Mechanical massage and mental training programmes affect employees’ anxiety, stress susceptibility and detachment–a randomised explorative pilot study

BMC Complementary and Alternative Medicine

Anette Ekström¹  Ulrika Lindmark²  Mikael Harlén¹  Linda Handlin¹  Jasmin Muller¹ 

[1] School of Health and Education, University of Skövde, Skövde, S-541 28, Sweden;School of Health Sciences, Jönköping University, Jönköping, S-551 11, Sweden

关键词: Working place;    Psychosocial health;    Physical Health;    Intervention;    Complementary;    Alternative;    Anxiety;    Stress;   

Others  :  1223707
DOI  :  10.1186/s12906-015-0753-x

 received in 2014-12-18, accepted in 2015-06-30,  发布年份 2015

【 摘 要 】

Background

Working people’s reduced ability to recover has been proposed as a key factor behind the increase in stress-related health problems. One not yet evidence-based preventive method designed to help employees keep healthy and be less stressed is an armchair with built-in mechanical massage and mental training programmes, This study aimed to evaluate possible effects on employees’ experience of levels of “Anxiety”, “Stress Susceptibility”, “Detachment” and “Social Desirability” when using mechanical massage and mental training programmes, both separately and in combination, during working hours.

Methods

Employees from four different workplaces were randomly assigned to one of the following groups: i) Massage and mental training (sitting in the armchair and receiving mechanical massage while listening to the mental training programmes, n = 19), ii) Massage (sitting in the armchair and receiving mechanical massage only, n = 19), iii) Mental training (sitting in the armchair and listening to the mental training programmes only, n = 19), iv) Pause (sitting in the armchair but not receiving mechanical massage or listening to the mental training programmes, n = 19), v) Control (not sitting in the armchair at all, n = 17). In order to discover how the employees felt about their own health they were asked to respond to statements from the ”Swedish Scale of Personality” (SSP), immediately before the randomisation, after four weeks and after eight weeks (end-of-study).

Results

There were no significant differences between the five study groups for any of the traits studied (“Somatic Trait Anxiety”, “Psychic Trait Anxiety”, “Stress Susceptibility”, “Detachment” and “Social Desirability”) at any of the occasions. However, the massage group showed a significant decrease in the subscale “Somatic Trait Anxiety” (p = 0.032), during the entire study period. Significant decreases in the same subscale were also observed in the pause group between start and week eight (p = 0.040) as well as between week four and week eight (p = 0.049) and also in the control group between the second and third data collection (p = 0.014). The massage and mental training group showed a significant decrease in “Stress Susceptibility” between week four and week eight (p = 0.022). The pause group showed a significant increase in the subscale “Detachment” (p = 0.044).

Conclusions

There were no significant differences between the five study groups for any of the traits studied. However, when looking at each individual group separately, positive effects in their levels of “Anxiety”, “Stress Susceptibility” and “Detachment” could be seen. Although the results from this pilot study indicate some positive effects, mechanical chair massage and mental training programmes used in order to increase employee’s ability to recover, needs to be evaluated further as tools to increase the employees ability to recover.

Australian New Zealand clinical trials registry

ACTRN12615000020583, Date of registration: 15/01/2015.

【 授权许可】

   
2015 Muller et al.

【 图 表 】

Fig. 1.

