title: [Interest of computer-based cognitive behavioral stress management. Feasability of the Seren@ctif program].
abstract: BACKGROUND
  Cognitive-behavioural stress management programs have been studied in many countries. Many reports have shown beyond a doubt their efficacy to reduce perceived stress, anxiety symptoms and to improve quality of life of patients. Considering the very large number of people who could benefit from such programs but are unable to reach them, self-help programs have been offered. First presented as books (bibliotherapy), these programs then became enriched by computing and digital supports. Regrettably, many of the programs of stress management based on the Cognitive behavioural therapy (CBT) both in face-to-face and on digital support have been little evaluated in France. To our knowledge, the Seren@ctif program is the first French language self-help program of stress management proposed on digital support.
  
  
  OBJECTIVE
  We led a feasibility study of this program on 10 patients responding to the diagnosis of adjustment disorder with anxiety according to the DSM IV criteria.
  
  
  METHODS
  The program includes 5 weekly sessions that the patient follows in our unit from a web site. He benefits from minimal contact with a medical member of staff before and after every session. Right from the first session an USB key is supplied to the patient containing videos, audio files, self-help book portfolio in the form of an e-guide, and log books with the exercises to be realized between each sessions of the 5 session program. The patient is encouraged to practice 20 minutes of exercises 5 or 6 days per week. The program's feasibility has been assessed in accordance with a standard satisfaction scale. Anxiety symptomatology has been quantified thanks to the Spielberger State-Trait Anxiety Inventory (STAI-Y-S).
  
  
  RESULTS
  After the scheduled 5 weeks, good results were found in terms of acceptability and attractiveness. The average score to the satisfaction survey was at least equal to 4 out of 5 for each item. The mean score on the STAI-State decreased from 53,4 (SD: 8,29) to 44,2 (SD: 7,73) following the intervention.
  
  
  CONCLUSIONS
  The Seren@ctif program may be useful within the framework of a psychoeducative approach. It could also be advised for people suffering from anxiety related to stress. Soon, the program will be tested on patients with usual care suffering from adjustment disorder with anxiety in order to precisely assess its benefits.
authors.affiliation: Consultation spécialisée sur le stress et l'anxiété, service universitaire de psychiatrie adulte, hôpital Fontan, CHRU, rue Verhaeghe, 59037 Lille cedex, France. Electronic address: dominique.servant@chru-lille.fr.
authors.forename: D
authors.initials: D
authors.lastname: Servant
authors.affiliation: Consultation spécialisée sur le stress et l'anxiété, service universitaire de psychiatrie adulte, hôpital Fontan, CHRU, rue Verhaeghe, 59037 Lille cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Rougegrez
authors.affiliation: Consultation spécialisée sur le stress et l'anxiété, service universitaire de psychiatrie adulte, hôpital Fontan, CHRU, rue Verhaeghe, 59037 Lille cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Barasino
authors.affiliation: Fédération de recherche clinique, CHRU de Lille, MRCC, rue du Professeur-Laguesse, 59037 Lille cedex, France.
authors.forename: A-L
authors.initials: AL
authors.lastname: Demarty
authors.affiliation: Centre d'études et de recherche en informatique médicale (CERIM), université de Lille 2, 59045 Lille, France.
authors.forename: A
authors.initials: A
authors.lastname: Duhamel
authors.affiliation: Consultation spécialisée sur le stress et l'anxiété, service universitaire de psychiatrie adulte, hôpital Fontan, CHRU, rue Verhaeghe, 59037 Lille cedex, France.
authors.forename: G
authors.initials: G
authors.lastname: Vaiva
mesh_terms: D000275:Adjustment Disorders / Q000188:drug therapy / Q000523:psychology / Q000628:therapy; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000188:drug therapy / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011569:Psychiatric Status Rating Scales; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012984:Software; D013315:Stress, Psychological / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D013813:Therapy, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D011619:Psychotropic Drugs
keywords: Adjustment disorder with anxiety; Cognitive behavioural therapy (CBT); Gestion du stress; Internet; Self-help; Stress management; Thérapie comportementale et cognitive (TCC); Trouble de l’adaptation avec anxiété; e-health; e-santé