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Lower Earners Reported Bigger Gains in Work Meaning After Therapy

In A Nutshell

  • A seven-week online program eased distress and boosted work meaning.
  • Workers with the highest starting distress gained the most.
  • Lower earners and workers without permanent jobs saw bigger meaning gains, an early finding.
  • Job-search activity did not clearly change, and a waiting list cannot prove the therapy caused gains.

A layoff, a burnout spiral, or a career that suddenly stopped making sense can leave a person stuck for months. A seven-week online group program in Quebec eased that distress and gave workers a stronger sense of meaning on the job, and it helped most when stress ran highest, according to a randomized trial in the Journal of Counseling Psychology.

Researchers at Université du Québec à Montréal enrolled 164 adults dealing with work or career difficulties, from burnout and job dissatisfaction to major career changes. Chance decided who started the program right away and who waited, which is what makes it a randomized trial. The program, called Oreka, is built on acceptance and commitment therapy, or ACT. Rather than trying to erase stress, ACT teaches people to accept hard feelings while still acting on what matters to them.

ACT has mostly been tested on stable, full-time employees, according to the authors. This trial set out to reach workers in shakier situations, partnering with community career counseling groups whose clients are more likely to hold insecure jobs. Lower earners and people without permanent jobs reported an especially big boost in how meaningful their work felt.

Half of 164 Quebec Workers Waited Seven Weeks for the Online Therapy Program

A website describing the program invited people who wanted “to take time to reflect on their personal and professional values.” Participants had to be French-speaking adults living in Quebec, and anyone with a severe mental or physical illness was excluded.

Participants averaged 42 years old, and 81% were women. Just over half held permanent jobs, while the rest were temporary workers, self-employed, unemployed, or on sick leave. Many worked in education, arts and culture, health care, or community and service jobs, and nearly half earned less than 70,000 Canadian dollars a year.

A random list prepared by an independent researcher split everyone into two groups of 82. The first group began at once: seven sessions of two and a half hours each, held over seven weeks by video call because pandemic restrictions were still in place. Sessions mixed group discussion, mindfulness, and planning personal projects tied to participants’ values, with exercises to try at home. The second group waited seven weeks, then took the same program.

Everyone filled out questionnaires at the start, right after the seven weeks, and again at week 17, roughly 10 weeks after the first group finished. Questions covered coping with difficult emotions, distress, well-being, meaning in work, and career involvement. About 23% of participants left the study before the final questionnaire, a rate the authors said is comparable to other workplace ACT studies.

A 7-Week Program for Career Stress
A free online therapy program eased distress in a 164-worker Quebec trial but did not clearly boost job searching. (Image by StudyFinds)

Online Therapy Program Lowered Distress but Showed No Clear Effect on Job Hunting

After seven weeks, program participants were better than the group still waiting at sitting with uncomfortable thoughts while still acting on what mattered to them. They also reported less distress, higher well-being, and a stronger sense of meaning at work. Improvements ranged from small to moderate, and the group still waiting improved a little as well.

By the final check-in, the first group had held on to its gains. The second group, by then through the program too, had caught up, so no untreated group remained for comparison.

One result went the other way. Career engagement, meaning how actively people searched for jobs, networked, or planned next moves, was no higher among program participants than among those still waiting. The authors offered two possible explanations. Some participants, particularly those unemployed or on sick leave, may have joined to make sense of their situation or protect their well-being rather than to advance their careers, and some survey questions may have confused them. Others may have realized their job no longer matched their values and turned toward hobbies or volunteer work instead.

Distressed Workers Gained the Most, While Lower Earners Reported More Meaning

Participants who began with high distress showed bigger gains in coping, much bigger gains in well-being, and a steep drop in distress. Those who began with low distress improved somewhat in coping but showed no change in distress or well-being, probably because they had less distress to shed.

Income and job security mattered for one measure only. Participants earning 50,000 Canadian dollars a year or less, roughly Quebec’s median income, reported a bigger rise in meaning than higher earners. Workers without permanent jobs showed the same pattern compared with permanent employees. The authors described these as early findings the team had not set out to test, and no other measure differed by income or job type.

Self-Reported Results and No Rival Treatment Leave Open Questions

Volunteers rated their own symptoms, which can tilt answers toward looking better. The comparison group simply waited rather than trying a different treatment, so it remains unclear whether the therapy itself or just meeting with a supportive group drove the gains. Researchers also did not track whether participants did the homework or whether facilitators followed the plan.

A free seven-week program that helped most where distress ran highest deserves a larger test against other treatments.


Disclaimer: This article summarizes one published study and is for informational purposes only. It is not medical or mental health advice, and results may not apply to every person or situation. Anyone dealing with burnout, work stress, or other mental health concerns should consult a qualified health professional.


Paper Notes

Limitations

Participants were self-selected and reported their own symptoms, which can be shaped by a wish to appear better off (social desirability bias), the authors noted. With a waitlist and no active comparison treatment, they said they cannot be certain the program itself produced the effects, and they suggested future comparisons with an established job-search program. Participant homework completion and facilitator adherence to the protocol were not measured, which could affect the study’s internal validity. The switching-replication design, which gave the waitlist group the program after the first comparison, limited how well researchers could test the order in which coping and outcome changes occurred, so those links rest on measurements taken at the same time. Post hoc power for career engagement was low (.33), meaning a smaller real effect could have gone undetected, and the career engagement effect reached statistical significance among completers (those who finished at least five sessions and all three questionnaires). The income and work-status findings were exploratory. The sample was also mostly women (81.1%) who spoke French and lived in Quebec, so results may not carry over equally to other groups.

Funding and Disclosures

Financial support came from the Social Sciences and Humanities Research Council of Canada (Grant 435-2021-1040), awarded to Simon Grégoire. The authors declared no conflicts of interest.

Publication Details

Maryse Damecour and Marina M. Doucerain of the Département de Psychologie, and Lise Lachance and Simon Grégoire of the Département d’éducation et Pédagogie, all at Université du Québec à Montréal, wrote “An Intervention Based on Acceptance and Commitment Therapy for People Experiencing Work- or Career-Related Difficulties: A Randomized Controlled Trial.” It appears in the Journal of Counseling Psychology (© 2026, ISSN 0022-0167). The paper was received May 13, 2025, revised June 3, 2026, and accepted July 11, 2026. DOI: https://doi.org/10.1037/cou0000900. Supplemental materials: https://doi.org/10.1037/cou0000900.supp. Corresponding author: Simon Grégoire, [email protected].

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