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04-08-2020 | ORIGINAL PAPER

Feasibility and Effectiveness of a Mindfulness-Based Program Vs. Relaxation in the Treatment of Burnout in Brazilian Primary Care Providers: a Mixed-Methods Pragmatic Controlled Study

Auteurs: Daniela Sopezki, Solange Andreoni, Jesus Montero-Marin, Eno Dias de Castro Filho, Sandra Fortes, Gioconda Grandi de Lima, Leandro Pizutti, Áthila Campos Girão, Tânia Fernandes Silva, Javier García-Campayo, Marcelo Demarzo

Gepubliceerd in: Mindfulness | Uitgave 11/2020

Abstract

Objectives

Mindfulness-based programs (MBPs) have been tested as promising alternatives for managing stress in Primary health care (PHC) providers. The study compared the feasibility and efficacy of an MBP on burnout symptoms in Brazilian PHC providers with a briefer relaxation-based program and with a nonactive control group.

Methods

A nonrandomized controlled trial was conducted with mixed-methods evaluation on self-reported symptoms of burnout, and positive and negative affection, mindfulness, self-compassion, decentering, and rumination. The MBP arm (MF) (n = 62) consisted of eight mindfulness sessions, the relaxation arm (RE) (n = 35) attended four relaxation sessions, and the control arm (CO) (n = 45) comprised a waitlist group.

Results

The reduction in exhaustion was significantly higher in MF compared with CO (d = − 0.58; p = 0.020), and in RE compared with CO (d = − 0.63; p = 0.017). MF was significantly superior to CO for reducing cynicism (d = − 0.48; p = 0.024). There was also significant superiority of MF compared with CO in positive and negative affect, observing, describing, nonreacting, mindfulness, identification, and rumination. MF and RE were significantly superior to CO for reducing criticism and isolation. Finally, MF was significantly superior to RE and CO for improving nonjudging, self-kindness, and decentering.

Conclusions

Mindfulness and relaxation may be efficacious in addressing burnout symptoms in PHC providers, probably with synergistic effects and distinct mechanisms of action. Further studies with a randomized design and larger sample sizes should be performed to confirm these preliminary data and to test whether a mix of mindfulness and relaxation techniques would be more effective than either program on its own.

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Agee, J. D., Danoff-Burg, S., & Grant, C. A. (2009). Comparing brief stress management courses in a community sample: Mindfulness skills and progressive muscle relaxation. Explore: The Journal of Science and Healing, 5, 104–109. https://doi.org/10.1016/j.explore.2008.12.004.CrossRef

Aikens, K. A., Astin, J., Pelletier, K. R., Levanovich, K., Baase, C. M., Park, Y. Y., & Bodnar, C. M. (2014). Mindfulness goes to work: Impact of an online workplace intervention. Journal of Occupational and Environmental Medicine, 56, 721–731. https://doi.org/10.1097/JOM.0000000000000209.CrossRefPubMed

Asuero, M. A., Queralto, E., Pujol-Ribera, A., Berenguera, T., Rodriguez-Blanco, & Epstein, R. M. (2014). Effectiveness of a mindfulness education program in primary health care professionals: A pragmatic controlled trial. Journal of Continuing Education in the Health Professions, 34(1), 4–12. https://doi.org/10.1002/chp.21211.CrossRefPubMed

Atanes, A. C., Andreoni, S., Hirayama, M. S., Montero-Marin, J., Barros, V. V., Ronzani, T. M., Kozasa, E. H., Soler, J., Cebolla, A., Garcia-Campayo, J., & Demarzo, M. M. (2015). Mindfulness, perceived stress, and subjective well-being: A correlational study in primary care health professionals. BMC Complementary Medicine and Therapies, 15, 303. https://doi.org/10.1186/s12906-015-0823-0.CrossRef

Awa, W. L., Plaumann, M., & Walter, U. (2010). Burnout prevention: A review of program programs. Patient Education and Counseling, 78(2), 184–190. https://doi.org/10.1016/j.pec.2009.04.008.CrossRefPubMed

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using selfreport assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. https://doi.org/10.1177/1073191105283504.CrossRefPubMed

Barros, V. V., Kozasa, E. H., Souza, I. C. W., & Ronzani, T. M. (2014). Validity evidence of the Brazilian version of the five facets mindfulness questionnaire (FFMQ). Psicologia: Teoria e Pesquisa, 30(3), 317–327. https://doi.org/10.1590/S0102-37722014000300009.CrossRef

Bartlett, L., Martin, A., Neil, A. L., Memish, K., Otahal, P., Kilpatrick, P., & Sanderson, K. (2019). A systematic review and meta-analysis of workplace mindfulness training randomized controlled trials. Journal of Occupational Health Psychology, 24(1), 108–126. https://doi.org/10.1037/ocp0000146.CrossRefPubMed

Bazeley, P., & Jackson, K. (2013). Qualitative data analysis with NVivo (2nd ed.). Sage.

