Table 1.
Author (year); country | Study design | Male-centered design? | Workplace-based? | Sample (% men) | Number of male participants | Intervention | Outcome measures | Main Findings |
---|---|---|---|---|---|---|---|---|
Abbott et al. (2009)
Australia |
RCT | No | Yes | Industrial sales managers (87% men) | 46 | Resilience Online (ROL): Online resilience training based on cognitive therapy (self-paced over a 10-week period) | Work performance, happiness/quality of life, distress | Participants found the program to be enjoyable, but it did not improve work performance, happiness, or lower distress relative to a control group |
Ando (2011)
Japan |
Pre-post assessment intervention group compared to control, but not randomized | No | No | University students (38% men) | 85 | Intervention based on the Successful Self Program: Prevention intervention to promote self-understanding and interpersonal interaction. Students in the intervention received 11 weekly sessions (90 min each) as part of a university credit class. Each class included a lecture on adolescence followed by introduction of a skill and worksheets to practice skills and problem solving in groups. The control group included students enrolled in a class with only lectures on adolescent psychosocial development | Self-efficacy, anxiety, self-control | Male university students in the intervention increased self-efficacy from Time1 to Time 2, although those in the control group did not. Male students in both groups decreased tension/anxiety, and increased anger/hostility |
Battaglia et al. (2015)
Italy |
RCT | No | No | Prison population (100% men) | 64 | Cardiovascular plus resistance training (CRT) and High-intensity strength training (HIST) exercise: 9 months of supervised fitness training twice a week for 1 hr | Psychological well-being (depression, anxiety, etc.) | Both exercise programs had significant positive effects on inmates’ well-being relative to controls and the cardiovascular and resistance program was more effective |
Bilderbeck et al. (2013)
UK |
RCT | No | No | Prison population (95% men) | 155 | Yoga: 10-weeks (once a week for 2 hrs) of yoga classes, including relaxation training (e.g., breathing methods) | Impulsiveness, positive and negative affect, perceived stress, psychological distress, and behavioral response inhibition (Go/No-Go task) | The yoga treatment group displayed increased positive emotion, lower perceived stress, lower psychological stress, and improved performance on the cognitive-behavioral task at follow-up compared to the control group |
Bormann et al. (2006)
Unites States |
Qualitative (interview following a 5-week mantram training program) | No | No | Veterans and hospital employees (Veterans sample was 97% men) | 29 | Mantram program: A 5-week course (1.5 hrs per week) involving group training with mantram repetition (i.e., silently repeating a word or phrase to relax) developed by the US Veterans Administration | Self-reported usefulness of mantram training for stress management | Overall, the group of men (veterans) found mantram training to be an acceptable and useful technique for managing stress |
Bughi et al. (2006)
Unites States |
Pre-post | No | No | Medical students (55% men) | 57 | Brief Behavioral Intervention Program (BBIP): One lecture on stress emphasizing stress relieving techniques and group demonstration (deep diaphragmatic breathing, self-control relaxation, walking mediation). Students were instructed to apply the methods 3–4 times a day for the rest of their one-month rotation | Anxiety, stress, and positive well-being (general well-being scale) | Anxiety was lower and positive well-being higher following the Brief Behavioral Intervention Program |
Cooper et al. (2015)
UK |
Descriptive pilot project | Yes | No | Participants recruited from the community (87% men) | 54 | Adapted Boot Room project: A one-time session that included motivational interviewing and brief intervention; attracting men through sport; removing stigma by having former players discuss their mental preparation and how they dealt with the ups and downs of winning and losing | Number of men who attended sessions, number of referrals to services, open-ended feedback about session | Number attending sessions (54 men, and 8 women) exceeded expectations, and in general the group displayed symptoms of depression. Seven followed up to access support services. Attendees’ open-ended responses indicated the session was well-received/acceptable to men |
Daubenmier et al. (2007)
United States |
Pre-post | No | No | Patients with coronary heart disease (66% men) | 576 | Multisite Cardiac Lifestyle Intervention Program (MCLIP): A health insurance-based lifestyle intervention program focused on stress management, exercise, diet, and social support. Patients attended the program twice a week for 3 months, and the program included educational lectures, supervised exercise, cooking demonstrations, healthy food and social support | Many outcomes (e.g., related to exercise & diet), but the psychosocial variables were depressive symptoms, hostility, and perceived stress | The psychosocial outcomes were improved at 6 month follow-up. The authors were able to explore the contribution of the program components and found that increased stress management was associated with decreased hostility and increased exercise led to decreases in stress |
Fildes et al. (2010)
Australia |
Qualitative (pre-, mid- and end-point interviews) | Yes | No | Unemployed men age 41–62 (100% men) | 15 | The Building Healthy Men Project (BHMP): Participation in a men’s shed with group-focused projects for 2 years | Sense of purpose, self-worth and self confidence | Men reported an increase in health and wellness (sense of purpose, self-worth and confidence) as a result of participating in the men’s shed |
