Stress management interventions represent a cornerstone of occupational psychology practice, addressing the pervasive workplace stressors that affect employee health, performance, and organizational outcomes. This comprehensive examination explores evidence-based stress management approaches within industrial-organizational psychology, encompassing individual-focused, organizational-level, and comprehensive multi-modal interventions. Contemporary research demonstrates that effective stress management requires systematic approaches targeting both the sources of workplace stress and individual coping capacities. Key findings indicate that successful stress management interventions integrate cognitive-behavioral techniques, relaxation training, organizational modifications, and environmental redesign to create sustainable stress reduction outcomes. Primary prevention strategies emphasizing job design, social support enhancement, and skill development show superior long-term effectiveness compared to reactive treatment approaches. Secondary interventions focusing on early identification and targeted skill building demonstrate significant benefits for at-risk populations, while tertiary interventions provide essential support for individuals experiencing severe stress-related impairments. The implications for occupational psychology practice emphasize the necessity of comprehensive assessment, theoretically grounded intervention selection, and systematic evaluation to develop effective stress management programs that promote both individual resilience and organizational health.
Outline
- Introduction
- Theoretical Foundations of Stress Management
- Individual-Focused Stress Management Interventions
- Organizational-Level Stress Management Interventions
- Comprehensive Multi-Modal Intervention Programs
- Implementation Strategies and Program Evaluation
- Future Directions and Emerging Approaches
- Conclusion
- References
Introduction
Workplace stress has reached epidemic proportions in contemporary organizational environments, with approximately 75% of employees reporting job-related stress as a significant concern affecting their daily lives and work performance. The American Psychological Association’s annual stress surveys consistently identify work as the primary source of stress for adult Americans, surpassing financial concerns, health issues, and family responsibilities. This pervasive stress epidemic carries substantial costs for individuals, organizations, and society, with workplace stress-related disorders accounting for billions of dollars in healthcare expenses, lost productivity, and disability claims annually.
The complexity of workplace stress stems from its multifaceted nature, involving dynamic interactions between individual characteristics, job demands, organizational factors, and external life circumstances. Unlike acute stressors that trigger adaptive responses and resolve quickly, chronic workplace stress creates sustained physiological activation that can lead to serious health consequences including cardiovascular disease, immune system suppression, mental health disorders, and accelerated aging processes. The persistent nature of occupational stressors requires sophisticated intervention approaches that address both immediate symptom relief and long-term resilience building.
Industrial-organizational psychology has developed comprehensive frameworks for understanding and managing workplace stress through systematic intervention approaches. These stress management interventions draw from multiple theoretical traditions including transactional stress theory, conservation of resources model, and job demands-control theory to inform evidence-based practice. The evolution from simple stress reduction techniques to comprehensive wellness programs reflects growing recognition that effective stress management requires addressing organizational systems alongside individual coping skills.
Contemporary stress management interventions emphasize prevention-focused approaches that modify work environments and build employee resources before stress-related problems develop. This proactive orientation represents a significant departure from traditional reactive approaches that focused primarily on treating stress-related symptoms after they emerged. The integration of positive psychology principles has further expanded stress management beyond problem-focused interventions to include strengths-based approaches that enhance thriving and resilience in challenging work environments.
Theoretical Foundations of Stress Management
Transactional Model of Stress and Coping
The transactional model developed by Lazarus and Folkman provides the foundational framework for understanding stress processes and informing intervention development. This model conceptualizes stress as resulting from transactions between individuals and their environments, mediated by cognitive appraisal processes that determine whether situations are perceived as threatening, challenging, or benign. Primary appraisal involves evaluating whether a situation poses potential harm, threat, or challenge, while secondary appraisal assesses available coping resources and options for managing the stressor.
The transactional model emphasizes the subjective nature of stress experiences, recognizing that identical situations may be perceived very differently by different individuals based on their appraisal patterns, past experiences, and available resources. This individual variation has important implications for stress management interventions, suggesting that effective programs must account for individual differences in stress perception and coping preferences rather than applying one-size-fits-all approaches.
Coping strategies within the transactional model are categorized as problem-focused (aimed at changing the stressful situation) or emotion-focused (aimed at managing emotional responses to stress). Research demonstrates that the effectiveness of different coping strategies depends on situational characteristics, with problem-focused coping being more effective for controllable stressors and emotion-focused coping being more appropriate for uncontrollable situations. Effective stress management interventions teach individuals to match coping strategies appropriately to situational demands.
