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Kessler, R. C., Barber, C., Beck, A., Berglund, P., Cleary, P. D., McKenas, D., Pronk, N., Simon, G., Stang, P., üstün, T. U., & Wang, P. (2003). The World Health Organization Health and Work Performance Questionnaire (HPQ). Journal of Occupational and Environmental Medicine, 45, 156-174. http://dx.doi.org/10.1097/01.jom.0000052967.43131.51

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• TITLE: Effectiveness of a Cognitive Behavioral Therapy-Based Exercise Program for Healthy Employees

  AUTHORS: Sayuri Takechi, Toshiaki Kikuchi, Shiori Horisawa, Atsuo Nakagawa, Kimio Yoshimura, Masaru Mimura

  KEYWORDS: Cognitive Behavioral Therapy, Employee, Exercise, Mental Health, Psychological Distress

  JOURNAL NAME: Advances in Physical Education, Vol.5 No.4, November 30, 2015

  ABSTRACT: Psychological distress has a negative impact on employee health and work performance. However, there is a paucity of studies examining the effects of exercise on the psychological well-being of workers in the field of occupational health. In this study, we evaluated the benefits of a cognitive behavioral therapy (CBT)-based exercise program in reducing psychological distress among employees. A 10-week single-group study was conducted with employees aged 20 to 65 years who had no present or past serious medical illness. Eighty-one subjects participated in a 30-minute health education class instructed by a health-exercise teacher and psychologist, and subsequently completed a 10-week CBT-based exercise program developed by the authors. Post-intervention improvement of psychological distress on the Kessler psychological distress scale (K6) was the primary outcome. Forty-four subjects (54.3%) completed the program. For the subjects who completed the program, the mean total score on K6 significantly reduced from 4.39 to 3.53, with a mean change of 0.86 (p = 0.044). In addition, the total amount of weekly physical exercise significantly increased (p = 0.043) and daily amount of time spent sitting significantly decreased (p = 0.023). These findings suggest that a CBT-based exercise program may reduce the level of psychological distress and increase the amount of daily physical activity of healthy employees. In addition, self-help CBT-based exercise programs may have the potential to cause both positive mental and physical effects among non-clinical samples. Future studies including a control group and with higher completion rate among participants should be performed.