Abstract

This study examines the mental health status of office employees in Hanoi through the cognitive, emotional, and behavioral components of Cognitive Behavioral Therapy (CBT). Based on a survey of 248 office workers in Hanoi, findings indicate a high level of stress awareness, particularly related to work overload and work–life imbalance. Emotional responses such as anxiety, tension, and emotional exhaustion were reported with notable frequency, whereas avoidant behaviors, procrastination, and emotional suppression emerged as common strategies for coping with stress. In contrast, skills related to active cognitive, emotional, and behavioral regulation were rated neutrally, suggesting an absence of clearly developed positive coping strategies. These results demonstrate that the mental health of office employees is being affected by cycles of negative cognition, stress-related emotional states, and maladaptive behaviors. The study highlights the need to strengthen CBT-based techniques to enhance coping capacity and psychological resilience in the context of high-pressure work environments in Hanoi.

Keywords

  • CBT
  • mental health
  • office employees
  • Hanoi

References

  1. Ashley M. Doukas et al, 2025). “Effectiveness of CBT-Informed Behavioral Health Interventions for Health Care Workers in a Specialized Clinical Service During the COVID-19 Pandemic”, American Journal of Public Health 114, no. S2 (February 1, 2024): pp. 167-170.https://doi.org/10.2105/AJPH.2023.307435
  2. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. International Universities Press.
  3. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
  4. Doukas, A. M., Sharma, V., DePierro, J. M., Ho, S., Starkweather, S., & Marin, D. B. (2024). Effectiveness of CBT-informed behavioral health interventions for health care workers in a specialized clinical service during the COVID-19 pandemic. American Journal of Public Health, 114(S2), S167–S170.
  5. Duc, L. H., Tran, H. T., & Nguyen, P. T. (2024). Stress, anxiety and depression among healthcare workers in Vietnam assessed by DASS-21. Frontiers in Psychology, 15, 1352201.
  6. Grala, M., Walczak, K., & Kocur, D. (2023). Validation of the Perceived Stress at Work Questionnaire. International Journal of Occupational Medicine and Environmental Health, 36(2), 123–136.
  7. Kabasakal Esma et al, (2021). Mental health status of health sector and community services employees during the COVID-19 pandemic. International Archives of Occupational and Environmental Health. DOI:10.1007/s00420-021-01678-y
  8. HRDIVE, (2025). Mental health care stigma is a barrier to employee wellness: This is how you can dismantle it. https://www.hrdive.com/spons/mental-health-care-stigma-is-a-barrier-to-employee-wellness-this-is-how-yo/803575/
  9. Huaying Xu., et al, (2024). The Effectiveness of Cognitive‑Behavioral Therapy in Helping People on Sick Leave to Return to Work: A Systematic Review and Meta‑analysis. Journal of Occupational Rehabilitation (2024) 34:4–36 https://doi.org/10.1007/s10926-023-10116-4
  10. Huang, J., Li, X., & Chen, Y. (2023). Working hours and perceived stress among office employees: A cross-sectional study using the PSS-14. BMC Public Health, 23, 1145.
  11. Nadeem, M., Arif, S., & Malik, A. (2023). Psychometric properties of DASS-21 among working professionals. Psychology, Health & Medicine, 28(5), 1234–1245.
  12. Pathric Hägglund et al, 2020) The Impact of CBT on Sick Leave and Health. Eval Rev. 2020 Dec 21;44(2-3):185–217. doi: 10.1177/0193841X20976516
  13. Quoc Toan, (2022). Dân văn phòng dễ bất ổn tâm lý [Office workers are prone to psychological instability]. https://znews.vn/dan-van-phong-de-bat-on-tam-ly-post1383800.html
  14. Silje Endresen Reme., et al, (2015). Work-focused cognitive–behavioural therapy and individual job support to increase work participation in common mental disorders: a randomised controlled multicentre trial. Occup Environ Med 2015;72:745–752. doi:10.1136/oemed-2014-102700
  15. Silje Endresen Reme et al, 2014) Work-focused cognitive–behavioural therapy and individual job support to increase work participation in common mental disorders: a randomised controlled multicentre trial. Occup Environ Med 2015;72:745–752. doi:10.1136/oemed-2014-102700
  16. OECD. (2024). OECD Employment Outlook 2024: The Net-Zero Transition and the Labour Market. OECD Publishing, Paris. https://doi.org/10.1787/ac8b3538-en OECD
  17. Takagaki, K., et al. (2024). Effectiveness of behavioral activation for moderate depression: A randomized controlled trial among university students. Journal of Affective Disorders, 339, 1–9.
  18. Wang, X., Liu, Q., & Zhang, W. (2021). Cognitive emotion regulation and psychological distress: A meta-analysis. Personality and Individual Differences, 175, 110734.
  19. Winkler, B., Feichtinger, A., & Leitner, A. (2024). Psychometric evaluation of the Brief-COPE in employees: The role of avoidant coping. PLOS ONE, 19(2), e0281504.
  20. Wirtz, N., Müller, A., & Berger, T. (2024). Workplace CBT-based stress management program improves coping skills and reduces stress. Occupational Health Science, 8(1), 34–52.
  21. World Health Organization. (2022). Mental health: Strengthening our response. WHO.
  22. https://www.mayoclinic.org, (2025). https://www.mayoclinic.org/tests-procedures/cognitive-behavioral-therapy/about/pac-20384610