University of Edinburgh, Department of Clinical Psychology, School of Health in Social Science, University of Edinburgh, Teviot Place, Edinburgh, Scotland EH8 9AG, UK.
University of Edinburgh, Department of Clinical Psychology, School of Health in Social Science, University of Edinburgh, Teviot Place, Edinburgh, Scotland EH8 9AG, UK.
Res Dev Disabil. 2014 Jun;35(6):1216-27. doi: 10.1016/j.ridd.2014.03.005. Epub 2014 Mar 28.
Support staff working with individuals with intellectual disability (ID) and challenging behaviour experience high levels of work-related stress. Preliminary theoretical and experimental research has highlighted the potential suitability of acceptance and mindfulness approaches for addressing support staff stress. This study examines the effectiveness of an acceptance and mindfulness-based stress management workshop on the levels of psychological distress and well-being of support staff working with individuals with ID and challenging behaviour. Support staff (n=120) were randomly assigned to a workshop intervention condition (n=66) or to a waiting list control condition (n=54). Measurements were completed at three time points (pre-, post and 6 week follow-up) for: psychological distress, well-being, perceived work stressors, thought suppression, and emotional avoidance/psychological inflexibility.
The intervention led to significantly greater reductions in distress in the intervention group than in the control group. This was largely maintained at 6 week follow-up. This effect was more pronounced amongst a subsample that had shown higher levels of psychological distress at baseline. Thought suppression was found to reduce significantly in the intervention group between post intervention and follow-up, although no significant change was found in well-being or experiential avoidance/psychological inflexibility. Overall, results demonstrated support for the effectiveness of an acceptance and mindfulness-based intervention in reducing distress.
与智障(ID)和挑战性行为个体一起工作的支持人员经历高水平的与工作相关的压力。初步的理论和实验研究强调了接受和正念方法在解决支持人员压力方面的潜在适用性。本研究考察了基于接受和正念的应激管理研讨会对与智障和挑战性行为个体一起工作的支持人员的心理困扰和幸福感水平的影响。支持人员(n=120)被随机分配到研讨会干预组(n=66)或等待名单对照组(n=54)。在三个时间点(前测、后测和 6 周随访)完成以下测量:心理困扰、幸福感、感知工作压力源、思维抑制和情绪回避/心理僵化。
与对照组相比,干预组的困扰显著减少。这在 6 周随访时仍基本保持。在基线时心理困扰程度较高的亚样本中,这种效果更为明显。在干预组中,思维抑制在干预后和随访期间显著降低,尽管幸福感或体验回避/心理僵化没有显著变化。总体而言,结果支持接受和正念为基础的干预在减少困扰方面的有效性。