The Mindfulness-Based Stress Reduction Program (MBSR) Reduces Stress-Related Psychological Distress in Healthcare Professionals

• Andrés Martín Asuero ^[1] ; Gloria García de la Banda ^[1]
  1. [1] Universitat de les Illes Balears

     Universitat de les Illes Balears

     Palma de Mallorca, España

     
• Localización: The Spanish Journal of Psychology, ISSN 1138-7416, Vol. 13, Nº. 2, 2010, págs. 897-905
• Idioma: inglés
• DOI: 10.1017/s1138741600002547
• Enlaces
  • Texto completo
• Dialnet Métricas: 9 Citas
• Resumen
  • español

    Este estudio cuasi-experimental examina si el Mindfulness o conciencia plena reduce el malestar psicológico asociado al estrés en profesionales de la salud. La muestra estaba compuesta por 29 profesionales interesados en reducir el estrés, que siguieron una intervención psicoeducativa de 8 semanas, empleando un total de 28 horas lectivas y denominada Reducción de estrés basada en Mindfulness (Mindfulness-based Stress Reduction o MBSR). Los resultados muestran una disminución del malestar del 35%, descendiendo del percentil 75 al 45, así como reducciones del 30% en rumiación y del 20% en afectividad negativa. Estas mejoras se mantienen durante el periodo de seguimiento de 3 meses posteriores a la intervención. Las correlaciones encontradas indican que la reducción en malestar psicológico conlleva una disminución de la rumiación y de la afectividad negativa. Estos resultados confirman la utilidad de la técnica MBSR para reducir el malestar psicológico en programas de formación para profesionales de la salud.

  • English

    This semi-experimental study examines how Mindfulness facilitates a distress reduction in a group of health professionals. The sample comprises 29 professionals seeking stress reduction who undertook an 8 weeks psico-educative intervention, involving 28 hours of class, based on a program called Mindfulness-based Stress Reduction or MBSR. Results show a 35% reduction of distress, from percentile 75 to 45, combined with a 30% reduction in rumination and a 20% decrease in negative affect. These benefits lasted during the 3 months of the follow up period. The correlation analysis indicates that the decrease in distress is significantly related to the other two variables. These results confirm the effectiveness of MBSR to decrease distress and its applicability in training programs for health professionals.