Job Demands-Control-Support Model
The Job Demands-Control-Support (JDCS) model provides a widely used framework for understanding occupational stress and designing workplace interventions (Karasek & Theorell, 1990). This model identifies three primary work characteristics that influence employee stress and well-being: job demands (workload, time pressure, role conflict), job control (decision latitude, skill utilization), and social support (supervisor and coworker support). The model predicts that high demands combined with low control create high-strain conditions that increase stress-related health risks.
The demand-control interaction suggests that job control serves as a buffer against the negative effects of high demands, allowing individuals to manage their work environment more effectively. Jobs characterized by high demands and high control are termed “active jobs” and are associated with learning, growth, and positive challenge rather than distress. This finding has important implications for stress management interventions, suggesting that increasing employee autonomy and decision-making authority can significantly reduce stress levels even in demanding work environments.
Social support represents a crucial third dimension that can buffer the effects of high-strain conditions through both instrumental assistance and emotional support. Workplace social support operates through multiple pathways including information sharing, practical assistance, emotional comfort, and social integration. Interventions targeting social support enhancement have shown consistent effectiveness in reducing workplace stress and improving employee well-being across diverse occupational settings.
Conservation of Resources Theory
Conservation of Resources (COR) theory offers another important perspective on workplace stress, emphasizing the role of resource loss and gain in stress processes (Hobfoll et al., 2018). According to COR theory, individuals strive to obtain, retain, foster, and protect valued resources including objects, personal characteristics, conditions, and energies. Stress occurs when individuals face actual or threatened resource loss, fail to gain resources after resource investment, or lack adequate resources to meet environmental demands.
The theory identifies several key principles that inform stress management interventions. Resource loss is more psychologically salient than resource gain, meaning that interventions focused on preventing resource loss may be more effective than those emphasizing resource acquisition. Resources exist in caravan patterns, where individuals with more resources are better positioned to gain additional resources while those with fewer resources face increased vulnerability to resource loss spirals.
COR theory suggests that effective stress management interventions should focus on building resource reserves during non-stressful periods, preventing resource loss during challenging times, and facilitating resource recovery following stressful experiences. This perspective emphasizes the importance of comprehensive approaches that address multiple resource domains simultaneously rather than focusing on single intervention targets.
Individual-Focused Stress Management Interventions
Cognitive-Behavioral Stress Management
Cognitive-behavioral stress management (CBSM) represents one of the most thoroughly researched and effective approaches to individual-level stress intervention. CBSM programs typically combine cognitive restructuring techniques, behavioral skill training, and relaxation methods to provide comprehensive stress management skills. The cognitive component focuses on identifying and challenging dysfunctional thought patterns that contribute to stress responses, while behavioral elements emphasize skill development and environmental modification strategies.
Cognitive restructuring techniques teach individuals to recognize automatic negative thoughts, examine evidence for and against these thoughts, and develop more balanced and realistic thinking patterns. Common cognitive distortions addressed in stress management programs include catastrophizing, all-or-nothing thinking, personalization, and mental filtering. Research demonstrates that cognitive restructuring can significantly reduce perceived stress and improve coping effectiveness across diverse populations and stressor types.
Behavioral components of CBSM programs include time management training, assertiveness skills, problem-solving techniques, and lifestyle modification strategies. Time management interventions help individuals prioritize tasks, set realistic goals, manage interruptions, and create better work-life boundaries. Assertiveness training enables more effective communication of needs and boundaries, reducing interpersonal stress sources. Problem-solving training provides systematic approaches to addressing controllable stressors through structured problem identification, solution generation, and implementation strategies.
Mindfulness-Based Stress Reduction
Mindfulness-Based Stress Reduction (MBSR) has gained substantial empirical support as an effective stress management intervention across diverse populations and settings. MBSR programs typically involve eight-week group training sessions that teach meditation practices, body awareness techniques, and mindful movement exercises. The core principle involves developing present-moment awareness and accepting attitudes toward internal experiences including thoughts, emotions, and bodily sensations.
