Background/Objective

Healthcare workers play a critical role in the health of a nation, yet rates of healthcare worker stress are disproportionately high. We evaluated whether mindfulness-based cognitive therapy for life (MBCT-L), could reduce stress in healthcare workers and target a range of secondary outcomes. Method: This is the first parallel randomised controlled trial of MBCT-L. Participants were NHS workers, who were randomly assigned (1:1) to receive either MBCT-L or wait-list. The primary outcome was self-reported stress at post-intervention. Secondary variables were well-being, depression, anxiety, and work-related outcomes. Mixed regressions were used. Mindfulness and self/other-compassion were explored as potential mechanisms of effects on stress and wellbeing. Results: We assigned 234 participants to MBCT-L (n = 115) or to wait-list (n = 119). 168 (72%) participants completed the primary outcome and of those who started the MBCT-L 73.40% (n = 69) attended the majority of the sessions. MBCT-L ameliorated stress compared with controls (B = 2.60, 95% CI = 1.63‒3.56; d = -0.72; p < .0001). Effects were also found for well-being, depression and anxiety, but not for work-related outcomes. Mindfulness and self-compassion mediated effects on stress and wellbeing. Conclusions: MBCT-L could be an effective and acceptable part of a wider healthcare workers well-being and mental health strategy.

中文翻译：

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使用基于正念的认知疗法终生减轻压力并促进医护人员的福祉

背景/目标

医护人员在一个国家的健康中起着至关重要的作用，但是医护人员的压力却过高。我们评估了基于正念的生活认知疗法（MBCT-L）是否可以减轻医护人员的压力并确定一系列次要结局。方法：这是MBCT-L的第一个平行随机对照试验。参与者是NHS工人，他们被随机分配（1：1）接受MBCT-L或等待名单。主要结果是干预后自我报告的压力。次要变量是幸福感，抑郁，焦虑和与工作有关的结果。使用了混合回归。正念和自我/同情心被探索为对压力和幸福感影响的潜在机制。结果：我们为234名参与者分配了MBCT-L（n = 115）或候补名单（n = 119）。168位（72％）参与者完成了主要结果，而开始MBCT-L的参与者中73.40％（n = 69）参加了大多数会议。与对照组相比，MBCT-L缓解了压力（B = 2.60，95％CI = 1.63±3.56；d = -0.72；p <.0001）。还发现了对幸福感，抑郁和焦虑的影响，但对与工作相关的结果没有影响。正念和自我同情对压力和福祉的影响。结论：MBCT-L可能是更广泛的医护人员福祉和心理健康策略的有效和可接受的部分。