive weeks. A self-administered questionnaire including perceived stress scale (PSS) and frequency of psychosomatic symptoms were measured at baseline (T1), immediate after the program (T2), and 4 weeks after the program (T3). Physical parameters were measured at T1 and T2.
Results: A reduction of 23% in PSS was observed in the CB group, while the CAM-CB group yielded 18% reductions in PSS from T1 to T3 [F(2,108) = 3.099; p = .049]. No significant interactions were observed in the frequency of psychosomatic symptoms and physical parameters. However, a significant downward time trend was observed (p < .001) and larger percentage changes in physical responses were shown in the CAM-CB group than CB group.
Conclusion: Clinical evidence of both the CAM-CB and CB program has been demonstrated in the current study and both approaches are easy to be self-implemented. The CAM technique might serve as an alternative choice for self-administered stress management to replace the additional time needed for professional follow-up contacts. It might further improve some physical responses such as handgrip strength and resting heart rate, which are associated with better psychosomatic health and better occupational stress management.
ISSN: 0005-7967
EISSN: 1873-622X
DOI: 10.1016/j.brat.2016.02.004
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