Research on workplace MBSR programs demonstrates significant benefits including reduced perceived stress, improved emotional regulation, decreased anxiety and depression symptoms, and enhanced job satisfaction. Neuroimaging studies reveal that mindfulness training produces measurable changes in brain regions associated with attention, emotion regulation, and stress responsivity. These findings provide biological evidence for the mechanisms underlying mindfulness-based stress reduction benefits.
Mindfulness interventions appear particularly effective for individuals who struggle with rumination, worry, and emotional reactivity to workplace stressors. The skills learned in mindfulness training transfer readily to workplace settings, where brief mindfulness practices can be used to manage acute stress responses and maintain equanimity during challenging situations. Technology-enhanced mindfulness programs using smartphone applications and online platforms have expanded access to these interventions while maintaining effectiveness.
Relaxation and Physiological Regulation Techniques
Progressive muscle relaxation (PMR) training provides systematic approaches to reducing physical tension and promoting physiological recovery from stress responses. PMR involves alternating tension and relaxation of specific muscle groups while focusing attention on the contrast between tense and relaxed states. Regular PMR practice can reduce muscle tension, lower blood pressure, improve sleep quality, and enhance overall stress resilience.
Diaphragmatic breathing training teaches slow, deep breathing techniques that activate the parasympathetic nervous system and counteract stress-related physiological arousal. Controlled breathing exercises can be implemented quickly in workplace settings to manage acute stress responses and prevent escalation of stress-related symptoms. Research demonstrates that regular breathing practice can improve heart rate variability, reduce cortisol levels, and enhance cognitive performance under stress.
Biofeedback training provides real-time information about physiological processes including heart rate, muscle tension, skin temperature, and brain wave activity to help individuals learn voluntary control over stress responses. Heart rate variability biofeedback has shown particular promise for stress management by training coherent breathing patterns that optimize autonomic nervous system functioning. These techniques are especially useful for individuals who have difficulty with traditional relaxation approaches or who prefer more technologically sophisticated interventions.
Organizational-Level Stress Management Interventions
Workload and Job Design Modifications
Systematic workload analysis and modification represent fundamental organizational approaches to stress management, addressing one of the most commonly reported sources of workplace stress. Workload interventions may include staffing adjustments, task redistribution, deadline modifications, priority clarification, and efficiency improvements through process redesign or technology implementation. Effective workload management requires ongoing monitoring and adjustment rather than one-time interventions.
Job redesign initiatives based on job characteristics theory focus on enhancing core job dimensions including skill variety, task identity, task significance, autonomy, and feedback. Jobs scoring higher on these characteristics show greater intrinsic motivation and lower stress levels among employees. Job enrichment strategies that increase responsibility, decision-making authority, and growth opportunities can significantly reduce role-related stress while improving job satisfaction and performance.
Flexible work arrangements including telecommuting, flexible scheduling, compressed workweeks, and job sharing provide employees with greater control over their work environment and schedule demands. Research demonstrates that appropriately implemented flexibility programs can reduce stress, improve work-life balance, and decrease turnover while maintaining or improving productivity. However, successful flexibility programs require clear guidelines, performance metrics, and management support to prevent potential negative consequences.
Social Support and Team Development
Workplace social support interventions recognize the powerful stress-buffering effects of positive relationships and collaborative work environments. These interventions may include team building activities, mentorship programs, peer support groups, and communication skills training for supervisors. Social support operates through multiple mechanisms including information sharing, instrumental assistance, emotional comfort, and social integration.
Supervisor training programs that emphasize supportive leadership behaviors can significantly impact employee stress levels and well-being. Supervisors trained in recognition of stress symptoms, active listening skills, and resource provision show more positive relationships with subordinates and lower team stress levels. Regular one-on-one meetings, clear communication of expectations, and recognition of employee contributions represent key supportive behaviors that can be developed through training.
Team cohesion interventions focus on building trust, communication, and collaboration among work group members. Strong team relationships provide natural support systems that help individuals cope with work-related stressors while improving overall team performance. Team development activities may include conflict resolution training, collaborative problem-solving exercises, and shared goal-setting processes.
Organizational Climate and Culture Change
Organizational climate interventions address broader environmental factors that contribute to workplace stress including communication patterns, decision-making processes, recognition systems, and organizational values. Climate change initiatives typically involve leadership development, policy modifications, and systematic culture change efforts that require sustained organizational commitment and resources.
