Skip to main content
Erschienen in: International Archives of Occupational and Environmental Health 1/2014

01.01.2014 | Original Article

A manual-based group program to improve mental health: what kind of teachers are interested and who stands to benefit from this program?

verfasst von: Thomas Unterbrink, Ruth Pfeifer, Lorena Krippeit, Linda Zimmermann, Uwe Rose, Andreas Joos, Armin Hartmann, Michael Wirsching, Joachim Bauer

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 1/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

In order to evaluate a manual-based group program for teachers aiming at strengthening mental health, we examined (1) whether the teachers interested in participating differ from their colleagues without interest and (2) whether there is evidence of subgroups benefiting more than others among those who participated.

Methods

Out of a basic sample of 949 schoolteachers, 337 teachers declared interest in a group program. All teachers were surveyed with the “General Health Questionnaire”, the “Maslach Burnout Inventory” and the “Effort Reward Imbalance Questionnaire”. In addition, participating teachers were screened with the “Symptom Checklist 27” T and χ2-tests were calculated to detect differences between those interested in the program and the remaining 612 teachers. Six factors were established and used for a regression analysis that identified specific parameters more or less correlating with health benefits of those who participated in the program.

Results

Findings showed that those declaring interest in the intervention displayed a higher degree of occupational stress according to all health parameters examined. Teachers interested in the program were significantly younger, more frequently female and single. The regression analysis showed that the baseline scores of the six health parameters were the strongest predictors for improvement. Worse scores before the beginning of the intervention correlated with a more positive effect.

