Mindfulness-Based Stress Reduction Program for reducing anxiety and depression in hospital staff during a pandemic: A randomized controlled trial

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-01-01 DOI:10.1016/j.jpsychires.2024.11.073

Carolina Mariño-Narvaez , Borja Romero-Gonzalez , Jose A. Puertas-Gonzalez , Maria Isabel Peralta-Ramírez , Yolanda Castellote-Caballero

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引用次数: 0

Abstract

Hospital staff have experienced an increase in psychopathological symptoms such as anxiety or depression during the COVID-19 pandemic. Thus, the aims of the present research were, firstly, to study the effectiveness of the Mindfulness-Based Stress Reduction Program in reducing psychopathological symptoms in hospital staff during the COVID-19 pandemic, as well as, its effectiveness in increasing mindfulness-related skills, self-compassion, body awareness, and reducing stress levels. This parallel randomized controlled trial consisted of 97 hospital workers who were divided into two groups: the experimental group (n = 54) and the control group (n = 44). To test the efficacy of the program, participants' levels of psychopathological symptoms, mindfulness-related skills, self-compassion, body awareness, and stress were assessed and compared before and after the intervention. The results show a significant group × time interaction and significant differences in somatizations (p = .03; η²p = .047), depression (p = .01; η²p = .103) and anxiety (p = .02; η²p = .054). As well as in the following secondary outcomes: from the Five Facet Mindfulness Questionnaire: Observing (p = .001; η²p = .176), acting with awareness (p = .01; η²p = .151), nonjudging; (p = .01; η²p = .103) and nonreactivity (p = .02; η²p = .101). In the Self-Compassion Scale: self-kindness (p = .029; η²p = .049), mindfulness (p = .033; η²p = .047), self-judgment (p = .016; η²p = .060) and isolation (p = .025; η²p = .051. And finally, in the Body awareness subscale from Self-Body Connection (p = .044; η²p = .042). These results highlight the importance of providing hospital staff with skills that help them connect in the present with their feelings and thoughts, without judgment and with self-compassion, to protect them from suffering an increase in their symptoms of somatization, anxiety, and depression, in adverse times like a pandemic.

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基于正念的减压计划在大流行期间减少医院工作人员的焦虑和抑郁：一项随机对照试验。

在COVID-19大流行期间，医院工作人员经历了焦虑或抑郁等精神病理症状的增加。因此，本研究的目的是，首先，研究基于正念的减压计划在减少COVID-19大流行期间医院工作人员精神病理症状方面的有效性，以及它在提高正念相关技能、自我同情、身体意识和降低压力水平方面的有效性。这项平行随机对照试验包括97名医院工作人员，他们被分为两组：实验组（n = 54）和对照组（n = 44）。为了测试该计划的有效性，评估并比较了干预前后参与者的精神病理症状、正念相关技能、自我同情、身体意识和压力水平。结果显示组间交互作用显著，躯体化差异显著(p = .03；η2p = 0.047)，抑郁(p = 0.01；η2p = .103)和焦虑(p = .02；η2p = 0.054)。以及以下次要结果：来自五方面正念问卷：观察(p = .001；η2p = 0.176)，自觉行动(p = 0.01；η2p = .151)，不判断；(p = 0.01；η2p = .103)和无反应性(p = .02；η2p = 0.101)。自我同情量表：自我友善(p = 0.029；η2p = 0.049)，正念(p = 0.033；η2p = 0.047)，自我判断(p = 0.016；η2p = 0.060)和隔离(p = 0.025；η2p = 0.051。最后，在自我-身体联系的身体意识子量表中(p = .044；η2p = 0.042)。这些结果强调了向医院工作人员提供技能的重要性，这些技能可以帮助他们在没有判断和自我同情的情况下，将自己的感受和想法联系起来，以保护他们在诸如大流行之类的不利时期免受躯体化、焦虑和抑郁症状的增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;