Psychological safety initiatives create work environments where employees feel comfortable expressing concerns, making mistakes, and seeking help without fear of negative consequences. Research demonstrates that psychologically safe environments show lower stress levels, higher innovation, and better performance outcomes. These initiatives involve leadership modeling, policy changes, and systematic efforts to reduce fear and blame in organizational cultures.
Work-life integration programs recognize that stress often results from conflicts between work and personal life demands. These programs may include family-friendly policies, childcare assistance, elder care support, financial counseling, and wellness initiatives. Comprehensive work-life programs demonstrate commitment to employee well-being while providing practical resources for managing multiple life domains.
Environmental and Physical Workplace Modifications
Physical environment interventions address workplace stressors including noise, lighting, temperature, air quality, workspace design, and ergonomic factors. Poor physical working conditions contribute significantly to employee stress and can be modified through systematic environmental assessment and improvement efforts. These interventions often provide immediate stress relief while demonstrating organizational commitment to employee well-being.
Ergonomic assessments and workplace modifications can reduce physical stress and discomfort that contribute to overall stress levels. Proper workstation setup, adjustable furniture, appropriate lighting, and reduction of repetitive strain factors improve comfort and reduce stress-related physical symptoms. Ergonomic interventions show particular benefits for employees in computer-intensive or physically demanding occupations.
Noise reduction strategies including acoustic treatments, quiet zones, and policies regarding noise-generating activities can significantly improve workplace comfort and concentration. Chronic noise exposure contributes to stress through physiological arousal, distraction, and communication interference. Noise management interventions are especially important in open office environments where sound travels readily between workstations.
Comprehensive Multi-Modal Intervention Programs
Workplace Wellness Programs
Comprehensive workplace wellness programs integrate multiple stress management components including health promotion, fitness activities, nutrition education, stress management training, and mental health resources. These programs recognize the interconnected nature of physical and psychological well-being while providing diverse options to meet individual preferences and needs. Research demonstrates that well-designed wellness programs can reduce healthcare costs, improve employee morale, and decrease stress-related absenteeism.
Employee Assistance Programs (EAPs) provide confidential counseling and support services for employees experiencing personal or work-related difficulties that contribute to stress. Modern EAPs offer diverse services including individual counseling, crisis intervention, work-life balance resources, financial counseling, and legal consultation. The accessibility and quality of EAP services significantly influence their effectiveness in supporting employee well-being and stress management.
Health risk assessments and personalized wellness coaching provide individualized approaches to stress management within comprehensive wellness frameworks. These programs use screening tools to identify stress risk factors and provide targeted interventions based on individual profiles. Personalized approaches show greater engagement and effectiveness compared to one-size-fits-all wellness programs.
Integrated Organizational Health Initiatives
Total Worker Health® approaches integrate occupational safety and health protection with health promotion to address the complex interactions between work environment factors and individual health behaviors. These comprehensive initiatives recognize that workplace stressors and health risks often interact synergistically, requiring integrated intervention approaches that address multiple risk factors simultaneously.
Psychologically healthy workplace initiatives focus on creating work environments that support employee psychological well-being through systematic attention to work design, leadership practices, organizational policies, and workplace relationships. These initiatives typically involve comprehensive organizational assessment, multi-year improvement planning, and ongoing monitoring of psychological health indicators.
Organizational resilience programs help entire organizations develop capacities for managing stress, adapting to change, and recovering from adversity. These programs may include crisis management planning, change management training, communication system improvements, and leadership development focused on resilience building. Organizational resilience approaches recognize that individual stress management must occur within supportive organizational contexts.
Implementation Strategies and Program Evaluation
Needs Assessment and Program Planning
Comprehensive stress management program development begins with systematic needs assessment to identify specific stressors, at-risk populations, and organizational readiness for intervention. Needs assessment methods may include employee surveys, focus groups, interviews, organizational data analysis, and environmental audits. This information guides intervention selection and program design decisions while establishing baseline measures for evaluation purposes.
Stakeholder engagement processes involve securing support and participation from key organizational members including senior leadership, middle management, union representatives, and employee groups. Successful stress management programs require organizational commitment and resources that must be secured through effective engagement and communication processes. Clear communication about program benefits, expectations, and resource requirements helps ensure sustained support.