Conclusions

Intervention programs aiming at alleviating the mental stress of teachers find the interest of those who need it most. More importantly, the latter are the ones who—at least if our program is applied—benefit best.
Literatur
Zurück zum Zitat Bauer J, Stamm A, Virnich K, Wissing K, Müller U, Wirsching M, Schaarschmidt U (2006) Correlation between burnout syndrome and psychological and psychosomatic symptoms among teachers. Int Arch Occup Environ Health 79:199–204CrossRef Bauer J, Stamm A, Virnich K, Wissing K, Müller U, Wirsching M, Schaarschmidt U (2006) Correlation between burnout syndrome and psychological and psychosomatic symptoms among teachers. Int Arch Occup Environ Health 79:199–204CrossRef
Zurück zum Zitat Bauer J, Unterbrink T, Hack A, Pfeifer R, Buhl-Griesshaber V, Müller U, Wesche H, Frommhold M, Seibt R, Scheuch K, Wirsching M (2007a) Working conditions, adverse events and mental health problems in a sample of 949 German teachers. Int Arch Occup Environ Health 80:442–449CrossRef Bauer J, Unterbrink T, Hack A, Pfeifer R, Buhl-Griesshaber V, Müller U, Wesche H, Frommhold M, Seibt R, Scheuch K, Wirsching M (2007a) Working conditions, adverse events and mental health problems in a sample of 949 German teachers. Int Arch Occup Environ Health 80:442–449CrossRef
Zurück zum Zitat Bauer J, Unterbrink T, Zimmermann L (2007b) Gesundheitsprophylaxe für Lehrkräfte, Manual für Lehrer-Coachinggruppen nach dem Freiburger Modell. In: Seibt R, Scheuch K (eds) Handlungsanleitungen zur Erhaltung und Förderung der Gesundheit von Lehrerinnen und Lehrern. Selbstverlag der Technischen Universität Dresden, Dresden Bauer J, Unterbrink T, Zimmermann L (2007b) Gesundheitsprophylaxe für Lehrkräfte, Manual für Lehrer-Coachinggruppen nach dem Freiburger Modell. In: Seibt R, Scheuch K (eds) Handlungsanleitungen zur Erhaltung und Förderung der Gesundheit von Lehrerinnen und Lehrern. Selbstverlag der Technischen Universität Dresden, Dresden
Zurück zum Zitat Bellingrath S, Hellhammer DH, Kudielka BM (2007) Dysregulations of the HPA-axis and increased allostatic load in job-related chronic stress: a link to burnout and exhaustion in school teachers? Psychosom Med 69:A109 Bellingrath S, Hellhammer DH, Kudielka BM (2007) Dysregulations of the HPA-axis and increased allostatic load in job-related chronic stress: a link to burnout and exhaustion in school teachers? Psychosom Med 69:A109
Zurück zum Zitat Biondi M, Picardi A (1999) Psychological stress and neuroendocrine function in humans: the last two decades of research. Psychother Psychosom 68:114–150CrossRef Biondi M, Picardi A (1999) Psychological stress and neuroendocrine function in humans: the last two decades of research. Psychother Psychosom 68:114–150CrossRef
Zurück zum Zitat Bowers T (2001) Teacher absenteeism and ill health retirement: a review. Camb J Educ 31:135–157CrossRef Bowers T (2001) Teacher absenteeism and ill health retirement: a review. Camb J Educ 31:135–157CrossRef
Zurück zum Zitat Brown J, Gilmour WH, Macdonald EB (2006) Ill health retirement in Scottish teachers: process, outcomes and re-employment. Int Arch Occup Environ Health 79:433–440CrossRef Brown J, Gilmour WH, Macdonald EB (2006) Ill health retirement in Scottish teachers: process, outcomes and re-employment. Int Arch Occup Environ Health 79:433–440CrossRef
Zurück zum Zitat Büssing A, Perrar K (1992) Die Messung von Burnout. Untersuchung einer deutschen Fassung des Maslach Burnout Inventory (MBI-D). Diagnostica 38:328–353 Büssing A, Perrar K (1992) Die Messung von Burnout. Untersuchung einer deutschen Fassung des Maslach Burnout Inventory (MBI-D). Diagnostica 38:328–353
Zurück zum Zitat Derogatis LR (1977) SCL-90-R: administration, scoring and procedures manual I for the revised Version. Johns Hopkins University, School of Medicine Derogatis LR (1977) SCL-90-R: administration, scoring and procedures manual I for the revised Version. Johns Hopkins University, School of Medicine
Zurück zum Zitat Friedman IA (1991) High- and low-burnout schools: school culture aspects of teacher burnout. J Educ Res 84:325–333CrossRef Friedman IA (1991) High- and low-burnout schools: school culture aspects of teacher burnout. J Educ Res 84:325–333CrossRef
