Inquiry-based stress reduction: A systematic review of the empirical literature

J Clin Psychol. 2021 Jun;77(6):1280-1295. doi: 10.1002/jclp.23120. Epub 2021 Feb 4.

Abstract

Objective: This paper reviewed the empirical research on inquiry-based stress reduction (IBSR; also called "The Work"), which has similarities to third-wave cognitive behavioral approaches such as Acceptance and Commitment Therapy (ACT). Widely used as a self-help intervention, IBSR has only recently been subjected to empirical research.

Method: We reviewed empirical studies (published and unpublished) that examined IBSR.

Results: We found 17 empirical studies (15 independent samples) that examined IBSR. Several studies reported positive changes on variables such as stress, anxiety, and well-being. However, only three studies evaluated IBSR using randomized clinical trials (RCTs). Concerns related to treatment feasibility and cost-effectiveness of IBSR are noted.

Conclusions: There are some promising initial findings on IBSR. However, additional research employing high-quality research designs is necessary to explore the efficacy and effectiveness of IBSR in various contexts.

Keywords: acceptance and commitment therapy; cognitive therapy; inquiry; self-administered treatment; stress.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Acceptance and Commitment Therapy*
  • Anxiety
  • Anxiety Disorders
  • Cognitive Behavioral Therapy*
  • Humans