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Wang Q, Luan Y, Liu D, Dai J, Wang H, Zhang Y, Wang S, Dong X, Bi H. Guided self-help mindfulness-based intervention for increasing psychological resilience and reducing job burnout in psychiatric nurses: A randomized controlled trial. Int J Nurs Pract 2024; 30:e13204. [PMID: 37727093 DOI: 10.1111/ijn.13204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 08/30/2023] [Accepted: 09/01/2023] [Indexed: 09/21/2023]
Abstract
AIMS The present study aimed to explore the effects of a guided self-help mindfulness intervention on psychological resilience and job burnout among psychiatric nurses. BACKGROUND Psychiatric nurses work in challenging and potentially high stress settings. Mindfulness interventions can improve psychological resilience and reduce job burnout of nurses. However, face-to-face delivery of mindfulness interventions may be inconvenient for individuals. Guided self-help interventions may be more accessible. METHODS This randomized controlled trial was conducted from January to August 2022. One hundred and eighteen psychiatric nurses were randomized into the intervention and control groups. The individuals in the intervention group received an 8-week guided self-help mindfulness intervention, while the individuals in the control group received a psycho-educational brochure. The Five Facet Mindfulness Questionnaire, the Connor-Davidson Resilience Scale and the Maslach Burnout Inventory-Human Services Survey were used to evaluate the levels of mindfulness, psychological resilience and job burnout, respectively. RESULTS After an 8-week intervention, compared with the control group, the levels of mindfulness and psychological resilience were higher, while the level of job burnout was lower in the intervention group. CONCLUSIONS The guided self-help mindfulness intervention can improve psychological resilience and reduce job burnout among psychiatric nurses.
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Affiliation(s)
- Qi Wang
- Department of Psychiatry and Psychology, General Hospital of Northern Theater Command, Shenyang, Liaoning, China
| | - Yue Luan
- Third Hospital of Daqing, Daqing, Heilongjiang, China
| | - Dandan Liu
- Third Hospital of Daqing, Daqing, Heilongjiang, China
| | - Jiali Dai
- Third Hospital of Daqing, Daqing, Heilongjiang, China
| | - Haina Wang
- Third Hospital of Daqing, Daqing, Heilongjiang, China
| | - Yang Zhang
- Third Hospital of Daqing, Daqing, Heilongjiang, China
| | - Shuang Wang
- Third Hospital of Daqing, Daqing, Heilongjiang, China
| | - Xiaomei Dong
- Department of Psychiatry and Psychology, General Hospital of Northern Theater Command, Shenyang, Liaoning, China
| | - Hongsheng Bi
- Third Hospital of Daqing, Daqing, Heilongjiang, China
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Lin Y, White ML, Viravan N, Braver TS. Parsing state mindfulness effects on neurobehavioral markers of cognitive control: A within-subject comparison of focused attention and open monitoring. COGNITIVE, AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2024; 24:527-551. [PMID: 38351398 PMCID: PMC11081826 DOI: 10.3758/s13415-024-01167-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/24/2024] [Indexed: 05/12/2024]
Abstract
Over the past two decades, scientific interest in understanding the relationship between mindfulness and cognition has accelerated. However, despite considerable investigative efforts, pervasive methodological inconsistencies within the literature preclude a thorough understanding of whether or how mindfulness influences core cognitive functions. The purpose of the current study is to provide an initial "proof-of-concept" demonstration of a new research strategy and methodological approach designed to address previous limitations. Specifically, we implemented a novel fully within-subject state induction protocol to elucidate the neurobehavioral influence of discrete mindfulness states-focused attention (FA) and open monitoring (OM), compared against an active control-on well-established behavioral and ERP indices of executive attention and error monitoring assessed during the Eriksen flanker task. Bayesian mixed modeling was used to test preregistered hypotheses pertaining to FA and OM effects on flanker interference, the stimulus-locked P3, and the response-locked ERN and Pe. Results yielded strong but unexpected evidence that OM selectively produced a more cautious and intentional response style, characterized by higher accuracy, slower RTs, and reduced P3 amplitude. Follow-up exploratory analyses revealed that trait mindfulness moderated the influence of OM, such that individuals with greater trait mindfulness responded more cautiously and exhibited higher trial accuracy and smaller P3s. Neither FA nor OM modulated the ERN or Pe. Taken together, our findings support the promise of our approach, demonstrating that theoretically distinct mindfulness states are functionally dissociable among mindfulness-naive participants and that interactive variability associated with different operational facets of mindfulness (i.e., state vs. trait) can be modeled directly.