Beaumont, E., Durkin, M., Hollins Martin, C. J., & Carson, J. (2015). Measuring relationships between self-compassion, compassion fatigue, burnout and well-being in trainee counsellors and trainee cognitive behavioural psychotherapists: A quantitative survey. Counseling and Psychotheraphy Research, 16, 15–23. https://doi.org/10.1002/capr.12054.CrossRef

Bieling, P., Hawley, L., Bloch, R., Corcoran, K., Levitan, R., Young, L., MacQueen, G., & Segal, Z. (2012). Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse. Journal of Consulting and Clinical Psychology, 80(3), 365–372. https://doi.org/10.1037/a0027483.CrossRefPubMedPubMedCentral

Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research, 68, 539–544. https://doi.org/10.1016/j.jpsychores.2009.10.005.CrossRefPubMed

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.CrossRef

Brasil (2017). Política Nacional de Práticas Integrativas e Complementares (PNPIC) 28/03/2017, portaria 849. http://www.lex.com.br/legis_27357131_PORTARIA_N_849_DE_27_DE_MARCO_DE_2017.aspx.

Burch, V., & Penman, D. (2013). Mindfulness for health: A practical guide to relieving pain, reducing stress, and restoring wellbeing. London: Piatkus.

Burton, A., Burges, C., Dean, S., Koutsopoulou, G., & Jones, S. (2017). Outcomes of MBSR or MBSR-based programs in health care providers: A systematic review with a focus on empathy and emotional competencies. Complementary Therapies in Medicine, 24, 19–28. https://doi.org/10.1016/j.ctim.2015.11.001.CrossRef

Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. The Journal of Alternative & Complementary Medicine, 15(5), 593–600. https://doi.org/10.1089/acm.2008.0495.CrossRef

Cusens, B., Duggan, G. B., Thorne, K., & Burch, V. (2010). Evaluation of the Breathworks mindfulness-based pain management programme: Effects on well-being and multiple measures of mindfulness. Clinical Psychology & Psychotherapy, 17(1), 63–78. https://doi.org/10.1002/cpp.653.CrossRef

Demarzo, M., Cebolla, A., & Garcia-Campayo, J. (2015a). The implementation of mindfulness in healthcare systems: A theoretical analysis. General Hospital Psychiatry, 37(2), 166–171. https://doi.org/10.1016/j.genhosppsych.2014.11.013.CrossRefPubMed

Demarzo, M. M., Montero-Marin, J., Cuijpers, P., Zabaleta-del-Olmo, E., Mahtani, K. R., Vellinga, A., Vicens, C., López-del-Hoyo, Y., & García-Campayo, J. (2015b). The efficacy of mindfulness-based interventions in primary care: A meta-analytic review. Annals of Family Medicine, 13(6), 573–582. https://doi.org/10.1370/afm.1863.CrossRefPubMedPubMedCentral

Demarzo, M., García-Campayo, J., Martínez-Rubio, D., Pérez-Aranda, A., Miraglia, J. L., Hirayama, M. S., de Salvo, V., Cicuto, K., Favarato, M. L., Terra, V., de Oliveira, M. B., García-Toro, M., Modrego-Alarcón, M., & Montero-Marín, J. (2020). Frenetic, under-challenged, and worn-out burnout subtypes among Brazilian primary care personnel: Validation of the Brazilian "burnout clinical subtype questionnaire" (BCSQ-36/BCSQ-12). International Journal of Environmental Research and Public Health, 17(3), 1081. https://doi.org/10.3390/ijerph17031081.CrossRefPubMedCentral

Durkin, M., Beaumont, E., Hollins, M. C. J., & Carson, J. (2016). A pilot study exploring the relationship between self-compassion, self-judgement, self-kindness, compassion, professional quality of life and wellbeing among UK community nurses. Nurse Education Today, 46, 109–114. https://doi.org/10.1016/j.nedt.2016.08.030.CrossRefPubMed