Zurück zum Zitat Goldberg D, Williams P (1988) A user’s guide to the general health questionnaire. NFER-NELSON, Windsor Goldberg D, Williams P (1988) A user’s guide to the general health questionnaire. NFER-NELSON, Windsor
Zurück zum Zitat Grossi G, Perski A, Evengard B, Blomkvist V, Orth-Gomer K (2003) Physiological correlates of burnout among women. J Psychosom Res 55:309–316CrossRef Grossi G, Perski A, Evengard B, Blomkvist V, Orth-Gomer K (2003) Physiological correlates of burnout among women. J Psychosom Res 55:309–316CrossRef
Zurück zum Zitat Hardt J, Gerbershagen HU (2001) Cross-validation of the SCL-27: a short psychometric screening instrument for chronic pain patients. Eur J Pain 5:187–197CrossRef Hardt J, Gerbershagen HU (2001) Cross-validation of the SCL-27: a short psychometric screening instrument for chronic pain patients. Eur J Pain 5:187–197CrossRef
Zurück zum Zitat Hardt J, Egle UT, Kappis B, Hessel A, Brähler E (2004) Die Symptom-Checkliste SCL-27 - Ergebnisse einer deutschen Repräsentativbefragung. Psychother Psychosom Med Psychol 54(5):214–223CrossRef Hardt J, Egle UT, Kappis B, Hessel A, Brähler E (2004) Die Symptom-Checkliste SCL-27 - Ergebnisse einer deutschen Repräsentativbefragung. Psychother Psychosom Med Psychol 54(5):214–223CrossRef
Zurück zum Zitat Hättinen M, Kinnunen U, Mäkikangas A, Kalimo R, Tolvanen A, Pekkonen M (2009) Burnout during a long-term rehabilitation: comparing low burnout, high burnout—benefited, and high burnout—not benefited trajectories. Anxiety Stress Coping 22(3):341–360CrossRef Hättinen M, Kinnunen U, Mäkikangas A, Kalimo R, Tolvanen A, Pekkonen M (2009) Burnout during a long-term rehabilitation: comparing low burnout, high burnout—benefited, and high burnout—not benefited trajectories. Anxiety Stress Coping 22(3):341–360CrossRef
Zurück zum Zitat Jin P, Yeung AS, Tang TO, Low R (2008) Identifying teachers at risk in Hong Kong: psychosomatic symptoms and sources of stress. J Psychosom Res 65:357–362CrossRef Jin P, Yeung AS, Tang TO, Low R (2008) Identifying teachers at risk in Hong Kong: psychosomatic symptoms and sources of stress. J Psychosom Res 65:357–362CrossRef
Zurück zum Zitat Maguire M, O’Connell T (2007) Ill-health retirement of schoolteachers in the Republic of Ireland. Occup Med 57:191–193CrossRef Maguire M, O’Connell T (2007) Ill-health retirement of schoolteachers in the Republic of Ireland. Occup Med 57:191–193CrossRef
Zurück zum Zitat Melamed S, Shirom A, Toker S, Berliner S, Shapira I (2006) Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions. Psych Bull 132:327–353CrossRef Melamed S, Shirom A, Toker S, Berliner S, Shapira I (2006) Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions. Psych Bull 132:327–353CrossRef
Zurück zum Zitat Meulenbroek LF, Thomas G, Kooijman PG, de Jong F (2010) Biopsychosocial impact of the voice in relation to the psychological features in female student teachers. J Psychosom Res 68(4):379–384CrossRef Meulenbroek LF, Thomas G, Kooijman PG, de Jong F (2010) Biopsychosocial impact of the voice in relation to the psychological features in female student teachers. J Psychosom Res 68(4):379–384CrossRef
Zurück zum Zitat Moher D, Schulz K, Altman D (2001) The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet 357:1191–1194CrossRef Moher D, Schulz K, Altman D (2001) The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet 357:1191–1194CrossRef
Zurück zum Zitat Montgomery C, Rupp AA (2005) A meta-analysis for exploring the diverse causes and effects of stress in teachers. Canad J Educ 28:458–486CrossRef Montgomery C, Rupp AA (2005) A meta-analysis for exploring the diverse causes and effects of stress in teachers. Canad J Educ 28:458–486CrossRef
Zurück zum Zitat Ohlson CG, Soderfeldt M, Soderfeldt B, Jones I, Theorell T (2001) Stress markers in relation to job strain in human service organizations. Psychother Psychosom 70:268–275CrossRef Ohlson CG, Soderfeldt M, Soderfeldt B, Jones I, Theorell T (2001) Stress markers in relation to job strain in human service organizations. Psychother Psychosom 70:268–275CrossRef
