Procedia - Social and Behavioral Sciences 33 (2012) 1042 1046 PSIWORLD 2011 Resilience to Stress Evidence-Based Improvements in Integrative Psychotherapy Working Groups M. Ani ei a *, M.Chraif b, G.Chiriac c a,b University of Bucharest,Kog lniceanu 36-46 street,bucharest,050107, Romania, Titu Maiorescu University c Romanian Asociation of Integrative Psychoterapy, Romania Abstract Stress can be produced by real or imagined stimuli that are perceived to threaten a person s physical and mental wellbeing. Therefore, some individuals are capable to adapt more efficiently than others. The purpose of the study is to highlight the improvements in resilience to stress gained in integrative psychotherapy working groups. The participants were 83 adults, aged between 35 and 48 years old (m= 40.27; S.D.=4.39), rural and urban areas, male and female, credit departments in three banks from Romania, Bucharest and Brasov. The instrument: The Romanian Scale of Resilience to Occupational Stress (SROS). By using evidence-based methods in integrative psychotherapy, improvements at the workplace concerning the resilience to stress in working groups were made. 2012 Published by Elsevier B.V. Selection and/or peer-review under responsibility of PSIWORLD2011 2011 Published by Elsevier Ltd. Selection and peer-review under responsibility of PSIWORLD 2011 Open access under CC BY-NC-ND license. Keywods: evidence-based methods, integrative psychotherapy, resilience to stress; 1. Theoretical foundation Stress can be produced by real or imagined stimuli that are perceived to threaten a person s physical and mental well-being. Therefore, some individuals are capable to adapt more efficiently than others. Based on the concept of neuroplasticity, previous studies highlighted that there is a dynamic relationship between mind activity and brain structure. In this way, integrative psychotherapy practiced in working * Mihai Ani ei. Tel.: +40721232207 E-mail address: anitei_mihai@yahoo.com 1877-0428 2012 Published by Elsevier B.V. Selection and/or peer-review under responsibility of PSIWORLD2011 Open access under CC BY-NC-ND license. doi:10.1016/j.sbspro.2012.01.281
M. Aniei et al. / Procedia - Social and Behavioral Sciences 33 (2012) 1042 1046 1043 groups, shows significant improvements of resilience to stress at the workplace. As Cranwell-Ward stated, cit. in Broadbridge (2002), the most affected organizations because of the perceived stress are the companies which are offering services, the ones which have gone through important technological changes and the ones which have been restructured to a great extent. The study of occupational stress have been intensely encouraged in the last decades, nowadays there is a unanimous recognition and convincing proves of the connection between the work s stressors and a series of consequences both at the level of mental health and at the level of physical health. Table 1. The main menthods of occupational stress (Zlate, 2007). TYPES OF INTERVENTION The level of stress ORGANIZATION INDIVIDUAL- ORGANIZATION INTERFACE INDIVIDUAL Identification Primary prevention Secondary prevention Therapy Rehabilitation The audit of work stress Selfmonitoring Aim: removing or reducing the stressors -enriching the work content and the work place content -efficient organization of the work time -changing of structure and of the organizational processes (recruiting systems, selection and payment) -physical group exercises and health programmes Aim: qualification growth, improving communication abilities -time (learning how to efficiently use time) -interpersonal abilities training -promoting a real image of the job -finding an equilibrium of the job and the private life Aim: personal development of the individual -self-monitoring (developing selfawareness) -promoting a healthy lifestyle Aim: improving the match between the employee and organization, previous socializing Improving communication, taking decision, conflict -organizational development -career -designing a competitive organizational policy, supported by modern technologies - doing periodical studies of organizational diagnosis Aim: ensuring the emotional and instrumental support -support groups composed out of equals -coaching -consulting programmes -career planning -learning the coping strategies Aim: diminishing the negative states -cognitive-behavioural techniques Aim: institutionalising of processes and of health services -fitness -charity