Esch, T., & Stefano, G. B. (2010). The neurobiology of stress management. Neuro Endocrinology Letters, 31(1), 19–39.PubMed

Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48(10), 1002–1011. https://doi.org/10.1016/j.brat.2010.06.006.CrossRefPubMedPubMedCentral

Fresco, D., Moore, M. T., Van Dulmen, M. H. M., Segal, Z. V., Ma, H. S., & Teasdale, J. D. (2007a). Initial psychometric properties of the experience questionnaire: Validation of a self-report measure of decentering. Behaviour Therapy, 38, 234–246. https://doi.org/10.1016/j.beth.2006.08.003.CrossRef

Fresco, D. M., Segal, Z. V., Buis, T., & Kennedy, S. (2007b). Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression. Journal of Consulting and Clinical Psychology, 75(3), 447–455. https://doi.org/10.1037/0022-006X.75.3.447.CrossRefPubMed

Gao, L., Curtiss, J., Liu, X., & Hofmann, S. G. (2018). Differential treatment mechanisms in mindfulness meditation and progressive muscle relaxation. Mindfulness, 9, 1268–1279. https://doi.org/10.1016/j.brat.2010.06.006.CrossRef

Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psycholy, 69, 856–867. https://doi.org/10.1002/jclp.22021.CrossRef

Gomes-Oliveira, M. H., Gorenstein, C., Lotufo Neto, F., Andrade, L. H., & Wang, Y. P. (2012). Validation of the Brazilian portuguese version of the Beck depression inventory-II in a community sample. Brazilian Journal of Psychiatry, 34(4), 389–394. https://doi.org/10.1016/j.rbp.2012.03.005.CrossRefPubMed

Gonçalves, D. M., Stein, A. T., & Kapczinski, F. (2008). Performance of the self-reporting questionnaire as a psychiatric screening questionnaire: A comparativestudy with structured clinical interview for DSM-IV-TR. Cadernos de Saúde Pública, 24(2), 380–390. https://doi.org/10.1590/s0102-311x2008000200017.CrossRefPubMed

Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymour, A., Sharma, R., Berger, Z., & Sleicher. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Internal Medicine, 174, 357–368. https://doi.org/10.1001/jamainternmed.2013.13018.CrossRefPubMedPubMedCentral

Gracia, R. M., Ferrer-Tarrés, J. M., Ayora-Ayora, A., Alonso-Herrero, M., Amutio-Kareaga, A., & Ferrer-Roca, R. (2018). Application of a mindfulness program among healthcare professionals in an intensive care unit: Effect on burnout, empathy, and self-compassion. Medicina Intensiva, 18, 30051–30052. https://doi.org/10.1016/j.medin.2018.02.005.CrossRef

Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006.CrossRefPubMed

Irving, J., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: A review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15(2), 61–66. https://doi.org/10.1016/j.ctcp.2009.01.002.CrossRefPubMed

Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., & Bell, I. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33, 11–21.CrossRef

Josefsson, T., Lindwall, M., & Broberg, A. (2012). The effects of a short-term mindfulness-based program on self-reported mindfulness, decentering, executive attention, psychological health, and coping style: Examining unique mindfulness effects and mediators. Mindfulness, 5(1), 18–35. https://doi.org/10.1007/s12671-012-0142-1.CrossRef

Kalani, S. D., Azadfallah, P., Oreyzi, H., & Adibi, P. (2018). Interventions for physician burnout: A systematic review of systematic reviews. International Journal of Preventive Medicine, 9, 81. https://doi.org/10.4103/ijpvm.IJPVM_255_18.CrossRefPubMedPubMedCentral

Keng, S., Smoski, M. J., Robins, C. J., Ekblad, A. G., & Brantley, J. G. (2012). Mechanisms of change in mindfulness-based stress reduction: Self-compassion and mindfulness as mediators of program outcomes. Journal of Cognitive Psychotherapy, 26(3), 270–280. https://doi.org/10.1891/0889-8391.26.3.270.CrossRef

Klainin-Yobas, P., Oo, W. N., Suzanne Yew, P. Y., & Lau, Y. (2015). Effects of relaxation interventions on depression and anxiety among older adults: A systematic review. Aging & Mental Health, 19, 1043–1055. https://doi.org/10.1080/13607863.2014.997191.CrossRef