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Affiliation(s)
- Yanli Lin
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA.
| | - Marne L White
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
| | - Natee Viravan
- Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Todd S Braver
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
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Prakash RS, Fountain-Zaragoza S, Fisher M, Gbadeyan O, Andridge R, Kiecolt-Glaser J, Manglani HR, Duraney EJ, Shankar A, McKenna MR, Teng J, Phansikar M, Canter R. Protocol for a randomized controlled trial of mindfulness-based stress reduction to improve attentional control in older adults (HealthyAgers trial). BMC Geriatr 2022; 22:666. [PMID: 35964000 PMCID: PMC9375078 DOI: 10.1186/s12877-022-03334-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 07/23/2022] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Mindfulness meditation is a form of mind-body intervention that has increasing scientific support for its ability to reduce age-related declines in cognitive functioning, improve affective health, and strengthen the neural circuitry supporting improved cognitive and affective health. However, the majority of existent studies have been pilot investigations with small sample sizes, limited follow-up data, and a lack of attention to expectancy effects. Here, we present the study design of a Phase I/II, efficacy trial-HealthyAgers trial-that examines the benefits of a manualized mindfulness-based stress reduction program in improving attentional control and reducing mind-wandering in older adults. METHODS One hundred fifty older adults (ages 65-85 years) will be randomized into one of two groups: an eight-week mindfulness program or an eight-week, placebo-controlled, lifestyle education program. Behavioral and neuroimaging assessments are conducted before and after the training. Participants are then invited to booster sessions once every three months for a period of 12 months with post-intervention follow-up assessments conducted at 6-months and 12-months. The primary outcomes for the study are behavioral measures of attentional control and mind-wandering. Additional, secondary outcomes include network strength in an a priori defined neuromarker of attentional control, fluid and everyday cognition, emotion regulation strategy use, and markers of inflammation. DISCUSSION This study will establish the efficacy of a group-based, low-cost mind-body intervention for the inter-related facets of attentional control and mind-wandering in older adults. Strengths of this study include a well-designed, placebo-controlled comparison group, use of web/mobile application to track study adherence, and longitudinal follow-up. TRIAL REGISTRATION Clinicaltrials.gov (# NCT03626532 ). Registered August 4, 2018.
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Affiliation(s)
- Ruchika Shaurya Prakash
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA.
- Center for Cognitive and Behavioral Brain Imaging, The Ohio State University, Columbus, OH, USA.
| | - Stephanie Fountain-Zaragoza
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, USA
| | - Megan Fisher
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- Center for Cognitive and Behavioral Brain Imaging, The Ohio State University, Columbus, OH, USA
| | - Oyetunde Gbadeyan
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- National Centre for Healthy Ageing, Peninsula Clinical School, Faculty of Medicine, Monash University, Melbourne, Australia
| | - Rebecca Andridge
- Department of Biostatistics, The Ohio State University, Columbus, OH, USA
| | | | - Heena R Manglani
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- Center for Cognitive and Behavioral Brain Imaging, The Ohio State University, Columbus, OH, USA
| | - Elizabeth J Duraney
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- Center for Cognitive and Behavioral Brain Imaging, The Ohio State University, Columbus, OH, USA
| | - Anita Shankar
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- Center for Cognitive and Behavioral Brain Imaging, The Ohio State University, Columbus, OH, USA
| | - Michael R McKenna
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- Center for Cognitive and Behavioral Brain Imaging, The Ohio State University, Columbus, OH, USA
| | - James Teng
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- Center for Cognitive and Behavioral Brain Imaging, The Ohio State University, Columbus, OH, USA
| | - Madhura Phansikar
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
| | - Rosie Canter
- Department of Psychology, The Ohio State University, 62 Psychology Building, 1835 Neil Avenue, Columbus, OH, 43210, USA
- Center for Cognitive and Behavioral Brain Imaging, The Ohio State University, Columbus, OH, USA
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