Zurück zum Zitat Pithers RT, Soden R (1998) Scottish and Australian teacher stress and strain: a comparative study. Br J Educ Psychol 68:269–279CrossRef Pithers RT, Soden R (1998) Scottish and Australian teacher stress and strain: a comparative study. Br J Educ Psychol 68:269–279CrossRef
Zurück zum Zitat Rödel A, Siegrist J, Hessel A, Brähler E (2004) Fragebogen zur Messung beruflicher Gratifikationskrisen: psychometrische Testung an einer repräsentativen deutschen Stichprobe. Z Differ Diagn Psychol 25:227–238CrossRef Rödel A, Siegrist J, Hessel A, Brähler E (2004) Fragebogen zur Messung beruflicher Gratifikationskrisen: psychometrische Testung an einer repräsentativen deutschen Stichprobe. Z Differ Diagn Psychol 25:227–238CrossRef
Zurück zum Zitat Rose U, Zimmermann L, Pfeifer R, Unterbrink U, Bauer J (2010) Intention as an indicator for subjective need: a new pathway in need assessment. J Occup Med Toxicol 5:20CrossRef Rose U, Zimmermann L, Pfeifer R, Unterbrink U, Bauer J (2010) Intention as an indicator for subjective need: a new pathway in need assessment. J Occup Med Toxicol 5:20CrossRef
Zurück zum Zitat Schaarschmidt U (2004) Halbtagsjobber?. Beltz, Weinheim Schaarschmidt U (2004) Halbtagsjobber?. Beltz, Weinheim
Zurück zum Zitat Schmitz N, Kruse J, Tress W (1999) Psychometric properties of the General Health Questionaire (GHQ-12) in a German primary care sample. Acta Psychiatr Scand 100:462–468CrossRef Schmitz N, Kruse J, Tress W (1999) Psychometric properties of the General Health Questionaire (GHQ-12) in a German primary care sample. Acta Psychiatr Scand 100:462–468CrossRef
Zurück zum Zitat Schwarzer R, Schmitz G, Tang C (2000) Teacher burnout in Hong Kong and Germany: a cross-cultural validation of the Maslach Burnout Inventory. Anxiety Stress Coping 13:309–327 Schwarzer R, Schmitz G, Tang C (2000) Teacher burnout in Hong Kong and Germany: a cross-cultural validation of the Maslach Burnout Inventory. Anxiety Stress Coping 13:309–327
Zurück zum Zitat Siegrist J (1996) Adverse health effects of high effort/low reward conditions. J Occup Health Psychol 1:27–41CrossRef Siegrist J (1996) Adverse health effects of high effort/low reward conditions. J Occup Health Psychol 1:27–41CrossRef
Zurück zum Zitat Strauß B, Hartung H, Kächele H (2002) Geschlechtsspezifische Inanspruchnahme von Psychotherapie und Sozialer Arbeit. Geschlecht, Gesundheit und Krankheit. Huber, Göttingen Strauß B, Hartung H, Kächele H (2002) Geschlechtsspezifische Inanspruchnahme von Psychotherapie und Sozialer Arbeit. Geschlecht, Gesundheit und Krankheit. Huber, Göttingen
Zurück zum Zitat Tang CSK, Au WT, Schwarzer R, Schmitz G (2001) Mental health outcomes of job stress among Chinese teachers: role of stress resource factors and burnout. J Organ Behav 22:887–901CrossRef Tang CSK, Au WT, Schwarzer R, Schmitz G (2001) Mental health outcomes of job stress among Chinese teachers: role of stress resource factors and burnout. J Organ Behav 22:887–901CrossRef
Zurück zum Zitat Travers C (2001) Stress in teaching. In: Dunham J (ed) Stress in the workplace: past, present and future. Whurr, London, pp 130–163 Travers C (2001) Stress in teaching. In: Dunham J (ed) Stress in the workplace: past, present and future. Whurr, London, pp 130–163
Zurück zum Zitat Unterbrink T, Hack A, Pfeifer R, Buhl-Grießhaber V, Müller U, Wesche U, Frommhold M, Seibt R, Scheuch K, Wirsching M, Bauer J (2007) Burnout and effort-reward-imbalance in a sample of 949 German teachers. Int Arch Occup Health 80:433–441CrossRef Unterbrink T, Hack A, Pfeifer R, Buhl-Grießhaber V, Müller U, Wesche U, Frommhold M, Seibt R, Scheuch K, Wirsching M, Bauer J (2007) Burnout and effort-reward-imbalance in a sample of 949 German teachers. Int Arch Occup Health 80:433–441CrossRef
Zurück zum Zitat Unterbrink T, Zimmermann L, Pfeifer R, Wirsching M, Brähler E, Bauer J (2008) Parameters influencing health variables in a sample of 949 German teachers. Int Arch Occup Environ Health 82:117–123CrossRef Unterbrink T, Zimmermann L, Pfeifer R, Wirsching M, Brähler E, Bauer J (2008) Parameters influencing health variables in a sample of 949 German teachers. Int Arch Occup Environ Health 82:117–123CrossRef