Lebois, L. A. M., Papies, E. K., Gopinath, K., Cabanban, R., Quigley, K. S., Krishnamurthy, V., Barrett, L. F., & Barsalou, L. W. (2015). A shift in perspective: Decentering through mindful attention to imagined stressful events. Neuropsychologia, 75, 505–524. https://doi.org/10.1016/j.neuropsychologia.2015.05.030.CrossRefPubMedPubMedCentral

Leonelli, L. B., Andreoni, S., Martins, P., Kozasa, E. H., Salvo, V. L., Sopezki, D., Montero-Marin, J., Garcia-Campayo, J., & Demarzo, M. (2017). Estresse percebido em profissionais da estratégia da saúde da família. Revista Brasileira de Epidemiologia, 20(2), 286–298. https://doi.org/10.1590/1980-5497201700020009.CrossRefPubMed

Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., & Eiroa-Orosa, F. J. (2018). A systematic review of the impact of mindfulness on the well-being of healthcare professionals. Journal of Clinical Psychology, 74(3), 319–355.CrossRef

Lorenz, V. R., & Guirardello, E. B. (2014). The environment of professional practice and burnout in nurses in primary healthcare. Revista Latino-Americana de Enfermagem, 22(6), 926–933. https://doi.org/10.1590/0104-1169.0011.2497.CrossRefPubMedPubMedCentral

Manocha, R., Black, D., & Stough, C. (2011). A randomized, controlled trial of meditation for work stress, anxiety, and depressed mood in full time workers. Evidence-based Complementary and Alternative Medicine, 2011, 1–8. https://doi.org/10.1155/2011/960583.CrossRef

Manotas, M., Segura, C., Eraso, M., Oggins, J., & McGovern, K. (2014). Association of brief mindfulness training with reductions in perceived stress and distress in health care professionals. International Journal of Stress Management, 21(2), 207–225. https://doi.org/10.1037/a0035150.CrossRef

Martins, L. F., Laport, T. J., Menezes, V. P., Medeiros, P. B., & Ronzani, T. M. (2014). Esgotamento entre profissionais da atenção primária à saúde. Ciência e Saúde Coletiva, 19(12), 4739–4750. https://doi.org/10.1590/1413-812320141912.03202013.CrossRefPubMed

Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual. Palo Alto: Consulting Psychologist Press.

Massuda, A., Hone, T., Leles, F., de Castro, M. C., & Atun, R. (2018). The Brazilian health system at crossroads: Progress, crisis, and resilience. BMJ Global Health, 3(4), e000829. https://doi.org/10.1136/bmjgh-2018-000829.CrossRefPubMedPubMedCentral

Michie, S. (2002). Causes and management of stress at work. Occupational and Environmental Medicine, 59(1), 67–72 https://doi.org/10.1136/oem.59.1.67.CrossRef

Montero-Marin, J., Garcia-Campayo, J., Pérez-Yus, M. C., Zabaleta-Del-Olmo, E., & Cuijpers, P. (2019). Meditation techniques v. relaxation therapies when treating anxiety: A meta-analytic review. Psychological Medicine, 49(13), 2118–2133. https://doi.org/10.1017/S0033291719001600.CrossRefPubMed

Montero-Marin, J., Zubiaga, F., Cereceda, M., Piva Demarzo, M. M., Trenc, P., & Garcia-Campayo, J. (2016). Burnout subtypes and absence of self-compassion in primary healthcare professionals: A cross-sectional study. PLoS One, 11(6), e0157499. https://doi.org/10.1371/journal.pone.0157499.CrossRefPubMedPubMedCentral

Montero-Marin, J., Tops, M., Manzanera, R., Piva Demarzo, M. M., de Mon, Á., García-Campayo, M., & J. (2015). Mindfulness, resilience, and burnout subtypes in primary care physicians: The possible mediating role of positive and negative affect. Frontiers in Psychology, 6, 1895. https://doi.org/10.3389/fpsyg.2015.01895.CrossRefPubMedPubMedCentral

Montero-Marin, J., Prado-Abril, J., Carrasco, J. M., Asensio-Martínez, Á., Gascón, S., & García-Campayo, J. (2013). Causes of discomfort in the academic workplace and their associations with the different burnout types: A mixed-methodology study. BMC Public Health, 13, 1240. https://doi.org/10.1186/1471-2458-13-1240.CrossRefPubMedPubMedCentral

