Table 1. Extracted data and quality appraisal.
Study | Country | Number of Participants | Type of addictive behavior | Medical treatment of the addictive behavior | Type of stress-management intervention | Combined interventions | Interventional program details | Suggested frequency of technique’s practice | Measures of stress | Time point of the assessments | Main findings | Jadad Scale Scoring |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Giacobbi et al. 2018 | United States | 48 | Food craving | None | GI | Health education- workbook | Information about diet, exercise and stress management and GI scripts administrated at an initial assessment. The participants recorded their process in the workbook given during the study period | Every day | PSS | Baseline and after 6 weeks | No statistically significant effect on stress | 2 points |
Linardatou et al., 2014 | Greece | 45 | Gambling | The sample participate at an anonymous group therapy intervention | PMR | Psychoeducation concerning healthy lifestyle and stress management | At the first week, all participants were taught PMR and provided an instructional audio CD. In addition, they received verbal and written psychoeducation concerning healthy lifestyle and stress-coping behaviors | Twice a day | DASS-21 stress subscale | Baseline and after 8 weeks | Statistically significant differences were recorded at the endpoint assessment (p<0.00), which were in favor of the intervention group. A strong effect size was also recorded (r=0.77). | 1 point |
Pawlow et al., 2003 | United States | 20 | NES | None | PMR | None | 20 minutes of PMR, instructed face-to-face and practiced afterwards through an audio CD | Once per day | PSS and salivary cortisol | Pre-and post intervention at day 1, pre and post-intervention and day 8 | Lower PSS scores for the intervention group compared to the control at the first post-session assessment (p<0.05) and at the second pre-session assessment (p<0.01). Significant decreases in PSS over time in the intervention group (p<0.01). A statistically significant effect was also recorded between the pre and post assessment of salivary cortisol in the intervention group (p<0.05). | 2 points |
Schmidt& Martin, 2016 | Germany | 75 | Binge eating | None | Mental Imagery | None | 10 sessions of approximately 35 minutes each | NA | PSQ | Pre-intervention, post-intervention and after 3 months | No significant effects were noted for stress (p=0.052) | 2 points |
Abbreviations: DASS-21, Depression Anxiety and Stress Scale 21; GI, Guided Imagery; NES, Night Eating Syndrome; PMR, Progressive Muscle Relaxation; PSQ, Perceived Stress Questionnaire; PSS, Perceived Stress Scale