Effects of a process-based cognitive training intervention for patients with stress-related exhaustion
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Effects of a process-based cognitive training intervention for patients with stress-related exhaustion. / Gavelin, Hanna Malmberg; Boraxbekk, Carl Johan; Stenlund, Therese; Järvholm, Lisbeth Slunga; Neely, Anna Stigsdotter.
I: Stress, Bind 18, Nr. 5, 03.09.2015, s. 578-588.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Effects of a process-based cognitive training intervention for patients with stress-related exhaustion
AU - Gavelin, Hanna Malmberg
AU - Boraxbekk, Carl Johan
AU - Stenlund, Therese
AU - Järvholm, Lisbeth Slunga
AU - Neely, Anna Stigsdotter
N1 - Publisher Copyright: © 2015 Taylor & Francis.
PY - 2015/9/3
Y1 - 2015/9/3
N2 - Stress-related exhaustion has been linked to a pattern of selective cognitive impairments, mainly affecting executive functioning, attention and episodic memory. Little is known about potential treatments of these cognitive deficits. The purpose of this study was to evaluate the effects of a process-based cognitive training intervention, designed to target the specific cognitive impairments associated with stress-related exhaustion. To this end, patients diagnosed with exhaustion disorder (ED) were randomized to either a multimodal stress rehabilitation program with the addition of a process-based cognitive training intervention (training group, n = 27) or a treatment-as-usual control condition, consisting of multimodal stress rehabilitation with no additional training (control group, n = 32). Treatment effects were evaluated through an extensive cognitive test battery, assessing both near and far transfer effects, as well as self-report forms regarding subjective cognitive complaints and burnout levels. Results showed pronounced training-related improvements on the criterion updating task (p < 0.001). Further, evidence was found of selective near transfer effects to updating (p = 0.01) and episodic memory (p = 0.04). Also, the trained group reported less subjective memory complaints (p = 0.02) and levels of burnout decreased for both groups, but more so for the trained group (p = 0.04), following the intervention. These findings suggest that process-based cognitive training may be a viable method to address the cognitive impairments associated with ED.
AB - Stress-related exhaustion has been linked to a pattern of selective cognitive impairments, mainly affecting executive functioning, attention and episodic memory. Little is known about potential treatments of these cognitive deficits. The purpose of this study was to evaluate the effects of a process-based cognitive training intervention, designed to target the specific cognitive impairments associated with stress-related exhaustion. To this end, patients diagnosed with exhaustion disorder (ED) were randomized to either a multimodal stress rehabilitation program with the addition of a process-based cognitive training intervention (training group, n = 27) or a treatment-as-usual control condition, consisting of multimodal stress rehabilitation with no additional training (control group, n = 32). Treatment effects were evaluated through an extensive cognitive test battery, assessing both near and far transfer effects, as well as self-report forms regarding subjective cognitive complaints and burnout levels. Results showed pronounced training-related improvements on the criterion updating task (p < 0.001). Further, evidence was found of selective near transfer effects to updating (p = 0.01) and episodic memory (p = 0.04). Also, the trained group reported less subjective memory complaints (p = 0.02) and levels of burnout decreased for both groups, but more so for the trained group (p = 0.04), following the intervention. These findings suggest that process-based cognitive training may be a viable method to address the cognitive impairments associated with ED.
KW - Burnout
KW - cognition
KW - executive function
KW - exhaustion disorder
KW - stress rehabilitation
KW - working memory training
UR - http://www.scopus.com/inward/record.url?scp=84942826867&partnerID=8YFLogxK
U2 - 10.3109/10253890.2015.1064892
DO - 10.3109/10253890.2015.1064892
M3 - Journal article
C2 - 26305186
AN - SCOPUS:84942826867
VL - 18
SP - 578
EP - 588
JO - Stress: The International Journal on the Biology of Stress
JF - Stress: The International Journal on the Biology of Stress
SN - 1025-3890
IS - 5
ER -
ID: 339143145