programmes -programmes of Biodfeedback assistance for employees Aim: disorder curing -psychological counseling -psychotherapy Aim: self-healing -auto-therapy techniques Aim: rehabilitation of employees -offering placement services (services outside the organization) Aim: individual guidance and assistance -returning to the former job according to a plan Aim: ensuring a better adaptation -changing the job or the organization Previous studies showed organizational Effect of a multidisciplinary stress treatment programme on the return to of the work rate for persons with work-related stress (Netterstrom & Bech, 2010), negative symptoms of stressors which affcet organizational life ( Broadbridge, 2002) the influence of the cognitive-behavioural therapy over the (Ani ei, P nescu & Chraif, 2007), the relationship between stressors, ethics in organizations and counterproductivity (Chraif, 2010; Chraif & Anitei, 2011), the connection between the level of stress and the hierarchical level of the individual (Légeron, 2003) and the
1044 M. Aniei et al. / Procedia - Social and Behavioral Sciences 33 (2012) 1042 1046 relationship between dangerous tasks, working in toxic environments, explosive, chemical, inflammable or caustic material with a high degree of noise or dust, and the numbers of illnesses or deaths (Stellman, Henifen, 1983, cited in Greenberg, 1999). 2. Objective and Hypothesis 2.1. Objectives To highlight the efficacy of integrative psychotherapy in resilience to stress evidence-based improvements; To highlight the importance of integrative psychotherapy as occupational therapy at the work place. 2.2. Hypothesis There is a statistical significant difference between the experimental group based on integrative psychotherapy and the control group concerning the resilience to stress evidence-based improvements. 3. The Method 3.1. Participants The participants were 83 adults, aged between 35 and 48 years old (m= 40.27; S.D.=4.39), rural and urban areas, male and female, credit departments in three bank departments from Romania, Bucharest and Brasov. 3.2. Instruments The Romanian Scale of Resilience to Occupational Stress (SROS) (Ani ei, Chraif & Chiriac, 2011). The scale is composed of 5 global scales (Occupational Stressors, Emotional Reactivity Scale, Level of Tolerance, Self-efficacy and Adaptability to Stressors) and 15 subscales; The integrative psychotherapy group treatment in 6 sessions, each session consisted in relaxation and cognitive control of perceived stressor. The participants received tasks of thought control, emotions control and changing negative thoughts with positive thoughts. 3.3. Research Design The research is based on a non-experimental design, one experimental group under integrative psychotherapy treatment and on one control group with no treatment (Fig. 1). The groups are observed at the workplace after 6 integrative psychotherapy group sessions.
M. Aniei et al. / Procedia - Social and Behavioral Sciences 33 (2012) 1042 1046 1045 Fig. 1. Non-experimental design: integrative psychotherapy treatment experimental group, control group. 4. Results and Discussion Table 1 shows the Descriptive statistics of the dependent variables: Occupational Stressors, Emotional Reactivity Scale, Level of Tolerance, Self-efficacy and Adaptability to Stressors. Table 2. Descriptive statistics (SROS) (Ani ei, Chraif & Chiriac, 2011) Variables Mean Standard Deviation Mann Whitney test Experimental Non-experimental Experimental Non-experimental p-value Group Group Group Group Occupational Stressors 42.27 63.54 2.17 4.65.0001 Emotional Reactivity Scale 38.54 57.33 3.58 4.12.012 Level of Tolerance 78.35 52.36 3.29 4.33.0001 Self-efficacy 84.19 65.72 2.68 3.41.0023 Adaptability to Stressors 75.93 60.21 2.54 3.85.031 As it is shown in table 2 between the 2 groups, the experimental group and the control group, there are differences between their means. But in order to verify that the differences are statistically significant firstly Kolmogorov-Smirnoff test has been applied for verifying the normal distribution of the data curves of the 5 variables. Because a normal distribution was not obtained for any of the data of the 5 variables (p>0.05), the non-parametric Mann Whitney test has been applied for differences between independent groups. Also table 2 shows information connected to the statistical significance of the differences between the two groups. Therefore, according to the observed values of p-value for each of the 5 dependent variables (p<0.05). The research hypothesis has been confirmed. Therefore we can state that There is a statistical significant difference between the experimental group based on integrative psychotherapy and the control group concerning the resilience to stress evidence-based improvements. 5. Conclusions The occupational stress, stressors, inability of adapting to stressful situations from the workplace, time pressure, task overload at the workplace, of negative emotions are just a few aspects which
