The benefits of mindfulness-based interventions on burnout among health professionals: A systematic review

Klein, Anaelle; Taïeb, Olivier; Xavier, S.; Baubet, Thierry; Reyre, Aymeric

doi:10.1016/j.explore.2019.09.002

Cited by 55 publications

(65 citation statements)

References 56 publications

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“…Trials assessing MBPs in nonclinical settings have quickly accumulated in recent years. Systematic reviews have synthesised findings from MBPs from educators [11,12], parents [13], caregivers [14,15], healthcare professionals [16][17][18][19][20][21], athletes [22], working adults [23][24][25][26][27], older adults [28], university students [29][30][31], and the general population [32][33][34][35][36], primarily focusing on wellness and mental health outcomes. Most, but by no means all results favour MBPs over comparison conditions.…”

Section: Introductionmentioning

confidence: 99%

Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials

et al. 2021

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Background There is an urgent need for mental health promotion in nonclinical settings. Mindfulness–based programmes (MBPs) are being widely implemented to reduce stress, but a comprehensive evidence synthesis is lacking. We reviewed trials to assess whether MBPs promote mental health relative to no intervention or comparator interventions. Methods and findings Following a detailed preregistered protocol (PROSPERO CRD42018105213) developed with public and professional stakeholders, 13 databases were searched to August 2020 for randomised controlled trials (RCTs) examining in–person, expert–defined MBPs in nonclinical settings. Two researchers independently selected, extracted, and appraised trials using the Cochrane Risk–of–Bias Tool 2.0. Primary outcomes were psychometrically validated anxiety, depression, psychological distress, and mental well–being questionnaires at 1 to 6 months after programme completion. Multiple testing was performed using p < 0.0125 (Bonferroni) for statistical significance. Secondary outcomes, meta–regression and sensitivity analyses were prespecified. Pairwise random–effects multivariate meta–analyses and prediction intervals (PIs) were calculated. A total of 11,605 participants in 136 trials were included (29 countries, 77% women, age range 18 to 73 years). Compared with no intervention, in most but not all scenarios MBPs improved average anxiety (8 trials; standardised mean difference (SMD) = −0.56; 95% confidence interval (CI) −0.80 to −0.33; p–value < 0.001; 95% PI −1.19 to 0.06), depression (14 trials; SMD = −0.53; 95% CI −0.72 to −0.34; p–value < 0.001; 95% PI −1.14 to 0.07), distress (27 trials; SMD = −0.45; 95% CI −0.58 to −0.31; p–value < 0.001; 95% PI −1.04 to 0.14), and well–being (9 trials; SMD = 0.33; 95% CI 0.11 to 0.54; p–value = 0.003; 95% PI −0.29 to 0.94). Compared with nonspecific active control conditions, in most but not all scenarios MBPs improved average depression (6 trials; SMD = −0.46; 95% CI −0.81 to −0.10; p–value = 0.012, 95% PI −1.57 to 0.66), with no statistically significant evidence for improving anxiety or distress and no reliable data on well–being. Compared with specific active control conditions, there is no statistically significant evidence of MBPs’ superiority. Only effects on distress remained when higher–risk trials were excluded. USA–based trials reported smaller effects. MBPs targeted at higher–risk populations had larger effects than universal MBPs. The main limitation of this review is that confidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach is moderate to very low, mainly due to inconsistency and high risk of bias in many trials. Conclusions Compared with taking no action, MBPs of the included studies promote mental health in nonclinical settings, but given the heterogeneity between studies, the findings do not support generalisation of MBP effects across every setting. MBPs may have specific effects on some common mental health symptoms. Other preventative interventions may be equally effective. Implementation of MBPs in nonclinical settings should be partnered with thorough research to confirm findings and learn which settings are most likely to benefit.

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Section: Introductionmentioning

confidence: 99%

Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials

et al. 2021

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“…However, it can justifiably be assumed that they could benefit this population as there is increasing evidence of the benefits of mindfulness-based programmes in employees of the same professional profiles in out-of-prison systems. For example, after completing different mindfulness-based programmes, medical professionals working in other stressful environments reported their positive effects on stress, burnout, anxiety, subjective well-being, awareness, compassion for themselves and others and physical health (Burton, Burgess, Dean, Koutsopoulou and Hugh-Jones, 2017;Irving, Dobkin and Park, 2009;Klein, Taieb, Xavier, Baubet and Reyre, 2020;Morgan, Simpson and Smith, 2015;Raab, 2014;Regehr, Glancy, Pitts and LeBlanc, 2014;Ruiz-Fernández, Ortíz-Amo, Ortega-Galán, Ibáñez-Masero, Rodríguez-Salvador and Ramos-Pichardo, 2020). Similar effects have also been observed in mental health professionals (Aggs and Bambling, 2010;Christopher, Chrisman, Trotter-Mathison, Schure, Dahlen and Christopher, 2011;de Zoysa, Ruths, Walsh and Hutton, 2014;Dobie, Tucker, Ferrari and Rogers, 2016;Lam, Sterling and Margines, 2015;Rudaz, Twohig, Ong and Levin, 2017;Ruths, de Zoysa, Frearson, Hutton, Williams and Walsh, 2013;Suyi, Meredith and Khan, 2017), and police officers (Christopher et al, 2016;Eddy, Bergman, Kaplan, Goerling and Christopher, 2019;Grupe, McGehee, Smith, Francis, Mumford and Davidson, 2019;Márquez, Galiana, Oliver and Sansó, 2020).…”