Montero-Marin, J., Kuyken, W., Gasión, V., Barceló-Soler, A., Rojas, L., Manrique, A., Esteban, R., & Garcia-Campayo, J. (2020). Feasibili.Ty and effectiveness of a workplace-adapted mindfulness-based programme to reduce stress in workers at a private sector logistics company: An exploratory mixed methods study. International Journal of Environmental Research and Public Health, 17(5), 1643. https://doi.org/10.3390/ijerph17051643.CrossRefPubMedCentral

Moritz, S., Cludius, B., Hottenrott, B., Schneider, B. C., Saathoff, K., Kuelz, A. K., & Gallinat, J. (2015). Mindfulness and relaxation treatment reduce depressive symptoms in individuals with psychosis. European Psychiatry, 30, 709–714. https://doi.org/10.1016/j.eurpsy.2015.05.002.CrossRefPubMed

Neff, K. (2003). The development and validation of a scale to measure self compassion. Self and Identity, 2, 223–250. https://doi.org/10.1080/15298860309027.CrossRef

Neff, K. D., Tóth-Király, I., Yarnell, L. M., Arimitsu, K., Castilho, P., Ghorbani, N., Guo, H. X., Hirsch, J. K., Hupfeld, J., Hutz, C. S., Kotsou, I., Lee, W. K., Montero-Marin, J., Sirois, F. M., de Souza, L. K., Svendsen, J. L., Wilkinson, R. B., & Mantzios, M. (2019). Examining the factor structure of the self-compassion ccale in 20 diverse samples: Support for use of a total score and six subscale scores. Psychological Assessment, 31(1), 27–45. https://doi.org/10.1037/pas0000629.CrossRefPubMed

Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., Peters, D., Hodkinson, A., Riley, R., & Esmail, A. (2018). Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Internl Medicine, 179(4), 596. https://doi.org/10.1001/jamainternmed.2018.3713.CrossRef

Passero, L. G., Giordani, J. M. A., Hugo, F. N., Torman, V. B. L., Camey, S. A., & Hilgert, J. B. (2016). Contextual and individual factors associated with dissatisfaction with the Brazilian unified national health system. Cadernos de Saúde Pública, 32(10), 2011–2012 e00065015. https://doi.org/10.1590/0102-311X00065015.CrossRef

Pizutti, L. T., Carissimi, A., Valdivia, L. J., Ilgenfritz, C., Freitas, J. J., Sopezki, D., Demarzo, M. M. P., & Hidalgo, M. P. (2019). Evaluation of Breathworks' mindfulness for stress 8-week course: Effects on depressive symptoms, psychiatric symptoms, affects, self-compassion, and mindfulness facets in Brazilian health professionals. Journal of Clinical Psychology, 75(6), 970–984. https://doi.org/10.1002/jclp.22749.CrossRefPubMed

Ravalier, J. M., Wegrzynek, P., & Lawton, S. (2016). Systematic review: Complementary therapies and employee well-being. Occupational Medicine, 66(6), 428–436. https://doi.org/10.1093/occmed/kqw047.CrossRefPubMed

Rabatin, J., Williams, E., Baier Manwell, L., Schwartz, M. D., Brown, R. L., & Linzer, M. (2016). Predictors and outcomes of burnout in primary care physicians. Journal of Primary Care & Community Health, 7(1), 41–43. https://doi.org/10.1177/2150131915607799.CrossRef

Romani, M., & Ashkar, K. (2014). Burnout among physicians. Libyan Journal of Medicine., 9, 1–6.CrossRef

Ruotsalainen, J. H., Verbeek, J. H., Mariné, A., & Serra, C. (2014). Preventing occupational stress in healthcare workers. The Cochrane Database of Systematic Reviews, 13(11), CD002892. https://doi.org/10.1002/14651858.CD002892.pub3.CrossRef

Rushton, C. H., Batcheller, J., Schroeder, K., & Donohue, P. (2015). Burnout and resilience among nurses practicing in high-intensity settings. American Journal of Critical Care, 24(5), 412–420. https://doi.org/10.4037/ajcc2015291.CrossRefPubMed

Rycroft-Malone, J., Gradinger, F., Owen Griffiths, H., Anderson, R., Crane, R. S., Gibson, A., Mercer, S. W., & Kuyken, W. (2019). 'Mind the gaps': the accessibility and implementation of an effective depression relapse prevention programme in UK NHS services: learning from mindfulness-based cognitive therapy through a mixed-methods study. BMJ, 8(9), e026244. https://doi.org/10.1136/bmjopen-2018-026244.CrossRef

