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Almén, Niclas
Publications (10 of 15) Show all publications
Almén, N., Lisspers, J., Öst, L.-G. & Sundin, Ö. (2019). Behavioral stress recovery management intervention for people with high levels of perceived stress: A randomized controlled trial. International Journal of Stress Management
Open this publication in new window or tab >>Behavioral stress recovery management intervention for people with high levels of perceived stress: A randomized controlled trial
2019 (English)In: International Journal of Stress Management, ISSN 1072-5245, E-ISSN 1573-3424Article in journal (Refereed) Epub ahead of print
Abstract [en]

Continuous and prolonged exposure to stressors or unsuccessfully dealing with such exposure has been suggested as precursors for burnout. Current research indicates that such stress problems could be conceptualized as deficiencies in recovery between periods of stress. The purpose of this study was to evaluate the efficacy of a behaviorally oriented stress recovery management intervention for people experiencing high levels of stress. A total of 73 individuals with experiences of stress symptoms and high levels of perceived stress (≥ 25 on the Perceived Stress Scale) were randomly allocated to either a 10-week intervention group or a waiting-list control group. Participants were assessed at preintervention, postintervention, and 3-month follow-up. The Perceived Stress Scale, questions about tension, and the Shirom–Melamed Burnout Questionnaire were used as primary outcome measures, and the Hospital Anxiety and Depression Scale was used as a secondary outcome measure. Data were analyzed following the intention-to-treat principle. The analysis demonstrated statistically significant improvements for all measures at posttreatment and at follow-up. The between-groups effect sizes were high at posttreatment and moderate–to-high at follow-up. Intervention focused on stress recovery behavior seems to be an effective way of reducing perceived stress, tension, burnout symptoms, anxiety, and depression in people with stress symptoms and high levels of perceived stress in everyday life. The tested intervention warrants further research. Other stress recovery behavior interventions need to be tested to draw conclusions on the efficacy of stress recovery behavior interventions in general regarding stress and burnout.

National Category
Psychology
Identifiers
urn:nbn:se:miun:diva-37517 (URN)10.1037/str0000140 (DOI)
Available from: 2019-10-10 Created: 2019-10-10 Last updated: 2019-10-10Bibliographically approved
Almén, N., Lisspers, J. & Öst, L.-G. (2019). Stress-Recovery Management: A Pilot Study Using a Single-Subject Experimental Design. Behavior modification
Open this publication in new window or tab >>Stress-Recovery Management: A Pilot Study Using a Single-Subject Experimental Design
2019 (English)In: Behavior modification, ISSN 0145-4455, E-ISSN 1552-4167Article in journal (Refereed) Epub ahead of print
Abstract [en]

Work-related stress is considered one of the biggest health and safety challenges among the member states of the European Union. A critical factor is recovery between periods of stress. The primary purpose of this study was to investigate whether a brief behaviorally oriented stress-recovery management intervention delivered in an individual setting could reduce stress symptoms among individuals with high levels of perceived stress. A single-subject experimental design with multiple baselines across three individuals was used. The results indicate, with at least moderate experimental control, a temporal relation between the start of the intervention and beneficial changes from baseline in continuous self-recordings of stress symptoms. The changes were maintained at 1-year and 5-year follow-up assessments. Also, self-reporting inventories measuring perceived stress, worry, anxiety, depression, burnout, type A behavior, unwinding and recuperation from work stress, and insomnia showed overall changes in beneficial directions at post-assessment, as well as the two follow-up assessments. The results indicate that a behaviorally oriented stress-recovery management intervention delivered in an individual setting can reduce stress symptoms in individuals with high levels of perceived stress. However, for firm conclusions to be drawn, further research is needed. 

Keywords
behavior modification, intervention, recovery, single-subject experimental design, stress, stress management, stress-recovery
National Category
Psychology
Identifiers
urn:nbn:se:miun:diva-35822 (URN)10.1177/0145445518825363 (DOI)
Available from: 2019-03-19 Created: 2019-03-19 Last updated: 2019-03-19Bibliographically approved
Almén, N., Lundberg, H., Sundin, Ö. & Jansson, B. (2018). The reliability and factorial validity of the Swedish version of the Recovery Experience Questionnaire. Nordic Psychology, 70(4), 324-333
Open this publication in new window or tab >>The reliability and factorial validity of the Swedish version of the Recovery Experience Questionnaire
2018 (English)In: Nordic Psychology, ISSN 1901-2276, E-ISSN 1904-0016, Vol. 70, no 4, p. 324-333Article in journal (Refereed) Published
Abstract [en]

Recent research has indicated that recovery from work stress and effort might be crucial for health and well-being. Thus, a valid measurement of recovery becomes important. The main purpose of the present study was to empirically evaluate and seeking support for the hypothesized four-factor model of the Swedish version of Recovery Experience Questionnaire (REQ). The total sample (N = 680) was randomly split into two subsamples. The first subsample was used for finding the best-fitting model using an exploratory factor analysis and the second subsample was used to test the a priori model using confirmatory factor analysis. The results support the proposed four-factor structure of the scale for both males and females. Additionally, apart from high reliability estimates, this instrument proved to have good convergent and discriminant validity for all four factors. Implications for the use of the REQ in conjunction with recovery-focused interventions were discussed, as were limitations such as low response rate. 

