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Trait mindfulness has been associated with well‐being. A key component of trait mindfulness is intentional attention and awareness which is most commonly measured by the Mindful Attention and Awareness Scale (MAAS). This study investigated the relationship between the MAAS and cardiovascular (HF‐HRV, heart rate) reactivity to two laboratory stressors that evoked different patterns of change in heart rate (HR). One stressor (viewing a video of a surgery) evoked HR deceleration while the other stressor (mental arithmetic) evoked HR acceleration. Undergraduate students completed the MAAS and were then exposed to the two stressors while ECG (electrocardiography) was recorded. Findings support the reliability of the stressors to induce expected differential cardiovascular responses and explicate the role of parasympathetic activation. Further, a main effect for MAAS was observed indicating that across laboratory conditions, persons scoring higher on the MAAS had lower HF‐HRV relative to persons scoring lower on the MAAS. These findings suggest that higher levels of intentional attention and awareness in a laboratory context might promote parasympathetic withdrawal because these participants were more vigilant, experienced higher cognitive load, and detected more threat cues. Implications for the MAAS and cardiovascular responses to stress are discussed.

Purpose This purpose of this paper is to investigate the possibility of non-linear relationships between supervisor support for stress management and intervention process ratings from a workplace stress management intervention to highlight how context shapes intervention experience. Design/methodology/approach Data from 37 nurses and nurse aides assigned to the treatment group in an occupational stress management intervention were analyzed using polynomial regression in SPSS. Findings A quadratic function with a U-shape best explained variance in process variables for the relationship between supervisor support for stress management at baseline and ratings of intervention relation reactions and overall perceptions of session helpfulness in both sessions and for task reactions in session 1. Those with low and high supervisor support for stress management tended to perceive the intervention favorably, which is framed in terms of the intervention compensating for or complimenting their work environment, respectively. Research limitations/implications Although exploratory and based on a small sample, this paper lays the groundwork for future theoretically-grounded investigations of relationship between intervention context and process. Practical implications Results provide a rationale for training supervisors in stress management support as a supplement to a workplace intervention. Originality/value This paper investigates a novel molar supervisor support construct and challenges previous research that assumes that the relationship between context and intervention process or outcomes always conform to a simple linear relationship.

We examined the relationship between physical work hazards and employee withdrawal among a sample of health care employees wherein safety compliance was hypothesized to moderate the relationship between physical work hazards and withdrawal. Health care workers (N = 162) completed an online questionnaire assessing physical work hazards, withdrawal, and indicators of workplace safety. Safety compliance moderated the relationship between patient aggression and withdrawal. Interaction plots revealed that for all significant moderations, the relationship between physical work hazards and withdrawal was weaker for those who reported high levels of compliance. Results shed initial light on the benefits of fostering safety compliance in health care contexts, which can contain exposure to physical work hazards.

Acceptance and Commitment Therapy (ACT) is a third-wave behavioral therapy that is an empirically supported treatment for various mental health concerns. ACT has been found to be efficacious for treating different types of anxiety disorders. This case study presents the conceptualization (functional analysis), treatment (ACT), and treatment outcomes of a client who presented with emetophobia, a phobia of vomiting, complicated by a metabolic disorder. Measures of emetophobia symptoms, mindfulness, cognitive fusion, thought control strategies, and believability of anxious thoughts and feelings, were collected at pretreatment, posttreatment, 6-month follow-up, and 12-month follow-up. The Reliable Change Index was used to evaluate changes across time. Large and clinically significant decreases on all measures were observed at posttreatment. At 12-month follow-up, improvements were maintained on all measures except the Reappraisal subscale of the Thought Control scale. The implications of this study are discussed, and recommendations are made for clinicians using ACT for the treatment of emetophobia.