Geisner et al. (2006)
Unites States |
RCT | No | No | College students at risk for depression (30% men) | 53 | Brief mailed intervention for depressed mood: Brief mailed feedback about student’s depressive symptoms along with suggestions for coping | Depression, hopelessness, willingness to use coping strategies | The intervention reduced depressive symptoms and hopelessness and increased willingness to use coping strategies among men |
Hirokawa et al. (2012)
Japan |
RCT | No | Yes | Hospital staff (30% men) | 27 | Stress management program: One, 3-hr group session focused on: Stress management, relaxation training, and assertive training | Active coping, assertive behavior, and stress reduction | Men in the intervention group showed increased assertiveness and active coping compared to those in the control group |
Jarman et al. (2015)
Australia |
Repeated cross-sectional surveys | No | Yes | A diverse pool of public sector employees from 14 government departments (e.g., health, education, fire services) (28% men) | 161 | Healthy@Work: Comprehensive workplace health promotion program, which included mental health and well-being | Job stress (effort-reward imbalance) | Reported participation in workplace health promotion initiatives doubled between 2010 and 2013. Higher participation in workplace health promotion initiative was associated with lower effort among men |
Kim et al. (2016)
Korea |
RCT | No | No | Distressed college students (100% men) | 84 | Integrated Stress Management Program (ISMP): Eight, 2-hr sessions over a 4-week period focused on stress management strategies | Life stress for college students, psychological distress, ways of coping checklist, and plasma cortisol | College life stress and distress both decreased significantly. Stress coping and plasma cortisol were unchanged |
Kobayashi et al. (2008)
Japan |
RCT | No | Yes | Large manufacturing enterprise with 45 worksites (including engineering, clerical, and research departments) (91% men) | 956 | Mental Health Action Checklist for a Better Workplace Environment (MHACL): A checklist with 30 action items meant to improve work environments for better employee mental health was implemented as a group-based employee participation initiative | Job stress, psychological distress, sick days | No significant effect of the program among men (but it was effective for women) |
Limm et al. (2011)
Germany |
RCT | No | Yes | Management employees (100% men) | 174 | Stress Management Intervention (SMI): A 2-day stress management workshop, followed by 2 sessions within the next 8 months. Included cognitive-behavioral techniques | Stress reactivity, effort-reward imbalance, anxiety and depression (self-reported), and biological stress indicators (cortisol & x-amylase) | Self-reported stress was decreased more in the intervention group compared to the control group; no difference in cortisol, but x-amylase decreased more in intervention group. Depression, anxiety, and effort-reward imbalance were in the right direction, but not statistically significant |
Matt et al. (2006)
Unites States |
Pre-post (with additional follow-up) | No | No | Hard-to-employ persons (54% men) | 614 | Support and Training Result in Valuable Employees (STRIVE): A 3-week program (Mon-Fri for 8 hrs per day) with in-class training to boost job-ready skills along with support services (e.g., counseling). The program aims to improve self-efficacy, self-esteem, and a sense of control | Self-efficacy, self-esteem, locus of control, depression, anxiety, and employment status | Self-efficacy, self-esteem, locus of control, and depression scores were all improved post-program. No significant change in anxiety |
Mattila et al. (2006)
Finland |
Pre-post questionnaires and comparison to 2 control groups, as well as follow-up qualitative interviews | No | Yes | A male-dominated municipal public works department (80% men) | 423 | Work conference method: A 2-day work conference focused on improving psychosocial work environment and well-being of employees, followed by a half day follow-up session 6 months later | Psychosocial work environment (e.g., Job control, work climate, perceptions of supervisor support) and well-being (emotional exhaustion and stress) | The intervention had a positive effect on some psychosocial work variables controlling for gender, but no effect on well-being of participants. Participants expressed that the conference led to more openness, although the mandatory nature of participation was not well received |
McArdle et al. (2012)
Ireland |
Qualitative-follow-up interviews and focus group | Yes | No | Men recruited from the community (100% men) | 23 | Back of the Net (BTN): A 10-week community mental health promotion program with guided self-help based on CBT and exercise (football/soccer). CBT techniques were reinforced during group discussions during breaks out on the field, with a different theme each week (e.g., relation, teamwork, goal setting, etc.) | Participant feedback about the program benefits (qualitative) | Participants reported that the program was enjoyable, and that it wouldn’t have worked to bring men together to discuss the weekly themes without the sport element to bring them together (though it didn’t have to be football). Participants also reported greater self-efficacy and social support |
McGale et al. (2011)
Ireland |