Section: Introductionmentioning

confidence: 65%

Primjena kognitivne terapije usredotočene svjesnosti usmjerene na stres sa službenicima zatvorskog sustava

Bagarić¹,

Markanović²

2021

Kriminol. soc. integr. (Online)

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Službenici zatvorskog sustava izloženi su visokim razinama stresa, što dugoročno može rezultirati razvojem psihičkih smetnji i smanjenom radnom učinkovitošću. Stoga je važno razvijati preventivne programe te istraživati njihovu učinkovitost, ali i prihvatljivost službenicima jer je riječ o populaciji koja nerado priznaje poteškoće. Programi zasnovani na usredotočenoj svjesnosti (engl. mindfulness) pokazali su se korisnima u radu s različitim populacijama korisnika. Ciljevi ovog rada bili su: istražiti prihvatljivost, prikladnost, kvalitetu, obuhvat ciljne skupine te ishode primjene tečaja kognitivne terapije usredotočene svjesnosti usmjerene na stres sa zatvorskim službenicima. Službenici (N = 36) iz četiriju kaznenih tijela u Hrvatskoj sudjelovali su na osam dvosatnih grupnih radionica tijekom dva mjeseca. Prije tečaja, neposredno nakon tečaja te dva mjeseca nakon tečaja primijenjeni su upitnici koji mjere dimenzije mindfulnessa, psihopatološka odstupanja te stres i sagorijevanje. Nakon završetka tečaja ispitani su različiti aspekti kvalitete implementacije tečaja. Rezultati su pokazali da su službenici bili visoko uključeni u tečaj, zadovoljni tečajem i da su ga procjenjivali korisnim. Nakon završetka tečaja izvještavali su da više opažaju te manje prosuđuju i automatski reagiraju na svoja iskustva (dimenzije mindfulnessa), o manje problema i simptoma, većoj dobrobiti i funkcioniranju te manjim razinama stresa i sagorijevanja. Sve promjene održale su se i u naknadnom praćenju.

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“…The debate is persisting in the literature regarding how to come to grip with the prevailing occupational burnout among healthcare workers. The various initiative aimed at both individuals and medical infrastructure to reduce occupational burnout [2,11] and indeed many programs have been implemented [12][13][14][15][16]. However, no conclusive evidence has been forthcoming regarding the e cacy of such initiative.…”

Section: Discussionmentioning

confidence: 99%

“…Amid the prevailing predicament of the medical profession, some initiatives have embarked to mitigate the rising tide of occupational burnout among the medical profession that is tailor-made to address individuals and organizations [2,11]. Numerous interventions have been used to relieve burnout syndrome including a new-age technique that owes their origin to Eastern philosophy, the techniques that echo the 1960's 'potential movement' and some mixture of alternative and complementary medicine, and lifestyle changes [12][13][14][15][16]. According to existing meta-analyses and systematic reviews, there is no substantial evidence to conclude that attempted interventions are effective [2,17].…”

Section: Introductionmentioning

confidence: 99%

Trait Emotional Intelligence and Its Correlates with the Level of Burnout Syndrome among First-year Resident Physicians in Oman

Al‐Huseini¹,

Al‐Alawi²,

Al‐Balushi³

et al. 2020

Preprint

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Background:Existing literature is replete of the magnitude of occupational burnout among physicians and the role of emotional intelligence in moderating poor coping among physicians. However, these domains have not been explored in physicians in the Arabian Gulf countries. The study aims to quantify the rate of the presence of occupational burnout and trait emotional intelligence, the relationship between trait emotional intelligence and domains of occupational burnout, and demographic factors associated with occupational burnout.Methods:This was a cross-sectional, observational study conducted between June to August 2018 among first-year residents in Oman. The outcome measure included indices of composite and subscale (emotional exhaustion-EE, depersonalization -DP and personal accomplishment -PA) of Abbreviated Maslach Burnout Inventory (aMBI) and a composite score of Trait Emotional Intelligence Questionnaire (TEI) and its subscales (Self-control, Sociability, and Emotionality).Results:The overall rate of high burnout was 25.8.%, with 57.5% residents reporting high levels of EE, 50.8% high DP, and 49.2% reporting a low sense of PA. Age was significantly associated with DP and PA (P < 0.003) and (P < 0.0001) respectively. Marital status was the only variable associated with EE (p = 0.001). EE was significantly lower in single residents compared with married (P = 0.001). The global mean (± SD) of the TEI was 4.77. A statistically significant relationship was between PA and EI (r = 0.203, P = 0.026). The role of age and marital status were also significant.Conclusion:Among first-year medical trainees in Oman, the prevalence of burnout was 25.8%. This collaborates the trend in the existing literature that occupational burnout is common among tomorrow’s doctors. From this cross-cultural population, TEI did not impact the variation in aMBI, therefore, suggesting orthogonality of such domains.

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The benefits of mindfulness-based interventions on burnout among health professionals: A systematic review

Cited by 55 publications

References 56 publications

Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials

Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials

Primjena kognitivne terapije usredotočene svjesnosti usmjerene na stres sa službenicima zatvorskog sustava

Trait Emotional Intelligence and Its Correlates with the Level of Burnout Syndrome among First-year Resident Physicians in Oman

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