A FOLLOW-UP STUDY ON THE REDUCTION OF BURNOUT LEVELS THROUGH MINDFULNESS MEDITATION IN HEALTH CARE PROFESSIONALS
Abstract
The 8-week mindfulness meditation (MM) trainings have proven to be helpful for reducing burnout due to work-related stress. Most studies reported these positive effects with evaluations made immediately before and immediately after the therapeutic interventions. Little is known, however, about the symptoms of burnout in the months following these interventions.
In our exploratory study, the effects of an 8-week MM training were assessed in a group of health care professionals (n = 19) with vulnerability to develop burnout; a 9-month follow-up was conducted on the subjects (n=8) who continued to meditate after the end of the training. Other health care professionals of the same company, who did not meditate during this research, served as control group. Burnout, mindfulness abilities and job satisfaction were evaluated through self-reports.
Data showed that during the training the levels of burnout did not decrease, but significant reductions were observed during the follow-up. This indicates the possibility of obtaining results with MM even in subjects who do not have standard response time to the therapy and highlights the importance of monitoring the healing process.
References
- 1) Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. Gen Hosp Psychiatry 1982; 4(1): 33-47. DOI: https://doi.org/10.1016/0163-8343(82)90026-3
- 2) Kabat-Zinn J, Chapman-Waldrop A. Compliance with an outpatient stress reduction program: Rates and predictors of program completion. J Behav Med 1988; 11(4): 333-52. DOI: https://doi.org/10.1007/BF00844934
- 3) Kabat-Zinn J, Massion AO, Kristeller J, et al. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry 1992; 149(7): 936-43. DOI: https://doi.org/10.1176/ajp.149.7.936
- 4) Teasdale JD, Segal ZV, Williams JMG, et al. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol 2000; 68(4):615-23. 5) Shapiro SL, Schwartz GE, Bonner G. Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med 1998; 21(6): 581-99. DOI: https://doi.org/10.1037//0022-006X.68.4.615
- 6) Astin JA. Stress reduction through mindfulness meditation. Psychother Psychosom 1997; 66(2): 97-106. DOI: https://doi.org/10.1159/000289116
- 7) Shapiro SL, Astin JA, Bishop SR, et al. Mindfulness-based stress reduction for health care professionals: results from a randomized trial. Int J Stress Manag 2005; 12(2): 164-76. DOI: https://doi.org/10.1037/1072-5245.12.2.164
- 8) Goldberg R, Boss RW, Chan L, et al. Burnout and its correlates in emergency physicians: four years' experience with a wellness booth. Acad Emerg Med 1996; 3(12): 1156-64. DOI: https://doi.org/10.1111/j.1553-2712.1996.tb03379.x
- 9) Irving JA, Dobkin PL, Park J. Cultivating mindfulness in health care professionals: A review of empirical studies of mindfulness-based stress reduction (MBSR). Complement Ther Clin Pract 2009; 15(2): 61-6. DOI: https://doi.org/10.1016/j.ctcp.2009.01.002
- 10) West CP, Dyrbye LN, Erwin PJ, et al. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 2016; 388(10057): 2272-81. DOI: https://doi.org/10.1016/S0140-6736(16)31279-X
- 11) Kabat-Zinn J, Lipworth L, Burney R, et al. Four-year follow-up of a meditation-based program for the self-regulation of chronic pain: treatment outcomes and compliance. Clin J Pain 1987; 3(1): 60. 12) Miller JJ, Fletcher K, Kabat-Zinn J. Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. Gen Hosp Psychiatry 1995; 17(3): 192-200. DOI: https://doi.org/10.1016/0163-8343(95)00025-M
- 13) Carlson LE, Ursuliak Z, Goodey E, et al. The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Support Care Cancer 2001; 9(2): 112-23. DOI: https://doi.org/10.1007/s005200000206
- 14) Grossman P, Tiefenthaler-Gilmer U, Raysz A, et al. Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom 2007; 76(4): 226-33. DOI: https://doi.org/10.1159/000101501
- 15) Cohen-Katz J, Wiley SD, Capuano T, et al. The effects of mindfulness-based stress reduction on nurse stress and burnout, part II: A quantitative and qualitative study. Holist Nurs Pract 2005; 19(1): 26-35. DOI: https://doi.org/10.1097/00004650-200501000-00008
- 16) Koustelios A, Tsigilis N. The relationship between burnout and job satisfaction among physical education teachers: a multivariate 17) Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career
- 17 Sproach, Bur Py ph Rev approach. Eur Phy Educ Rev 2005; 11(2): 189-203. satisfaction among american surgeons. Ann Surg 2009; 250(3): 463-71. DOI: https://doi.org/10.1097/SLA.0b013e3181ac4dfd
- 3) Biff WL, Ray Jr CE, Moore EE, et al. Treatment-related outcome om blunt cerebrovascular injuries: importance of routine follow-u arteriography. Ann Surg 2002; 235(5): 699-707. DOI: https://doi.org/10.1097/00000658-200205000-00012
- 19) Khatcheressian JL, Hurley P, Bantug E, et al. Breast cancer followup and management after primary treatment: American society of clinical oncology clinical practice guideline update. J Clin Oncol 2013; 31(7): 961-5. DOI: https://doi.org/10.1200/JCO.2012.45.9859
- 20) Fabbro F, Muratori F. La mindfulness un nuovo approccio psicoterapeutico in età evolutiva. Gior Neuropsich Età Evol 2012; 32: 248-59.
