Long-term effects of a mindfulness and self-compassion program with Primary Healthcare professionals

Authors

  • M.C. Fuertes Sección de Planificación. Departamento de Salud. Gobierno de Navarra. Pamplona.
  • G. Aranda Subdirección de Farmacia. Servicio Navarro de Salud-Osasunbidea (SNS-O).
  • N. Rezola Unidad Docente de Medicina Familiar y Comunitaria. Gobierno de Navarra.
  • A. Erramuzpe Unidad Docente de Medicina Familiar y Comunitaria. Gobierno de Navarra.
  • C. Palacios Unidad Docente de Medicina Familiar y Comunitaria. Gobierno de Navarra.
  • B. Ibañez IdiSNA. Navarrabiomed – CHN – UPNA.

DOI:

https://doi.org/10.23938/ASSN.0718

Keywords:

Mindfulness. Self-compassion. Burnout. Stress. Primary Healthcare.

Abstract

Background. The effectiveness of mindfulness and self-compassion-based interventions (MSCI) on emotional fatigue and stress in Primary Healthcare (PHC) professionals has been demonstrated in the short term. The aims of this work were to assess whether these effects persist after two years, and if the observed results differ between those who practiced mindfulness regularly during the follow-up (meditators) and those who did not.

Methods. Prospective study – pre-post and two years after performing an MSCI that was offered to all PHC professionals in Navarra, with group sessions of 2.5 hours / week for 8 weeks. Attending at least 75% of the sessions and practicing at home for 45 minutes a day were mandatory. At the three moments of the study, questionnaires were distributed to measure levels of mindfulness (FFMQ), self-compassion (SCS), perceived stress (PSQ) and burnout (MBI). At the end of the follow-up period, participants were asked if they were meditators and the time they dedicated to this weekly.

Results. Forty-eight professionals were enrolled and 41 (83% women) met the inclusion criteria, without loss to follow-up. Mean scores in mindfulness, self-compassion and perceived stress significantly improved after the intervention and in the long term (p <0.001), without observing differences in the level of burnout. The group of meditators achieved a greater long-term improvement in self-compassion (3.6 points vs. 1.6).

Conclusions. The effectiveness of an MSCI persists two years later regardless of meditator status, although there is a significant improvement in self-compassion in the meditators.

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Author Biography

M.C. Fuertes, Sección de Planificación. Departamento de Salud. Gobierno de Navarra. Pamplona.

Jefa Sección Planificación del Servicio de Planificación Evaluación y Gestión del Conocimiento del Departamento de Salud de Navarra

References

CEBOLLA A, DEMARZO M. ¿Qué es Mindfulness? En: Cebolla A, García-Campayo J, Demarzo M, editores. Mindfulness y Ciencia: De la tradición a la modernidad. Madrid: Alianza 2014: 19-40. https://doi.org/10.1007/s12671-016-0569-x

KABAT-ZINN J. Vivir con plenitud las crisis. Cómo utilizar la sabiduría del cuerpo para enfrentarnos al estrés, el dolor y la enfermedad. Barcelona: Kairós 2016.

HOFMANN SG, SAWYER AT, WITT AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression. J Consult Clin Psychol 2010; 78: 169-183. https://doi.org/10.1037/a0018555

KUYKEN W, WARREN FC, TAYLOR RS, WHALLEY B, CRANE C, BONDOLFI G et al. Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA Psychiatry 2016: 1;73: 565-574. https://doi.org/10.1001/jamapsychiatry.2016.0076

LA COUR P, PETERSEN M. Effects of mindfulness meditation on chronic pain: a randomized controlled trial. PainMed 2015; 16: 641-652. https://doi.org/10.1111/pme.12605

GOTINK RA, CHU P, BUSSCHBACH J, BENSON H, FRICCHIONE GL, HUNINK M. Standardised mindfulness-based interventions in healthcare: an overview of systematic reviews and meta-analyses of RCTs. PLoSOne 2015; 10: 1-17. https://doi.org/10.1371/journal.pone.0124344

BLACK DS, SLAVICH GM. Mindfulness meditation and the inmune system: a systematic review of randomized controlled trials. Ann New York Acad Sci 2016; 1373: 13-24. https://doi.org/10.1111/nyas.12998

HÖLZEL BK, LAZAR SW, GARD T, SCHUMAN-OLIVIER Z, VAGO DR, OTT U. How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspect Psychol Sci 2011; 6: 537-559. https://doi.org/10.1177/1745691611419671

TANG YY, HÖLZEL BK, POSNERMI. The neuroscience of mindfulness meditation. Nat Rev Neurosci 2015; 16: 213-225. https://doi.org/10.1038/nrn3916

KRASNER MS, EPSTEIN RM, BECKMAN H, SCHUMAN AL, CHAPMAN B, MOONEY CJ et al. Association of an educational program in mindful communication with burnout, empathy and attitudes among primary care physicians. JAMA 2009; 302: 1284-1293. https://doi.org/10.1001/jama.2009.1384

BOELLINGHAUS I, JONES FW, HUTTON J. The role of mindfulness and loving-kindness meditation in cultivating self-compassion and other focused concern in Health Care professionals. Mindfulness (NY) 2014; 5: 129-138. https://doi.org/10.1007/s12671-012-0158-6

ATANES A, ANDREONI S, HIRAYAMA M, MONTERO-MARÍN J, BARROS V, RONZANI T et al. Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals. BMC Complement Altern Med 2015; 15: 303. https://doi.org/10.1186/s12906-015-0823-0

ARANDA G, ELCUAZ MR, FUERTES C, GÜETO V, PASCUAL P, SAINZ DE MURIETA E. Evaluación de la efectividad de un programa de mindfulness y autocompasión para reducir el estrés y prevenir el burnout en profesionales sanitarios de atención primaria. Aten Primaria 2018; 50: 141-150. https://doi.org/10.1016/j.aprim.2017.03.009

DAVIDSON RJ, KABAT-ZINN J, SCHUMACHER J, ROSENKRANZ MA, MULLER D, SANTORELLI SF et al. Alterations in brain and inmune function produced by mindfulness meditation. Psychosom Med 2003; 65: 564-570.

