title: Effects of an Integrated Stress Management Program (ISMP) for Psychologically Distressed Students: A Randomized Controlled Trial.
abstract: OBJECTIVE
  This study aimed to evaluate the effects of an integrated stress management program (ISMP) on college life stress, stress coping, psychological distress, and cortisol among male college students.
  
  
  METHODS
  Out of 137 initially enrolled students, 99 participants were identified as distressed subjects and randomly assigned to either the ISMP or control group. Ultimately, 84 participants (43: experimental, 41: control) completed pretest-posttest. The experimental group received eight 2-hr sessions over 4 weeks.
  
  
  RESULTS
  Stress and psychological distress decreased significantly, whereas stress coping and cortisol did not improve significantly.
  
  
  CONCLUSIONS
  Further studies with longer follow-up periods and physiological interventions are required.
authors: College of Nursing, Nursing Policy Research Institute, Yonsei University, Seoul, Korea.
authors: Sunah
authors: S
authors: Kim
authors: College of Nursing, Nursing Policy Research Institute, Yonsei University, Seoul, Korea.
authors: Hyangkyu
authors: H
authors: Lee
authors: Department of Nursing, College of Medicine, Chosun University, Gwangju, Korea.
authors: Hyunlye
authors: H
authors: Kim
authors: Graduate School, College of Nursing, Nursing Policy Research Institute, Yonsei University, Seoul, Korea.
authors: Dabok
authors: D
authors: Noh
authors: School of Nursing, University of Nevada, Las Vegas, Nevada, USA.
authors: Hyunhwa
authors: H
authors: Lee
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D008297:Male; D011569:Psychiatric Status Rating Scales; D056910:Republic of Korea; D013315:Stress, Psychological / Q000628:therapy*; D013334:Students / Q000523:psychology*; D014495:Universities; D055815:Young Adult
chemical_list: D006854:Hydrocortisone
keywords: College student; coping; cortisol; psychological distress; stress