Santos, K. O. B., Carvalho, F. M., & Araújo, T. M. (2016). Internal consistency of the self-reporting questionnaire-20 in occupational groups. Revista de Saúde Pública, 50, 6. https://doi.org/10.1590/S1518-8787.2016050006100.CrossRefPubMedPubMedCentral

Satici, S. A., Uysal, R., & Akin, A. (2013). Investigating the relationship between flourishing and self-compassion: A structural equation modeling approach. Psychologica Belgica, 53, 85–99. https://doi.org/10.5334/pb-53-4-85.CrossRef

Salyers, M. P., Bonfils, K. A., Luther, L., Firmin, R. L., White, D. A., Adams, E., & Rollins, A. L. (2016). The relationship between professional burnout and quality and safety in healthcare: A meta-analysis. General Internal Medicine, 32(4), 475–482. https://doi.org/10.1007/s11606-016-3886-9.CrossRef

Schuster, M. S., Dias, V. V., Battistella, L. F., & Grohmann, M. Z. (2015). Validação da escala M.B.I.-GS: uma investigação general survey sobre a percepção de saúde dos colaboradores. Revista de Gestão, 22(3), 405–416. https://doi.org/10.5700/rege569.CrossRef

Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386. https://doi.org/10.1002/jclp.20237.CrossRefPubMed

Sekhon, M., Cartwright, M., & Francis, J. J. (2017). Acceptability of healthcare interventions: An overview of reviews and development of a theoretical framework. BMC Health Services Research, 17, 88. https://doi.org/10.1186/s12913-017-2031-8.CrossRefPubMedPubMedCentral

Souza, L. K. & Hutz, C. H. (2013). Adaptação e validação da escala de autocompaixão e comparações com autoestima e autoeficácia (Relatório final de pesquisa), UFRGS.

Teper, R., & Inzlicht, M. (2013). Meditation, mindfulness, and executive control: The importance of emotional acceptance and brain-based performance monitoring. Social Cognitive and Affective Neuroscience, 8, 85–92. https://doi.org/10.1093/scan/nss045.CrossRefPubMed

Wilde, S., Sonley, A., Crane, C., Ford, T., Raja, A., Robson, J., Taylor, L., & Kuyken, W. (2019). Mindfulness training in UK secondary schools: A multiple case study approach to identification of cornerstones of implementation. Mindfulness, 10, 376–389. https://doi.org/10.1007/s12671-018-0982-4.CrossRefPubMed

Williams, D., Tricomi, G., Gupta, J., & Janise, A. (2015). Efficacy of burnout interventions in the medical education pipeline. Academic Psychiatry, 39, 47–54. https://doi.org/10.1007/s40596-014-0197-5.CrossRefPubMed

WHO (2019). Burnout an “occupational phenomenon”: International Classification of Diseases. https://www.who.int/mental_health/evidence/burn-out/en/.

Zanon, C., Anon, C., Bastianello, M. R., Pacico, J. C., & Hutz, C. S. (2013). Desenvolvimento e validação de uma escala de afetos positivos e negativos. Psico-USF, 18(2), 193–201. https://doi.org/10.1590/S1413-82712013000200003.CrossRef

Titel: Feasibility and Effectiveness of a Mindfulness-Based Program Vs. Relaxation in the Treatment of Burnout in Brazilian Primary Care Providers: a Mixed-Methods Pragmatic Controlled Study
Auteurs: Daniela Sopezki
Solange Andreoni
Jesus Montero-Marin
Eno Dias de Castro Filho
Sandra Fortes
Gioconda Grandi de Lima
Leandro Pizutti
Áthila Campos Girão
Tânia Fernandes Silva
Javier García-Campayo
Marcelo Demarzo
Publicatiedatum: 04-08-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 11/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01472-w

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Vipassanā as a Method and a Change of Heart

Effectiveness of a School-Based Mindfulness Intervention on Children’s Internalizing and Externalizing Problems: the Gaia Project

On the Doorstep: Karma Meets Dharma—a Quantum Leap for Homo sapiens sapiens

Different Ways of Knowing Make Us Wiser

Effectiveness of Self-Compassion Inductions Among Individuals with Elevated Social Anxiety