- 2) Kabat-Zinn J. Full catastrophe living: Using the wisdom of you ody and mind to face stress, pain, and illness. New York, NI Delacorte, 1990.
- 23) Naranjo C, Ornstein RE. On the psychology of meditation. New York, NY: Viking Press, 1971.
- 24) Gunaratana H. Mindfulness in plain English. Somerville, MA: Wisdom Publications, 2011.
- 25) Silananda U. The four foundations of mindfulness. Boston, MA: Wisdom Publications, 1990.
- 26) Baer RA, Smith GT, Hopkins J, et al. Using self-report assessment methods to explore facets of mindfulness. Assessment 2006; 13(1): DOI: https://doi.org/10.1177/1073191105283504
- 27) Giovannini C, Giromini L, Bonalume L, et al. The italian five facet mindfulness questionnaire: a contribution to its validity and reliability. J Psychopathol Behav Assess 2014; 36(3): 415-23. DOI: https://doi.org/10.1007/s10862-013-9403-0
- 28) Cortese CG. Prima standardizzazione del questionario di soddisfazione organizzaztiva (QSO). Risorsa Uomo: Riv Psicol Lav Organ 2001; 8: 331-349.
- 29) Maslach C, Jackson SE. MBI: Maslach Burnout Inventory. Palo Alto, CA: Consulting Psychologist Press, 1981. DOI: https://doi.org/10.1037/t05190-000
- 30) Sirigatti S, Stefanile C. Adattamento e taratura per l'Italia. In: Maslach C, Jackson SE; MBI: Maslach Burnout Inventory; pp 3342. Firenze, IT: O.S. Organizzazioni Speciali, 1993.
- 31) Argentero P, Bonfiglio NS, Pasero R. Il burnout negli operatori sanitari volontari. G Ital Med Lav Erg 2006; 28(3): 77-82.
- 32) Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual, volume 4. Palo Alto, CA: Consulting Psychologists Press, 1996. 33) Shanafelt TD, Bradley KA, Wipf JE, et al. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002; 136(5): 358-67. DOI: https://doi.org/10.7326/0003-4819-136-5-200203050-00008
- 4) Wilcox RK. Introduction to Robust Estimation and Hypothes esting. Cambridge. MA: Elsevier Academic Press. 200 35) Haynes W. Tukey's test. In: Dubitzky W, Wolkenhauer O, Cho KH; Encyclopedia of systems biology; pp. 2303-4. New York, NY: Springer 2013.
- 36) Olejnik S, Algina J. Generalized eta and omega squared statistics: measures of effect size for some common research designs. Psychol Methods 2003; 8(4): 434-47. DOI: https://doi.org/10.1037/1082-989X.8.4.434
- 37) Bakeman R. Recommended effect size statistics for repeated measures designs. Behav Res Methods 2005; 37(3): 379-84. DOI: https://doi.org/10.3758/BF03192707
- 38) R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria: 2015. URL https://www.R-project.org/.
- 39) Piccinelli M, Bisoffi G, Bon MG, et al. Validity and test-retest reliability of the italian version of the 12-item General Health Questionnaire in general practice: a comparison between three scoring methods. Compr Psychiatry 1993; 34(3): 198-205. DOI: https://doi.org/10.1016/0010-440X(93)90048-9
- 40) Portoghese I, Galletta M, Battistelli A. The effects of work-family conflict and community embeddedness on employee satisfaction: The role of leader-member exchange. Int J Business Manag 2011; 6(4): 39-48. DOI: https://doi.org/10.5539/ijbm.v6n4p39
- 41) Battistelli A, Portoghese I, Galletta M, et al. Beyond the tradition: test of an integrative conceptual model on nurse turnover. Int Nurs Rev 2013; 60(1): 103-11. DOI: https://doi.org/10.1111/j.1466-7657.2012.01024.x
- 42) Galletta M, Battistelli A, Portoghese I. Validazione della scala di motivazione al lavoro (MAWS) nel contesto italiano: evidenza di un modello a tre fattori. Risorsa Uomo: Riv Psicol Lav Organ 2011; 2: 201-17. DOI: https://doi.org/10.3280/RU2011-002005
- 43) Galletta M, Portoghese I, Carta MG, et al. The effect of nursephysician collaboration on job satisfaction, team commitment, and turnover intention in nurses. Res Nurs Health 2016; 39(5): 375-85. 44) Galletta M, Portoghese I, Aviles Gonzales CI, et al. Lack of respect, role uncertainty and satisfaction with clinical practice among nursing students: the moderating role of supportive staff. Acta Biomed 2017; 88(3-S): 43-50. DOI: https://doi.org/10.1002/nur.21733
- 45) Galantino ML, Baime M, Maguire M, et al. Association of psychological and physiological measures of stress in health-care professionals during an 8-week mindfulness meditation program: mindfulness in practice. Stress Health 2005; 21(4): 255-61. DOI: https://doi.org/10.1002/smi.1062
- 46) Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med 2008; 31(1): 23-33. DOI: https://doi.org/10.1007/s10865-007-9130-7
- 47) Crescentini C, Matiz A, Fabbro F. Improving personality/character traits in individuals with alcohol dependence: the influence of mindfulness-oriented meditation. J Addict Dis 2015; 34(1): 75-87. DOI: https://doi.org/10.1080/10550887.2014.991657
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