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Interest of computer-based cognitive behavioral stress management. Feasability of the Seren@ctif program

Identifieur interne : 000126 ( France/Analysis ); précédent : 000125; suivant : 000127

Interest of computer-based cognitive behavioral stress management. Feasability of the Seren@ctif program

Auteurs : Dominique Servant [France] ; Laure Rougegrez [France] ; Olivia Barasino [France] ; Anne-Laure Demarty [France] ; Alain Duhamel [France] ; Guillaume Vaiva [France]

Source :

RBID : Hal:hal-02502934

Abstract

INTRODUCTION: Cognitive-behavioural stress management programs have been studied in many countries. Many reports have shown beyond a doubt their efficacy to reduce perceived stress, anxiety symptoms and to improve quality of life of patients. Considering the very large number of people who could benefit from such programs but are unable to reach them, self-help programs have been offered. First presented as books (bibliotherapy), these programs then became enriched by computing and digital supports. Regrettably, many of the programs of stress management based on the Cognitive behavioural therapy (CBT) both in face-to-face and on digital support have been little evaluated in France. To our knowledge, the Seren@ctif program is the first French language self-help program of stress management proposed on digital support. AIM OF THE STUDY: We led a feasibility study of this program on 10 patients responding to the diagnosis of adjustment disorder with anxiety according to the DSM IV criteria. METHODS: The program includes 5 weekly sessions that the patient follows in our unit from a web site. He benefits from minimal contact with a medical member of staff before and after every session. Right from the first session an USB key is supplied to the patient containing videos, audio files, self-help book portfolio in the form of an e-guide, and log books with the exercises to be realized between each sessions of the 5 session program. The patient is encouraged to practice 20 minutes of exercises 5 or 6 days per week. The program's feasibility has been assessed in accordance with a standard satisfaction scale. Anxiety symptomatology has been quantified thanks to the Spielberger State-Trait Anxiety Inventory (STAI-Y-S). RESULTS: After the scheduled 5 weeks, good results were found in terms of acceptability and attractiveness. The average score to the satisfaction survey was at least equal to 4 out of 5 for each item. The mean score on the STAI-State decreased from 53,4 (SD: 8,29) to 44,2 (SD: 7,73) following the intervention. DISCUSSION: The Seren@ctif program may be useful within the framework of a psychoeducative approach. It could also be advised for people suffering from anxiety related to stress. Soon, the program will be tested on patients with usual care suffering from adjustment disorder with anxiety in order to precisely assess its benefits.


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DOI: 10.1016/j.encep.2016.03.010