BAER R, HOPKINS J, KRIETEMEYER J, SMITH GT, TONEY L. Using self-report assessments methods to explore facets of mindfulness. Assessment 2006; 13: 27-45. https://doi.org/10.1177/1073191105283504

CEBOLLA A, GARCÍA- PALACIOS A, SOLER J, GUILLÉN V, BAÑOS R, BOTELLA C. Psychometric properties of the Spanish validation of the Five Facets of Mindfulness Questionnaire (FFMQ) Eur J Psychiat 2012; 26: 118-126.https://doi.org/10.4321/s0213-61632012000200005

SANZ-CARRILLO C, GARCÍA CAMPAYO J, RUBIO A, SANTED M, MONTORO M (2002). Validation of the spanish version of the perceived stress questionnaire. J Psychosom Res 2002; 3: 167-172. https://doi.org/10.1016/s0022-3999(01)00275-6

NEFF KD. The development and validation of a scale to measure self-compassion. Self and Identity 2003; 2: 223-250. https://doi.org/10.1080/15298860309027

GARCÍA-CAMPAYO J, NAVARRO-GIL M, ANDRÉS E, MONTERO-MARÍN J, LÓPEZ-ARTAL L, DEMARZO M. Validation of the spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health and Quality of LifeOutcomes 2014; 12: 4. https://doi.org/10.1186/1477-7525-12-4

SEISDEDOS N. MBI Inventario Burnout de Maslach. Madrid: TEA Ediciones; 1997.

TIRCH DD. Mindfulness as a context for the cultivation of compassion. Int J CognTHer 2010; 3: 113-123.

BIRNIE K, SPECA M, CARLSON LE. Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress Health 2010; 26: 359-371. https://doi.org/10.1002/smi.1305

KUYKEN W, WATKINS E, HOLDEN E, WHITE K, TAYLOR RS, BYFORD S et al. How does mindfulness-based cognitive therapy work? Beha Res Ther 2010; 48: 1105-1112. https://doi.org/10.1016/j.brat.2010.08.003

HÖLZEL BK, CARMODY J, VANGEL M, CONGLETON C, YERRAMSETTI SM, GARD T Y LAZAR SW. Mindfulness practice leads to increases in regional brain gray matter density. Psy Res 2011; 191: 36-43 https://doi.org/10.1016/j.pscychresns.2010.08.006

HÖLZEL BK, CARMODY J, EVANS KC, DUSEK JA, MORGAN L, PITYMAN R Y LAZAR SW. Attending to the Present: Mindfulness meditation reveals distinct neural modes of self-reference. Soc Cogn Affect Neurosci 2007; 2: 313-322. https://doi.org/10.1093/scan/nsm030

ARKOWITZ H, LILIENFELD SO. Is Mindfulness Good Medicine? SA Mind 2014; 25: 74-75 (September 2014) https://doi.org/10.1038/scientificamericanmind0914-74

GILMARTIN H, GOYAL A, HAMATI MC, MANN J, SAINT S, CHOPRA V. Brief mindfulness practices for healthcare providers - A systematic literature review. Am J Med 2017; 130: 1219.e1-1219.e17. https://doi.org/10.1016/j.amjmed.2017.05.041

FERNÁNDEZ-SANCHEZ JC, PÉREZ-MÁRMOL J. M., PERALTA M. I.. Influencia de factores sociodemográficos, laborales y de estilo de vida sobre los niveles de burnout en personal sanitario de cuidados paliativos. An Sist Sanit Navar 40: 421-431. https://doi.org/10.23938/ASSN.0114.

FERNÁNDEZ-SANCHEZ J.C, PÉREZ-MÁRMOL J.M., SANTOS-RUIZ A.M., PÉREZ-GARCÍA M, PERALTA M.I. Burnout y funciones ejecutivas en personal sanitario de Cuidados paliativos: influencia del desgaste profesional sobre la toma de decisiones. An Sist Sanit Navar 41: 171-180. https://doi.org/10.23938/ASSN.0308

GOYAL M, SINGH S, SIBINGA EM, GOULD NF, ROWLAND-SEYMOUR A, SHARMA R et al. Meditation Programs for Psychological Stress and Well-being: A Sistematic Review and Meta-analysis. JAMA Intern Med 2014; 174: 357-368. https://doi.org/10.1001/jamainternmed.2013.13018

DAVIDSON RJ, DAHL CJ. Outstanding Challenges in Scientific Research on Mindfulness Meditation. (2017) Perspect Psychol Sci 2018; 13:62-65. https://doi.org/10.1177/1745691617718358

VAN DAM NT, VAN VUGT MK, VAGO DR, SCHMALZL L, SARON CD, OLENDZKI A et al. Reiterated concerns and further challenges for mindfulness and meditation research: A reply to Davidson and Dahl. Perspect Psychol Sci 2018; 13: 66-69. https://doi.org/10.1177/1745691617727529

Published

2019-12-05

How to Cite

Fuertes, M., Aranda, G., Rezola, N., Erramuzpe, A., Palacios, C., & Ibañez, B. (2019). Long-term effects of a mindfulness and self-compassion program with Primary Healthcare professionals. Anales Del Sistema Sanitario De Navarra, 42(3), 269–280. https://doi.org/10.23938/ASSN.0718

Issue

Section

Research articles