• Referencias bibliográficas
  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: A Conceptual and empirical review. Clinical Psychology: Science and practice,...
  • Bishop, S. (2002). What do we really know about MindfulnessBased Stress Reduction? Psychosomatic Medicine, 64, 71-84.
  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L. E., Anderson, N., Carmody, J., et al. (2004). Mindfulness: A Proposed Operational Definition....
  • Carlson, L. E., Ursuliak, Z., Goodey, E., Angen, M., & Speca, M. (2001). The effects of a mindfulness meditation-based stress reduction...
  • Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms...
  • Cioffi, D., & Holloway, J. (1993). Delayed cost of suppressed pain. Journal of Personality and Social Psychology, 64, 274-282.
  • Clark, D. M., Ball, S., & Pape, D. (1991). An experimental investigation of thought suppression. Behaviour, Research and Therapy, 29....
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.), Hillsdale, NJ: Laurence Erlbaum Associates.
  • Crawford, J. R., & Henry, J. (2004). The positive and negative affect schedule (PANAS): Construct validity, measurement properties and...
  • Derogatis, L. R. (2002). SCL-90R Manual. Madrid: Tea Ediciones. European Agency for health and safety at work (2007). Fourth European working...
  • Ewers, P., Bradshaw, T., McGovern, J., & Ewers, B. (2002). Does training in psychosocial interventions reduce burnout rates in forensic...
  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General psychology, 2, 271-299.
  • Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis....
  • Hayes, S. C., Wilson, K. G., Giffbrd, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential Avoidance and Behavioral Disorders:...
  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change....
  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, process and outcomes....
  • Joireman, J. (2004). Empathy and the Self-Absorption Paradox II: Self-Rumination and Self-Reflection as mediators between shame, guilt, and...
  • Joireman, J. A., Parrott, L., & Hammersla, J. (2002). Empathy and the self-absorption paradox: Support for the distinction between self-rumination...
  • Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation....
  • Kabat-Zinn, J. (1986). Four year follow up of meditation-based program for the self regulation of chronic pain. Treatment Outcomes and compliance....
  • Kabat-Zinn, J. (1996). Mindfulness Meditation, what is what isn't. In Y. Haruki, Y. Ishii, & M. Suzuki (Eds.). Comparative and Psychological...
  • Kabat-Zinn, J. (2003). MBSR interventions in context: Past, Present and Future. Clinical Psychology: Science and Practice, 10, 144-156.
  • Kuyken, W S., Byford, R. S., Taylor, E., Watkins, E., Holden, K., White, B., et al. (2008). Mindfulness-based cognitive therapy to prevent...
  • Kohn, P. M., & MacDonald, J. E. (1992). The Survey of Recent Life Experiences: A decontaminated hassles scale for adults. Journal of Behavioral...
  • Lazarus, R., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1, 141-169.
  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
  • Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in Medicine. Journal of American Medical Association, 300, 1350-1352.
  • Madrid Médico (2003). Uno de cada cuatro médicos dejaría la medicina por insatisfacción laboral [One out of four doctors would quit medicine...
  • Martín, A. (2008). Con rumbo propio [With own course]. Barcelona: Plataforma editorial.
  • Martín, A., & García de la Banda, G. (2007). Las Ventajas de estar Presente: Como el desarrollo de la Atención Plena reduce el malestar...
  • Martín, A., García de la Banda, G., & Benito, E. (2005). Reducción de Estrés mediante la Conciencia Plena según la técnica MBSR. [Stress...
  • National Center for Complementary and Alternative MedicineNCCAM (2006, April 30). Mind-body medicine: An overview. Retrieved from: http://nccam.nih....
  • Nolen-Hocksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology,...
  • Nolen-Hocsema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectivas on Psychological Science, 3, 400-424.
  • Pérez Alvarez, M. (2006). La terapia de conducta de tercera generación. [Third generation behaviour therapy]. Edupsykhé, 5, 159-172.
  • Ramel, W., Goldin, Ph. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect...
  • Reibel, D. K., Greeson, J. M., Brainard, G. C., & Rosenzweig, S. (2001). Mindfulness-based stress reduction and health-related quality...
  • Roger, D., & Najarian, B. (1989). The construction and validation of a new scale for measuring emotion control. Personality and Individual...
  • Roger, D., García de la Banda, G., Lee, H. S., & Olason, T. O. (2001). A Factor-analytic study of cross-cultural differences in emotional...
  • Sandin, B. (1999). El estrés psicosocial. Madrid: UNED-FUE.
  • Santed, M. A., Sandin, B., Chorot, P., Olmedo, M., & GarcíaCampallo, J. (2001). El papel de la afectividad negativa y positiva en las...
  • Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction in health care professionals: Results...
  • Shapiro, S. L., Schwartz, G. E. & Bonner, G. (1998). Effects of Mindfulness-based Stress Reduction on Medical and Premedical Students....
  • Shapiro, S. L., Shapiro, D. E., & Schwartz, G. E. (2000). Stress management in medical education: A review of the literature. Academic...
  • Shapiro S. L., Oman D., Thoresen C. E., Plante T. G., & Flinders T. (2008). Cultivating mindfulness: effects on well-being. Journal of...
  • Teasdale, J., Moore, R., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. (2002). Metacognitive awareness and prevention of relapse in...
  • Teasdale, J., Segal, Z. Y., Williams, M., Ridgeway, V., Soulsby, J., & Lau, M. (2000). Prevention of relapse/recurrence in major depression...
  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positives and negative affect: The PANAS...
  • Wegner, D., & Zanakos, S. I. (1994). Chronic thought suppression. Journal of Personality, 62, 615-640.
  • Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester, UK: Willey.
  • Wolpe, J. (1993). Práctica de la terapia de la conducta [Practice of behavior therapy]. 3ed. México, DF: Trillas.