Keywords
assessement, factor analysis, job stress recovery, psychophysiological deactivation, questionnaire, recovery experiences
National Category
Psychology
Identifiers
urn:nbn:se:miun:diva-33303 (URN)10.1080/19012276.2018.1443280 (DOI)000455353500006 ()2-s2.0-85042935938 (Scopus ID)
Available from: 2018-03-19 Created: 2018-03-19 Last updated: 2019-03-26Bibliographically approved
Almén, N. (2017). Stress- och utmattningsproblem: Kognitiva och beteendeinriktade metoder (2ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Stress- och utmattningsproblem: Kognitiva och beteendeinriktade metoder
2017 (Swedish)Book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2017. p. 564 Edition: 2
Keywords
Stress, utmattning, återhämtning, kognitiv beteendeterapi (KBT), rehabilitering.
National Category
Applied Psychology
Identifiers
urn:nbn:se:miun:diva-32207 (URN)978-91-44-08367-4 (ISBN)
Available from: 2017-12-02 Created: 2017-12-02 Last updated: 2018-01-08Bibliographically approved
Almén, N., Lisspers, J. & Sundin, Ö. (2015). Effects of a Recovery-Focused Intervention for Stress Management: A Randomized Controlled Trial. In: : . Paper presented at The 8th International and the 13th National Congress of Clinical Psychology, Granada, Spain, 19-21 Nov, 2015..
Open this publication in new window or tab >>Effects of a Recovery-Focused Intervention for Stress Management: A Randomized Controlled Trial
2015 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Abstract

INTRODUCTION

Stress symptoms, burnout, poor mental health and long-term sick leave related to these are major problems in Sweden and elsewhere. Evidence-based prevention and treatment efforts are lacking. Research indicates that stress related health problems primarily could be conceptualized as deficiencies in recovery responses between stress periods rather than high level of stress responses per se. Therefore it is relevant to examine whether it is effective to intervene the recovery behavior – instead of the stress behavior - of people with stress symptoms.

OBJECTIVES

The primary purpose of this study was to investigate if a behavioral oriented recovery management intervention could enhance “recovery behaviors” and experiences of recovery and reduce stress related ill health.

METHODS A group based intervention program focusing exclusively on “recovery behavior” in everyday life (earlier developed and tested in two pilot studies) was evaluated in an experimental group study. The intervention consisted of seven group sessions of 2.5 hours over a period of approximately 10 weeks supplemented by an internet based treatment support system. Self- referred subjects with scores above 24.4 on the Perceived stress scale were randomized to the intervention (n=26) or a waiting-list (n=33).

RESUL T

Statistically significant and clinically relevant effects were achieved for the intervention group compare to the waiting-list group: recovery behaviors and experiences of recovery were increased, and levels of perceived stress, worry, anxiety, depression and exhaustion were decreased.

DISCUSSION These results are in line with two previous pilot studies that we have done. A behavioral and recovery oriented intervention seems to be effective to increase the recovery of the individual and decrease stress related ill health. There are reasons to continue to explore the potential of recovery-oriented interventions for example for different populations (such as people with more extensive clinical health problems) and in different contexts. 

National Category
Applied Psychology
Identifiers
urn:nbn:se:miun:diva-26697 (URN)
Conference
The 8th International and the 13th National Congress of Clinical Psychology, Granada, Spain, 19-21 Nov, 2015.
Projects
Balans i vardagen – experimentell utvärdering av ett återhämtningsfokuserat stresshanteringsprogram.
Available from: 2015-12-20 Created: 2015-12-20 Last updated: 2015-12-22Bibliographically approved
Lisspers, J., Almén, N. & Sundin, Ö. (2014). The Effects of a Recovery-Focused Program for Stress Management in Women — An Exploratory Study. Health, 06(20), 2825-2836
Open this publication in new window or tab >>The Effects of a Recovery-Focused Program for Stress Management in Women — An Exploratory Study
2014 (English)In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 06, no 20, p. 2825-2836Article in journal (Refereed) Published
Abstract [en]