1046 M. Aniei et al. / Procedia - Social and Behavioral Sciences 33 (2012) 1042 1046 the human operator is dealing with at the workplace. Therefore, occupational therapy focused on workplace problems solving and has developed in the last decades. In order to reduce stress, an important role is played by the internal exquilibrium of each individual. This internal equilibrium is referring to the control the individual has over the recations to certain events or inconvenient situations. If the individual will be aware of these reactions and will not let the anger and fury to come to surface, his/her physical and psychological state will not suffer and therefore, the stress state will not be installed. This is why, specialists within the area of cognitive-behavioural psychotherapy (Holdevici, 2009) advise the ones who suffer from stress at the workplace to develop a cognitive control over emotions. An employee can be efficient and productive without staying overtime or to work additionaly in weekends only to impress managers. Work implies a lower level of fatigue when the employees optimal and adequately organize the eight hours of work. Another solution for stress reduction and prevention is positive thinking and calm (Gilbert & Evans, 2000). These will help the individual to face difficult situations, so that the negative effects of stress, both physical and psychological will not appear anymore (Gilbert & Orlans, 2011). It is important for the individual no to be in a crisis of time, to view every new or difficult situation with humor, without considering that if not successful, he/she will not be able to succeed in aproximately the same situation. Therefore, after the study was done and after applying the relaxation plan and integrative therapy, it has been observed that those participants to the research which although undergo stressful situations at the workplace but think positively and consider each failure a new try for achieving success will not have health realted issues, have an optimal emotions, a high resilience to stress and high performances at the workplace. References Anitei, M., Chraif, M. si Panescu O. (2007). Practical aspects of applying cognitive therapy in human resources within banking institutions, The Journal of Human Resources Psychology, Cluj-Napoca, nr. 1/2007. Broadbridge, A. (2002). Retail managers: their work stressors and coping strategies. Journal of Retailing and Consumer Services,9. Chraif, M., (2010). Counterproductive behaviour, Ed Universitar. Bucharest. Chraif, M. & Ani ei, M. (2011). The impact of economic crisis on occupational stress and counterproductive behavior in a food and beverage restaurant chain from Romania 2 nd World Conference on Psychology, Counselling and Guidance Procedia-Social and Behavioral Science Journal (ISSN: 1877-0428) by ELSEVIER (www.elsevier.com). Procedia - Social and Behavioral Sciences, 30, 2644-2650 Le Blanc, P., Jonge, J. De, Schaufeli, W. (2000). Job Stress and Health, in N. Chimel (ed.), Introduction to Work and Organizational Psychology: An European Perspective, Oxford: Blackwell Publishers, 15-17. Gilbert, M.C. & Orlans, E. (2011). Integrative theraphy. 100 keypoints and techniques, Routlege, taylor and Francis group: New York. Gilbert,M. C. & Evans, K. (2000). Psychoteraphy supervision an integrative relational approach to psychoteraphy supervision, Open University press: Philadelphia, USA. Greenberg, J., Baron, R.A. (1993). Behavior in Organizations, fourth edition, Allyn and Bacon: Boston. (http://www.docstoc.com/docs/downloaddoc.aspx?doc_id=19703732, accesed on 18.03.2011) Holdevici, I. (2009).Tratat de psihoterapie cognitiv-comportamental, Editura 3: Bucure ti. Légeron, P. (2003). How can you defend of stress?[cum sa te aperi de stres]. Psihologie practica. Bucuresti: Editura Trei. Zlate, M. (2007). Tratat de psihologie organizational manageriala. Vol II. Editura Polirom: Iasi.