Zurück zum Zitat Unterbrink T, Zimmermann L, Pfeifer U, Rose U, Joos A, Hartmann A, Wirsching M, Bauer J (2010) Improvement in school teachers’ Mental health by a manual-based psychological group program. Psychother Psychosom 79:262–264CrossRef Unterbrink T, Zimmermann L, Pfeifer U, Rose U, Joos A, Hartmann A, Wirsching M, Bauer J (2010) Improvement in school teachers’ Mental health by a manual-based psychological group program. Psychother Psychosom 79:262–264CrossRef
Zurück zum Zitat Unterbrink T, Pfeifer R, Krippeit L, Zimmermann L, Rose U, Joos A, Hartmann A, Wirsching M, Bauer J (2012) Burnout and effort-reward-imbalance improvement for teachers by a manual-based group program. Int Arch Occup Environ Health 85(6):667–674CrossRef Unterbrink T, Pfeifer R, Krippeit L, Zimmermann L, Rose U, Joos A, Hartmann A, Wirsching M, Bauer J (2012) Burnout and effort-reward-imbalance improvement for teachers by a manual-based group program. Int Arch Occup Environ Health 85(6):667–674CrossRef
Zurück zum Zitat Vanhoudt I, Thomas G, Wellens W, Vertomme H, de Jong F (2008) The background biopsychosocial status of teachers with voice problems. J Psychosom Res 65:371–380CrossRef Vanhoudt I, Thomas G, Wellens W, Vertomme H, de Jong F (2008) The background biopsychosocial status of teachers with voice problems. J Psychosom Res 65:371–380CrossRef
Zurück zum Zitat von Känel R, Bellingrath S, Kudielka B (2008) Association between burnout and circulating levels of pro- and anti-inflammatory cytokines in schoolteachers. J Psychosom Res 65:51–59CrossRef von Känel R, Bellingrath S, Kudielka B (2008) Association between burnout and circulating levels of pro- and anti-inflammatory cytokines in schoolteachers. J Psychosom Res 65:51–59CrossRef
Zurück zum Zitat von Känel R, Bellingrath S, Kudielka B (2009) Association of vital exhaustion and depressive symptoms with changes in fibrin D-dimer to acute psychosocial stress. J Psychosom Res 67:93–101CrossRef von Känel R, Bellingrath S, Kudielka B (2009) Association of vital exhaustion and depressive symptoms with changes in fibrin D-dimer to acute psychosocial stress. J Psychosom Res 67:93–101CrossRef
Zurück zum Zitat Wang ZM, Lan YJ, Li J, Wang MZ (2002) Study of the occupational stress of the teachers in primary and secondary school. Modern Prev Med 29:129–131 Wang ZM, Lan YJ, Li J, Wang MZ (2002) Study of the occupational stress of the teachers in primary and secondary school. Modern Prev Med 29:129–131
Zurück zum Zitat Weber A, Weltle D, Lederer P (2006) Ill health and early retirement among school principals in Bavaria. Int Arch Occup Environ Health 78:325–331CrossRef Weber A, Weltle D, Lederer P (2006) Ill health and early retirement among school principals in Bavaria. Int Arch Occup Environ Health 78:325–331CrossRef
Zurück zum Zitat Wu S, Li J, Wang Z, Li H (2006) Intervention on occupational stress among teachers in the middle schools in China. Stress Health 22:329–336CrossRef Wu S, Li J, Wang Z, Li H (2006) Intervention on occupational stress among teachers in the middle schools in China. Stress Health 22:329–336CrossRef
Zurück zum Zitat Zolnierczyk-Zreda D (2005) An intervention to reduce work-related burnout in teachers. Int J Occup Saf Ergon 11:423–430 Zolnierczyk-Zreda D (2005) An intervention to reduce work-related burnout in teachers. Int J Occup Saf Ergon 11:423–430
Zurück zum Zitat Zurlo MC, Pes D, Cooper CL (2007) Stress in teaching: a study of occupational stress and its determinants among Italian schoolteachers. Stress Health 23:231–241CrossRef Zurlo MC, Pes D, Cooper CL (2007) Stress in teaching: a study of occupational stress and its determinants among Italian schoolteachers. Stress Health 23:231–241CrossRef
Metadaten
Titel
A manual-based group program to improve mental health: what kind of teachers are interested and who stands to benefit from this program?
verfasst von
Thomas Unterbrink
Ruth Pfeifer
Lorena Krippeit
Linda Zimmermann
Uwe Rose
Andreas Joos
Armin Hartmann
Michael Wirsching
Joachim Bauer
Publikationsdatum
01.01.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 1/2014
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-012-0832-y

Weitere Artikel der Ausgabe 1/2014

International Archives of Occupational and Environmental Health 1/2014 Zur Ausgabe