【 参考文献 】

• [1]Lundberg U. Stress hormones in health and illness: The roles of work and gender. Psychoneuroendocrinology. 2005; 30:1017-1021.
• [2]Lundberg U, Dohns IE, Melin B, Sandsjo L, Palmerud G, Kadefors R et al.. Psychophysiological stress responses, muscle tension, and neck and shoulder pain among supermarket cashiers. J Occup Health Psychol. 1999; 4:245-255.
• [3]Stress vanligaste orsaken till sjukskrivning. https://www. forsakringskassan.se/wps/portal/press/pressmeddelanden/stress_vanligaste_orsaken_till_sjukskrivning webcite
• [4]Uneståhl L-E, Bundzen P. Integrated mental-training-neuro-biochemical mechanismus and psychophysical consequencies. Hypnos. 1996; XXII:148-158.
• [5]Uneståhl L-E, Bundzen P, Gavrilova E, Isakov V. The effects of integrated mental training on stress and psychosomatic health. Hypnos. 2004; XXXI:83-85.
• [6]Uneståhl-Hellertz: Personal growth by Mental Training. VEJE International Publ.; 2001. http://www. siu.nu/assets/documents/Articles/Articles%20-%20English/IMT%20-%20Self-Hypnotic%20Training%20of%20Cognitive%20and%20Emotional%20Skills%20and%20Attitudes.pdf webcite
• [7]Uvnäs-Moberg K, Handlin L, Petersson M. Self-soothing behaviors with particular reference to oxytocin release induced by non-noxious sensory stimulation. Front psychol. 2015; 5:1-16.
• [8]Uvnäs-Moberg K, Petersson M: Role of oxytocin and oxytocin related effects in manual therapies. In The Science and Clinical Application of Manual Therapy. Edited by King H, Jänig, W., Patterson, MM Amsterdam: Elsevier; 2010
• [9]Zullino DF, Krenz S, Fresard E, Cancela E, Khazaal Y. Local back massage with an automated massage chair: general muscle and psychophysiologic relaxing properties. J Altern Complement Med. 2005; 11:1103-1106.
• [10]Workplace health promotion. http://www. who.int/occupational_health/topics/workplace/en/index1.html webcite
• [11]Promas AB. www. promas.se webcite
• [12]Ruotsalainen J, Serra C, Marine A, Verbeek J. Systematic review of interventions for reducing occupational stress in health care workers. Scand J Work Environ Health. 2008; 34:169-178.
• [13]Gustavsson JP, Bergman H, Edman G, Ekselius L, von Knorring L, Linder J. Swedish universities Scales of Personality (SSP): construction, internal consistency and normative data. Acta Psychiatr Scand. 2000; 102:217-225.
• [14]World Medical Association Declaration of Helsinki. http://www. wma.net/en/30publications/10policies/b3/ webcite
• [15]Pallant J: SPSS Survival Manual–A step by step guide to data analysis using IBM SPSS. 5 edn: McGraw Hill; 2013. ISBN-13: 978-0335262588, ISBN-10: 0335262589
• [16]Jonas W, Nissen E, Ransjo-Arvidson AB, Matthiesen AS, Uvnas-Moberg K. Influence of oxytocin or epidural analgesia on personality profile in breastfeeding women: a comparative study. Arch Womens Ment Health. 2008; 11:335-345.
• [17]Nissen E, Gustavsson P, Widstrom AM, Uvnas-Moberg K. Oxytocin, prolactin, milk production and their relationship with personality traits in women after vaginal delivery or Cesarean section. J Psychosom Obstet Gynaecol. 1998; 19:49-58.
• [18]Mackereth P, Sylt P, Weinberg A, Campbell G. Chair massage for carers in an acute cancer hospital. Eur J Oncol Nurs. 2005; 9:167-179.
• [19]Field T. Massage therapy. Med Clin North Am. 2002; 86:163-171.
• [20]Field T. Massage therapy research review. Complementary therapies in clinical practice. 2014;20(4):224-9. doi:10.1016/j.ctcp.2014.07.002.
• [21]Dhand R, Sohal H. Good sleep, bad sleep! The role of daytime naps in healthy adults. Curr Opin Pulm Med. 2006; 12:379-382.
• [22]Hayashi M, Watanabe M, Hori T. The effects of a 20 min nap in the mid-afternoon on mood, performance and EEG activity. Clin Neurophysiol. 1999; 110:272-279.
• [23]Takahashi M, Fukuda H, Arito H. Brief naps during post-lunch rest: effects on alertness, performance, and autonomic balance. Eur J Appl Physiol Occup Physiol. 1998; 78:93-98.
• [24]McCambridge J, Witton J, Elbourne DR. Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol. 2014; 67:267-277.
• [25]Uvnas-Moberg K. Oxytocin may mediate the benefits of positive social interaction and emotions. Psychoneuroendocrinology. 1998; 23:819-835.
• [26]Back C, Tam H, Lee E, Haraldsson B. The effects of employer-provided massage therapy on job satisfaction, workplace stress, and pain and discomfort. Holist Nurs Pract. 2009; 23:19-31.