Implementation planning addresses practical considerations including timeline development, resource allocation, staff training, communication strategies, and evaluation procedures. Phased implementation approaches may be useful for large-scale programs while pilot testing allows for program refinement before full-scale implementation. Detailed planning helps ensure program fidelity and addresses potential implementation barriers.
Process and Outcome Evaluation Methods
Process evaluation assesses program implementation quality, participation rates, and participant satisfaction to ensure interventions are being delivered as intended. Process measures help identify implementation problems and guide program modifications while they occur. Regular monitoring of process indicators enables continuous quality improvement throughout program implementation.
Outcome evaluation measures program effectiveness in achieving intended stress reduction and well-being improvement goals. Evaluation designs may include pre-post comparisons, control group studies, and longitudinal tracking to assess both immediate and sustained program benefits. Multiple measurement approaches including self-reports, physiological indicators, and behavioral outcomes provide comprehensive evaluation data.
Return on investment (ROI) analyses examine program benefits relative to implementation costs to inform organizational decision-making about program continuation and expansion. ROI calculations should include direct program costs, productivity impacts, healthcare cost changes, absenteeism reductions, and turnover cost savings. Comprehensive cost-benefit data help organizations justify continued investment in stress management programs.
Sustainability and Program Maintenance
Sustainability planning addresses how stress management programs will be maintained over time without ongoing external support or resources. Sustainable programs typically involve integration into existing organizational systems, internal staff development, policy institutionalization, and cultural transformation. Early attention to sustainability factors improves long-term program success and impact.
Continuous improvement processes involve ongoing data collection, analysis, and program modification based on evaluation results and changing organizational needs. These processes help programs adapt to evolving conditions while maintaining effectiveness. Regular program review and modification ensures that interventions remain relevant and effective over time.
Training and capacity building initiatives help organizations develop internal expertise for ongoing stress management program implementation and evaluation. These initiatives may include train-the-trainer programs, internal consultant development, and systematic knowledge transfer processes. Building internal capacity reduces dependence on external resources while ensuring program sustainability.
Future Directions and Emerging Approaches
Technology-Enhanced Stress Management
Digital health platforms and mobile applications offer scalable approaches to stress management through smartphone-based interventions, web-based programs, and virtual reality applications. These platforms can provide personalized stress management tools, real-time monitoring, and on-demand support resources. Research on digital stress management interventions shows promising results but requires continued evaluation of effectiveness and user engagement.
Wearable device integration enables continuous monitoring of physiological stress indicators including heart rate variability, sleep patterns, activity levels, and stress-related biomarkers. This objective data can supplement subjective stress assessments and provide early warning indicators of stress escalation. Integration of wearable data with organizational wellness programs may enable more targeted and timely interventions.
Artificial intelligence applications enable personalized stress management recommendations based on individual patterns, preferences, and effectiveness data. Machine learning algorithms can identify optimal intervention timing, content, and delivery methods for different individuals and situations. AI-powered stress management systems offer potential for highly personalized and adaptive interventions but require careful attention to privacy and ethical considerations.
Precision Medicine Approaches
Genetic testing and biomarker assessment may enable personalized stress management interventions based on individual biological profiles and stress vulnerabilities. Research on stress-related genetic variations and biomarkers may inform tailored intervention approaches that account for individual differences in stress reactivity and recovery capacity. However, these approaches raise important ethical and privacy considerations that must be carefully addressed.
Pharmacogenomic approaches to stress management may enable personalized medication selection and dosing based on individual genetic profiles. This precision medicine approach could improve the effectiveness of stress-related medications while reducing adverse effects. However, workplace applications of pharmacogenomic approaches raise complex ethical and legal issues regarding genetic privacy and discrimination.
Microbiome research suggests that gut bacteria may influence stress responses and mental health through the gut-brain axis. Future stress management interventions may include microbiome-targeted approaches such as probiotics, dietary modifications, or microbiome transplantation. While this area of research is promising, much more investigation is needed before practical applications can be developed.
Conclusion
Stress management interventions represent a critical component of contemporary occupational psychology practice, addressing the pervasive workplace stressors that affect millions of workers worldwide. The evidence clearly demonstrates that effective stress management requires comprehensive, multi-level approaches that address both individual coping capacities and organizational stress sources. Programs that integrate individual skill development with organizational modifications typically achieve the most significant and sustainable outcomes for both employee well-being and organizational performance.
