@article{ref1,
title="A clustered-randomized controlled trial of a self-reflection resilience-strengthening intervention and novel mediators",
journal="Journal of occupational health psychology",
year="2021",
author="Crane, Monique F. and Griffin, Barbara and Gucciardi, Daniel F. and Boga, Danny and Karin, Eyal and Falon, Samantha L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="This study tests the efficacy of a unique resilience-strengthening intervention using a clustered-randomized controlled trial. It was hypothesized that the  training, which encourages adaptive self-reflection on stressor events and the  effectiveness of coping strategies and resources, would exert a positive effect on  mental health outcomes via increased reflection and decreased brooding. The trial  was conducted during a significant stressor period with a final sample of 204  second-class Officer Cadets from the Royal Military College, Australia. Platoons of  Cadets were randomly allocated to either Self-Reflection Resilience Training (SRT; n  = 96) or an exposure-matched active control group that received training as usual  (i.e., cognitive-behavioral skill development training) and communication skills  seminars (n = 108). Compared to the active control group, SRT was more effective at  preventing the onset of depression symptoms and promoting stable levels of perceived  stress during a period of increased exposure to training stressors, consistent with  a resilient trajectory. The Self-Reflection group unexpectedly demonstrated higher  anxiety symptoms than the Control group at immediate follow-up, but these symptoms  returned to baseline levels at longer term follow-up. In contrast, the Control group  experienced increasing anxiety symptoms between immediate and longer term follow-up. Mediation analyses supported an indirect effect of SRT on all three outcome measures  via brooding, but not via reflection. This study provides support for the capacity  of a practical, sustainable, and scalable intervention based on self-reflection to  strengthen resilience in the military training setting. (PsycInfo Database Record  (c) 2021 APA, all rights reserved).<p /> <p>Language: en</p>",
language="en",
issn="1076-8998",
doi="10.1037/ocp0000268",
url="http://dx.doi.org/10.1037/ocp0000268"
}