TY - JOUR
T1 - Coping with Work-Related Stress through Guided Imagery and Music (GIM)
T2 - Randomized Controlled Trial
AU - Beck, Bolette Daniels
AU - Hansen, Åse Marie
AU - Gold, Christian
N1 - © the American Music Therapy Association 2015. All rights reserved. For permissions, please e-mail: [email protected].
PY - 2015
Y1 - 2015
N2 - BACKGROUND: Long-term stress-related sick leave constitutes a serious health threat and an economic burden on both the single worker and the society. Effective interventions for the rehabilitation and facilitation of return to work are needed.OBJECTIVE: The aim of the study was to examine the effects of Guided Imagery and Music (GIM), a psychotherapy intervention including relaxation, music listening, and imagery, on biopsychosocial measures of work-related stress.METHODS: Twenty Danish workers on sick leave were randomized to music therapy versus wait-list control. Data collection was carried out at an occupational health ward in the period 2008-2010. Changes in salivary cortisol, testosterone, and melatonin were explored, and self-reported data on psychological stress symptoms (perceived stress, mood disturbance, sleep quality, physical distress symptoms, work readiness, well-being, anxiety, depression, immediate stress) were collected. Data regarding sick leave situation and job return were collected from participants throughout the study.RESULTS: Significant beneficial effects of GIM compared to wait-list after nine weeks with large effect sizes were found in well-being, mood disturbance, and physical distress, and in cortisol concentrations with a medium effect size. A comparison between early and late intervention as related to the onset of sick leave showed faster job return and significantly improved perceived stress, well-being, mood disturbance, depression, anxiety, and physical distress symptoms in favor of early intervention. In the whole sample, 83% of the participants had returned to work at nine weeks' follow-up.CONCLUSIONS: The results indicate that GIM is a promising treatment for work-related chronic stress, and further studies are recommended.
AB - BACKGROUND: Long-term stress-related sick leave constitutes a serious health threat and an economic burden on both the single worker and the society. Effective interventions for the rehabilitation and facilitation of return to work are needed.OBJECTIVE: The aim of the study was to examine the effects of Guided Imagery and Music (GIM), a psychotherapy intervention including relaxation, music listening, and imagery, on biopsychosocial measures of work-related stress.METHODS: Twenty Danish workers on sick leave were randomized to music therapy versus wait-list control. Data collection was carried out at an occupational health ward in the period 2008-2010. Changes in salivary cortisol, testosterone, and melatonin were explored, and self-reported data on psychological stress symptoms (perceived stress, mood disturbance, sleep quality, physical distress symptoms, work readiness, well-being, anxiety, depression, immediate stress) were collected. Data regarding sick leave situation and job return were collected from participants throughout the study.RESULTS: Significant beneficial effects of GIM compared to wait-list after nine weeks with large effect sizes were found in well-being, mood disturbance, and physical distress, and in cortisol concentrations with a medium effect size. A comparison between early and late intervention as related to the onset of sick leave showed faster job return and significantly improved perceived stress, well-being, mood disturbance, depression, anxiety, and physical distress symptoms in favor of early intervention. In the whole sample, 83% of the participants had returned to work at nine weeks' follow-up.CONCLUSIONS: The results indicate that GIM is a promising treatment for work-related chronic stress, and further studies are recommended.
KW - Adaptation, Psychological
KW - Adult
KW - Anxiety
KW - Cognitive Therapy
KW - Denmark
KW - Depression
KW - Female
KW - Humans
KW - Hydrocortisone
KW - Imagery (Psychotherapy)
KW - Male
KW - Middle Aged
KW - Music
KW - Music Therapy
KW - Psychotherapy
KW - Sick Leave
KW - Stress, Psychological
KW - Treatment Outcome
KW - Waiting Lists
U2 - 10.1093/jmt/thv011
DO - 10.1093/jmt/thv011
M3 - Journal article
C2 - 26424362
SN - 0022-2917
VL - 52
SP - 323
EP - 352
JO - Journal of Music Therapy
JF - Journal of Music Therapy
IS - 3
ER -