The theoretical foundations of stress management continue to evolve, with contemporary models emphasizing transactional processes, resource dynamics, and environmental factors that influence stress experiences. These frameworks inform evidence-based intervention development while recognizing the complex, dynamic nature of workplace stress. The integration of multiple theoretical perspectives provides more comprehensive understanding and more effective intervention strategies than single-theory approaches.
Individual-focused interventions including cognitive-behavioral techniques, mindfulness training, and relaxation methods provide essential skills for managing stress responses and building resilience. However, these individual approaches achieve optimal effectiveness when implemented within supportive organizational contexts that address systemic stress sources. The combination of personal skill development with environmental modification creates synergistic effects that exceed the benefits of either approach alone.
Organizational-level interventions targeting job design, social support, leadership practices, and workplace culture provide powerful leverage points for stress reduction that benefit entire workforces. These systemic approaches address root causes of workplace stress while creating healthier work environments that support employee well-being and performance. The most successful organizations invest in both immediate stress relief and long-term organizational health improvement initiatives.
The future of stress management interventions lies in the continued integration of technological innovations with established psychological principles, creating personalized and scalable approaches that can address the growing complexity of workplace stress. Digital platforms, wearable devices, and artificial intelligence applications offer unprecedented opportunities for real-time stress monitoring and personalized intervention delivery. However, these technological advances must be implemented within comprehensive frameworks that maintain focus on human relationships, organizational culture, and individual dignity. As our understanding of stress processes deepens and technological capabilities expand, the potential for creating truly effective and sustainable stress management solutions continues to grow, offering hope for healthier workplaces and more resilient workers.
References
- Bellarosa, C., & Chen, P. Y. (1997). The effectiveness and practicality of occupational stress management interventions: A survey of subject matter expert opinions. Journal of Occupational Health Psychology, 2(3), 247-262. https://psycnet.apa.org/doi/10.1037/1076-8998.2.3.247
- Goetzel, R. Z., Henke, R. M., Tabrizi, M., Pelletier, K. R., Loeppke, R., Ballard, D. W., … & White, J. (2014). Do workplace health promotion (wellness) programs work? Journal of Occupational and Environmental Medicine, 56(9), 927-934. https://journals.lww.com/joem/fulltext/2014/09000/do_workplace_health_promotion__wellness__programs.3.aspx
- Hobfoll, S. E., Halbesleben, J., Neveu, J. P., & Westman, M. (2018). Conservation of resources in the organizational context: The reality of resources and their consequences. Annual Review of Organizational Psychology and Organizational Behavior, 5, 103-128. https://www.annualreviews.org/doi/abs/10.1146/annurev-orgpsych-032117-104640
- Karasek, R., & Theorell, T. (1990). Healthy work: Stress, productivity, and the reconstruction of working life. Basic Books. https://www.basicbooks.com/titles/robert-karasek/healthy-work/9780465029143/
- Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: A meta-analysis. Journal of Health Psychology, 20(6), 725-735. https://journals.sagepub.com/doi/abs/10.1177/1359105315573188
- LaMontagne, A. D., Keegel, T., Louie, A. M., Ostry, A., & Landsbergis, P. A. (2007). A systematic review of the job-stress intervention evaluation literature, 1990–2005. International Journal of Occupational and Environmental Health, 13(3), 268-280. https://www.tandfonline.com/doi/abs/10.1179/oeh.2007.13.3.268
- Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company. https://www.springer.com/gp/book/9780826141910
- Richardson, K. M., & Rothstein, H. R. (2008). Effects of occupational stress management intervention programs: A meta-analysis. Journal of Occupational Health Psychology, 13(1), 69-93. https://psycnet.apa.org/doi/10.1037/1076-8998.13.1.69
- van der Klink, J. J., Blonk, R. W., Schene, A. H., & van Dijk, F. J. (2001). The benefits of interventions for work-related stress. American Journal of Public Health, 91(2), 270-276. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446543/
- Virgili, M. (2015). Mindfulness-based interventions reduce psychological distress in working adults: A meta-analysis of intervention studies. Mindfulness, 6(2), 326-337. https://link.springer.com/article/10.1007/s12671-013-0264-0