RCT | Yes | No | Men recruited from the community (100% men) | 104 | Back of the Net (BTN): A 10-week (twice a week for 55 min) community mental health promotion program with guided self-help based on CBT and group exercise (football/soccer). A second group did individual, but supervised, aerobic and resistance training in a gym twice a week for 55 min for the 10 weeks, and a 3rd group (the control group) was instructed not to exercise for the 10 weeks. CBT techniques were included in the BTN group only, and consisted of a different theme each week (e.g., relation, teamwork, goal setting, etc.) | Depression, perceptions of social support, alcohol consumption, and heart rate | Both the BTN and “exercise alone” groups had decreased depression scores post intervention and at an 8-week follow-up, whereas the control group did not. Only the exercise (not the BTN) group had increased perceptions of social support |
Nickel et al. (2007)
Germany |
RCT | No | No | Men with chronic occupational stress recruited through community advertisement (100% men) | 72 | Behavioral/Psycho-educational training (BTG): The BTG group attended 90 min group sessions focused on stress and stress management twice a week for 8 weeks | Stress: systolic blood pressure, salivary cortisol, chronic stress, anger, and health-related quality of life | The treatment group had significantly lower blood pressure, salivary cortisol, chronic stress, and anger scores at followed up compared to the control group, as well as higher health-related quality of life |
Primack et al. (2010)
United States |
Pre-post and qualitative interviews (case study) | Yes | No | Men with depression recruited from the community (100% men) | 6 | The Men’s Stress Workshop: An 8-week (1.5 hrs per week) group treatment involving CBT, psycho-education, and discussions of men’s adherence to masculine norms, along with 2 individual sessions (an orientation and final feedback session) | Depression, social support, and self-stigma (i.e., conformity to masculine norms) | All 6 participants reported decreases in depression and increases in social support at follow-up compared to baseline. Self-stigma scores unexpectedly increased from pre-to-post workshop. Qualitative feedback suggested the men’s stress workshop was an acceptable and feasible treatment for men |
Robinson et al. (2015)
UK |
Pre-post and qualitative interviews | Yes | No | Unemployed men age 45–60 (100% men) | 53 | The Mind Resilience pilot programme: The resilience pilot program was implemented in 5 different locations. The program length varied from 8 weeks to 6 months, and the activities included things like football, gardening, drumming and photography (depending on the location) and CBT/Psycho-education. Some were male-only groups, and others were mixed sex groups, but this manuscript focuses solely on the data from the men | Well-being, problem solving (self-efficacy), social support | Well-being, problem solving, and social support scores all increased significantly pre-to-post intervention among men, as did an overall combined score dubbed “perceived resilience.” Qualitative feedback from interviews with a subset of men (n=21) revealed aspects of the program and activities they liked |
Rocha et al. (2012)
Brazil |
Pre-post | No | Yes | Brazilian military men (100% men) | 36 | Yoga Practice: The yoga practice group participated in two 60-min yoga classes per week in addition to two physical activity classes over a 6-month period. The control group attended four, 60-min physical activity classes during the same period | Depression, anxiety, and stress symptoms, short-and long-term memory (word recognition), and salivary cortisol | The yoga group had significantly decreased depression, anxiety, stress scores from baseline to follow-up and compared to the control group. In addition, the yoga group demonstrated higher performance on the memory recognition task and lower cortisol levels at follow-up compared to controls |
Umanodan et al. (2009)
Japan |
Controlled trial, but workplaces were not randomly assigned to condition | No | Yes | Full-time employees from seven steel plants (88% men) | 133 | Stress Management Training (SMT): Six, 30-min multicomponent sessions focused on relaxation and stress management were delivered to employees during work time over a 6-month period (one session per month) | Stress knowledge, self-efficacy, psychological distress, physical complaints, and job performance | Employees in the stress management program had greater improvements in stress knowledge and self-efficacy compared to controls. When analyses included only employees that completed all 6 SMT sessions, improvements were also seen in distress and job performance |
Weltman et al. (2014)
United States |
Pre-post and qualitative interviews (case study) | No | Yes | Police department personnel (officers and dispatchers) (71% men) | 10 | The Stress Resilience Training System (SRTS): The SRTS intervention included an initial 2-hr training session, 6 weeks of individual access to the SRTS app (including information on stress, heart rate variability biofeedback, and self-regulation techniques embedded in a game-based format), and four, 1-hr telephone coaching sessions over a 4-week period | Stress (organizational, emotional, and physical stress scales) was the primary outcome, but emotional vitality was also measured | Emotional vitality was significantly increased pre-to-post intervention, and physical stress significantly decreased. Open-ended feedback revealed that the participants were transferring the skills learned in the app to real-life (and the mentor feedback revealed that the telephone coaching assisted with this) |
Note. RCT = randomized-controlled trial.