Effects of mindfulness-based stress reduction on psychological distress in health workers: A three-arm parallel randomized controlled trial

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dc.catalogadorgrr
dc.contributor.authorErrazuriz Concha, Antonia
dc.contributor.authorSchmidt, Kristin
dc.contributor.authorUndurraga Fourcade, Eduardo Andrés
dc.contributor.authorMedeiros Urzua, Sebastián
dc.contributor.authorBaudrand Biggs, René Felipe
dc.contributor.authorCussen Sanhueza, Diego
dc.contributor.authorHenríquez Henríquez, Marcela Patricia
dc.contributor.authorCelhay, Pablo
dc.contributor.authorFigueroa, Rodrigo A.
dc.date.accessioned2024-01-23T14:09:52Z
dc.date.available2024-01-23T14:09:52Z
dc.date.issued2022
dc.description.abstractMindfulness-based Stress Reduction (MBSR) has shown good efficacy for improving wellbeing in employees experiencing occupational stress. However, comparisons with other interventions, longer-term follow-up, and data from varying sociocultural contexts are lacking. This three-arm, parallel randomised controlled trial (RCT) examined the effects of MBSR on psychological distress in non-physician health workers in direct contact with patients. 105 participants were randomly allocated to either: (1) MBSR (N = 35), (2) Stress Management Course (SMC; N = 34) or (3) wait-list (N = 36). Participants and those assessing outcomes were blinded to group assignment. Participants completed questionnaires pre- and post-intervention and four months after the intervention. Psychological distress was measured using the General Health Questionnaire (GHQ-12) and Outcome Questionnaire (OQ-45). Secondary outcomes included perceived stress, job satisfaction, mindfulness skills and changes in salivary cortisol. 77 participants completed measures post-intervention and 52 at 4-month follow-up. MBSR showed a post-intervention effect in reducing GHQ-12 (ss = -0.80 [SE = 1.58] p < 0.01) and OQ-45 (ss = -0.72, [SE = 5.87] p < 0.05) psychological distress, compared to SMC and in reducing GHQ-12 (ss = -1.30 [SE = 1.38] p < 0.001) and OQ-45 (ss = -0.71, [SE = 5.58] p < 0.01) psychological distress compared to wait-list condition. In our secondary outcome, only MBSR was associated with a decrease in the cortisol awaking response by 23% (p < 0.05). At follow-up, only effects of MBSR on the psychological distress 'social role' subscale (ss = -0.76 [SE = 1.31] p < 0.05) remained significant, compared to SMC. In conclusion, MBSR appears useful in reducing short-term psychological distress in healthcare workers, but these effects were not maintained at followup. Trial registration: ISRCTN12039804.
dc.fechaingreso.objetodigital2024-01-23
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.jpsychires.2020.11.011
dc.identifier.eissn1879-1379
dc.identifier.eissn1879-1379
dc.identifier.issn0022-3956
dc.identifier.pubmedidMEDLINE:33199052
dc.identifier.pubmedid33199052
dc.identifier.scopusidSCOPUS_ID:85096190228
dc.identifier.urihttps://doi.org/10.1016/j.jpsychires.2020.11.011
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80908
dc.identifier.wosidWOS:000736581300017
dc.information.autorucFacultad de Medicina; Figueroa Cabello, Rodrigo Andres; S/I; 9549
dc.information.autorucEscuela de Medicina; Medeiros Urzua, Sebastián; 0000-0002-4211-7659; 5770
dc.information.autorucEscuela de Medicina; Baudrand Biggs, René Felipe; 0000-0002-8655-4957; 1024
dc.information.autorucInstituto de Economía; Cussen Sanhueza, Diego; S/I; 1019393
dc.information.autorucEscuela de Medicina; Henríquez Henríquez, Marcela Patricia; S/I; 12299
dc.information.autorucEscuela de Gobierno; Celhay, Pablo ; S/I; 1040151
dc.information.autorucEscuela de Gobierno; Undurraga Fourcade, Eduardo Andrés; 0000-0002-4425-1253; 12868
dc.information.autorucEscuela de Medicina; Errazuriz Concha, Antonia; 0000-0001-9948-388X; 1015339
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final293
dc.pagina.final284
dc.pagina.final293
dc.pagina.inicio284
dc.publisherPergamon-Elsevier Science Ltd.
dc.revistaJournal of Psychiatric Research
dc.rightsacceso restringido
dc.subjectHealth workers
dc.subjectMindfulness intervention
dc.subjectOccupational stress
dc.subjectPsychological distress
dc.subjectPsychological wellbeing
dc.subjectCortisol awakening response
dc.subjectReducing stress
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEffects of mindfulness-based stress reduction on psychological distress in health workers: A three-arm parallel randomized controlled trial
dc.typeartículo
dc.volumen145
sipa.codpersvinculados9549
sipa.codpersvinculados5770
sipa.codpersvinculados1024
sipa.codpersvinculados1019393
sipa.codpersvinculados12299
sipa.codpersvinculados1040151
sipa.codpersvinculados12868
sipa.codpersvinculados1015339
sipa.trazabilidadWOS;18-03-2022
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