Current research indicates that stress problems primarily could be conceptualized as deficienciesin recovery and recuperation between stress periods. Accordingly, interventions should put moreemphasis on this aspect. A group based intervention program focusing exclusively on recoverybehavior in everyday life was evaluated in this quasi-experimental, waiting-list control groupstudy, where the control group was also treated in a second phase. Thirty-two self-referred femalesubjects, considering themselves in need of treatment for stress related health problems, wereavailable for analyzes. Fifteen of these constituted the first phase treatment group (INT), while theremaining 17 subjects were placed on waiting list (WLC). Adding a few late applicants leaved 20subjects later treated in the second intervention phase. Significant and clinically meaningful positiveeffects emerged in the INT—compared to the WLC-group on recovery behaviors, stress—andrecovery experiences, as well as on burn-out symptoms, worry, anxiety and depression. Secondaryanalyzes of all treated subjects indicated that the positive change the primary clinical endpointwas predicted by the increase in frequency of recovery behaviors and by the decrease in the worrylevel. Thus, the present intervention model merits further research with more rigorous experimentaldesign as well as with follow-up assessments.

Keywords
Stress, Recovery, Stress Management, Intervention, Cognitive Behavior Therapy
National Category
Psychology Other Health Sciences
Identifiers
urn:nbn:se:miun:diva-24161 (URN)10.4236/health.2014.620321 (DOI)
Projects
Stress related illness – mainly too little recovery, not too much stress!
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2010-0654
Available from: 2015-01-16 Created: 2015-01-16 Last updated: 2018-10-15Bibliographically approved
Almén, N. (2012). KBT-rehabilitering för stress, ångest och depression: Preliminära resultat. In: : . Paper presented at Smärta och rehabilitering, 25 jan 2012, Jämtlands läns landsting, Östersund..
Open this publication in new window or tab >>KBT-rehabilitering för stress, ångest och depression: Preliminära resultat
2012 (Swedish)Conference paper, Oral presentation only (Other academic)
Keywords
KBT, kognitiv beteendeterapi, beteendeterapi, kognitiv terapi, rehabilitering, stress, utmattning, ångest, depression
National Category
Applied Psychology
Identifiers
urn:nbn:se:miun:diva-22906 (URN)
Conference
Smärta och rehabilitering, 25 jan 2012, Jämtlands läns landsting, Östersund.
Available from: 2014-09-11 Created: 2014-09-11 Last updated: 2015-06-24Bibliographically approved
Almén, N. (2012). Återhämtningsfokuserad stresshantering: Praktiskt och teoretisk bakgrund, samt två pilotstudier. In: : . Paper presented at Beteendeterapeutiska föreningens årsmöte, 18 mars 2012, Östersund.
Open this publication in new window or tab >>Återhämtningsfokuserad stresshantering: Praktiskt och teoretisk bakgrund, samt två pilotstudier
2012 (Swedish)Conference paper, Oral presentation only (Other academic)
Keywords
Stress, stressrelaterad ohälsa, utmattning, återhämtning, prevention, KBT, kognitiv beteendeterapi, beteendeterapi, kognitiv terapi
National Category
Applied Psychology
Identifiers
urn:nbn:se:miun:diva-22907 (URN)
Conference
Beteendeterapeutiska föreningens årsmöte, 18 mars 2012, Östersund
Projects
Stress och stressrelaterad ohälsa - ett återhämtningsproblem (Lisspers, Sundin, Almén & Bernhardsson)
Available from: 2014-09-11 Created: 2014-09-11 Last updated: 2015-01-29Bibliographically approved
Lisspers, J. & Almén, N. (2009). Föllingemodellen: En KBT-inriktad och internatsbaserad interventionsmodell för beteendeförändring vid livsstils- och stressrelaterad ohälsa.
Open this publication in new window or tab >>Föllingemodellen: En KBT-inriktad och internatsbaserad interventionsmodell för beteendeförändring vid livsstils- och stressrelaterad ohälsa
2009 (Swedish)Report (Other academic)
Publisher
p. 106
National Category
Applied Psychology
Identifiers
urn:nbn:se:miun:diva-32209 (URN)
Available from: 2017-12-02 Created: 2017-12-02 Last updated: 2017-12-06Bibliographically approved
Almén, N. (2007). Stress- och utmattningsproblem: Kognitiva och beteendeterapeutiska metoder (1ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Stress- och utmattningsproblem: Kognitiva och beteendeterapeutiska metoder
2007 (Swedish)Book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2007. p. 408 Edition: 1
Keywords
Stress, stressrelaterad ohälsa, utmattning, utmattningsproblem, utmattningssyndrom, stressproblem, hälsopsykologi, beteendemedicin, kognitiv beteendeterapi, beteendeterapi, kognitiv terapi
National Category
Applied Psychology
Identifiers
urn:nbn:se:miun:diva-22899 (URN)978-91-44-02795-1 (ISBN)
Available from: 2014-09-11 Created: 2014-09-11 Last updated: 2015-10-29Bibliographically approved
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