Background: Effective concepts are required to overcome the negative impact of daily stressful overwhelming. We investigated the effectiveness of a 1-week multimodal program for stress reduction. Methods: We performed a randomized controlled trial including adults with above-average stress level. The intervention consisted of health coaching, relaxation, physical activity, and balneotherapeutic elements. Individuals were randomized either to the intervention group (IG) or to one of the two control groups B and C. The main outcome was change in stress (Perceived Stress Questionnaire [PSQ], Screening Scale of Chronic Stress of the Trier Inventory for Chronic Stress [TICS-SSCS]) at 6 months post intervention; further outcomes were well-being (World Health Organization 5-Item Well-Being Index [WHO-5]) and health status (EuroQol visual analog scale [EQ-5D VAS]). Data were collected pre/post intervention as well as after 1, 3, and 6 months. Results: Data of 96 individuals (mean age 48.0 years, 74% female) were available for analyses. The IG improved overtime with –13.45 points for the PSQ and –6.44 points for the TICS-SSCS after 6 months. At 6-month follow-up the IG did not significantly differ from group B (PSQ: p = 0.2332; TICS-SSCS: p = 0.0805) or group C (PSQ: p = 0.0950; TICS-SSCS: p = 0.0607) when controlling for baseline (ANCOVA). Compared to group C, ANCOVA revealed significant differences in WHO-5 (p = 0.0292) and EQ-5D VAS (p = 0.0177) post intervention. At the 3- and 6-month follow-up and compared to group B, no substantial differences could be found for WHO-5 and EQ-5D VAS. Conclusion: The results indicate that even a short-term multimodal program for stress reduction appears to set a positive trend towards less perceived and chronic stress.
Complement Med Res

中文翻译：

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评估在德国疗养胜地进行的为期一周的多模式预防计划减缓和减轻压力的有效性：随机对照试验的结果

背景：需要有效的概念来克服日常压力压倒性的负面影响。我们调查了为期 1 周的多模式减压计划的有效性。方法：我们进行了一项随机对照试验，包括压力水平高于平均水平的成年人。干预包括健康指导、放松、身体活动和浴疗元素。个人被随机分配到干预组 (IG) 或两个对照组 B 和 C 中的一个。主要结果是压力的变化（感知压力问卷 [PSQ]，Trier 慢性压力清单的慢性压力筛查量表[TICS-SSCS]）在干预后 6 个月；进一步的结果是幸福感（世界卫生组织 5 项幸福感指数 [WHO-5]）和健康状况（EuroQol 视觉模拟量表 [EQ-5D VAS]）。在干预前/干预后以及 1、3 和 6 个月后收集数据。结果：96 个人（平均年龄 48.0 岁，74% 女性）的数据可用于分析。6 个月后，IG 的 PSQ 加时赛得分为 –13.45 分，TICS-SSCS 得分为 –6.44 分。在 6 个月的随访中，IG 与 B 组（PSQ：p = 0.2332；TICS-SSCS：p = 0.0805）或 C 组（PSQ：p = 0.0950；TICS-SSCS：p = 0.0607）没有显着差异。控制基线（ANCOVA）。与 C 组相比，ANCOVA 显示干预后 WHO-5 ( p = 0.0292) 和 EQ-5D VAS ( p = 0.0177) 存在显着差异。在 3 个月和 6 个月的随访中，与 B 组相比，WHO-5 和 EQ-5D VAS 没有发现实质性差异。结论：结果表明，即使是短期的多模式减轻压力计划似乎也能形成减少感知和慢性压力的积极趋势。
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