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<name sortKey="Barasino, Olivia" sort="Barasino, Olivia" uniqKey="Barasino O" first="Olivia" last="Barasino">Olivia Barasino</name>
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<orgName>Centre de Recherche Jean-Pierre AUBERT Neurosciences et Cancer</orgName>
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<date type="start">2015-01-01</date>
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<addrLine>Faculté de Médecine Henri Warembourg - Pôle Recherche - 1 place de verdun 59045 Lille cedex.</addrLine>
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<ref type="url">http://crjpa.fr/</ref>
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<orgName>Université Lille Nord de France (COMUE)</orgName>
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<addrLine>365 bis, rue Jules Guesde BP 50458 - 59658 Villeneuve d’Ascq Cedex </addrLine>
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<ref type="url">http://www.cue-lillenorddefrance.fr/</ref>
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<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
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<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
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<ref type="url">http://www.inserm.fr</ref>
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<orgName>Centre Hospitalier Régional Universitaire [Lille]</orgName>
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<addrLine>2, avenue Oscar Lambret - 59037 Lille Cedex</addrLine>
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<ref type="url">http://www.chru-lille.fr/</ref>
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<name sortKey="Demarty, Anne Laure" sort="Demarty, Anne Laure" uniqKey="Demarty A" first="Anne-Laure" last="Demarty">Anne-Laure Demarty</name>
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<orgName>Service de Psychiatrie [CHRU Lille]</orgName>
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<addrLine>2 Rue André Verhaeghe 59037 Lille</addrLine>
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<addrLine>2, avenue Oscar Lambret - 59037 Lille Cedex</addrLine>
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<addrLine>2 Rue André Verhaeghe 59037 Lille</addrLine>
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<country>France</country>
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<name sortKey="Duhamel, Alain" sort="Duhamel, Alain" uniqKey="Duhamel A" first="Alain" last="Duhamel">Alain Duhamel</name>
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<addrLine>1, place de Verdun 59045 - Lille cedex</addrLine>
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<orgName>Centre Hospitalier Régional Universitaire [Lille]</orgName>
<orgName type="acronym">CHRU Lille</orgName>
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<address>
<addrLine>2, avenue Oscar Lambret - 59037 Lille Cedex</addrLine>
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<ref type="url">http://www.chru-lille.fr/</ref>
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<addrLine>Lille</addrLine>
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<ref type="url">https://www.univ-lille.fr/</ref>
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<country>France</country>
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<author>
<name sortKey="Vaiva, Guillaume" sort="Vaiva, Guillaume" uniqKey="Vaiva G" first="Guillaume" last="Vaiva">Guillaume Vaiva</name>
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<orgName>Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193</orgName>
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<date type="start">2015-01-01</date>
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<orgName>Université de Lille</orgName>
<date type="start">2018-01-01</date>
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<address>
<addrLine>Lille</addrLine>
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</address>
<ref type="url">https://www.univ-lille.fr/</ref>
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<idno type="IdRef">02636817X</idno>
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<orgName>Centre National de la Recherche Scientifique</orgName>
<orgName type="acronym">CNRS</orgName>
<date type="start">1939-10-19</date>
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</hal:affiliation>
<country>France</country>
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</analytic>
<idno type="DOI">10.1016/j.encep.2016.03.010</idno>
<series>
<title level="j">L'Encéphale</title>
<idno type="ISSN">0013-7006</idno>
<imprint>
<date type="datePub">2016-04-25</date>
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<div type="abstract" xml:lang="en">
<p>INTRODUCTION: Cognitive-behavioural stress management programs have been studied in many countries. Many reports have shown beyond a doubt their efficacy to reduce perceived stress, anxiety symptoms and to improve quality of life of patients. Considering the very large number of people who could benefit from such programs but are unable to reach them, self-help programs have been offered. First presented as books (bibliotherapy), these programs then became enriched by computing and digital supports. Regrettably, many of the programs of stress management based on the Cognitive behavioural therapy (CBT) both in face-to-face and on digital support have been little evaluated in France. To our knowledge, the Seren@ctif program is the first French language self-help program of stress management proposed on digital support. AIM OF THE STUDY: We led a feasibility study of this program on 10 patients responding to the diagnosis of adjustment disorder with anxiety according to the DSM IV criteria. METHODS: The program includes 5 weekly sessions that the patient follows in our unit from a web site. He benefits from minimal contact with a medical member of staff before and after every session. Right from the first session an USB key is supplied to the patient containing videos, audio files, self-help book portfolio in the form of an e-guide, and log books with the exercises to be realized between each sessions of the 5 session program. The patient is encouraged to practice 20 minutes of exercises 5 or 6 days per week. The program's feasibility has been assessed in accordance with a standard satisfaction scale. Anxiety symptomatology has been quantified thanks to the Spielberger State-Trait Anxiety Inventory (STAI-Y-S). RESULTS: After the scheduled 5 weeks, good results were found in terms of acceptability and attractiveness. The average score to the satisfaction survey was at least equal to 4 out of 5 for each item. The mean score on the STAI-State decreased from 53,4 (SD: 8,29) to 44,2 (SD: 7,73) following the intervention. DISCUSSION: The Seren@ctif program may be useful within the framework of a psychoeducative approach. It could also be advised for people suffering from anxiety related to stress. Soon, the program will be tested on patients with usual care suffering from adjustment disorder with anxiety in order to precisely assess its benefits.</p>
</div>
</front>
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<affiliations>
<list>
<country>
<li>France</li>
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<country name="France">
<noRegion>
<name sortKey="Servant, Dominique" sort="Servant, Dominique" uniqKey="Servant D" first="Dominique" last="Servant">Dominique Servant</name>
</noRegion>
<name sortKey="Barasino, Olivia" sort="Barasino, Olivia" uniqKey="Barasino O" first="Olivia" last="Barasino">Olivia Barasino</name>
<name sortKey="Demarty, Anne Laure" sort="Demarty, Anne Laure" uniqKey="Demarty A" first="Anne-Laure" last="Demarty">Anne-Laure Demarty</name>
<name sortKey="Duhamel, Alain" sort="Duhamel, Alain" uniqKey="Duhamel A" first="Alain" last="Duhamel">Alain Duhamel</name>
<name sortKey="Rougegrez, Laure" sort="Rougegrez, Laure" uniqKey="Rougegrez L" first="Laure" last="Rougegrez">Laure Rougegrez</name>
<name sortKey="Vaiva, Guillaume" sort="Vaiva, Guillaume" uniqKey="Vaiva G" first="Guillaume" last="Vaiva">Guillaume Vaiva</name>
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</record>

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