Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
Department of Counselling and Psychology, Hong Kong Shue Yan University, Hong Kong.
Patient Educ Couns. 2021 Feb;104(2):360-368. doi: 10.1016/j.pec.2020.07.022. Epub 2020 Jul 31.
To investigate the impact of a structured eight-week mindfulness-based cognitive therapy (MBCT) program on counseling self-efficacy among counseling trainees.
Undergraduate counseling trainees were randomized to an MBCT group (n = 25) or a waitlist control group (n = 25) with a crossover trial design. Psychological measurements regarding mindfulness, empathy, self-compassion, psychological distress, counseling self-efficacy as well as neuro-physiological measures including frontal midline theta activity, respiration rate, and skin conductance were taken at baseline (T1), after intervention (T2), and six-month follow-up (T3).
Mindfulness training could make significant positive changes in empathy, self-compassion, stress reduction, and counseling self-efficacy with this being backed up by both psychological and neuro-physiological evidence at T2. However, such differences between the two groups had greatly subsided after crossover in which carry-over effect and marked improvement were noted in the study and control group, respectively, at T3. In addition, mindfulness was the most significant determinant that contributed to counseling self-efficacy, followed by psychological distress reduction and self-compassion according to the regression models.
Integrating mindfulness into counseling training is beneficial for helping profession trainees.
Incorporating mindfulness into counseling training can enhance the necessary "being mode" qualities in counseling and address self-care issues during training.
探讨结构化的八周正念认知疗法（MBCT）方案对咨询培训生咨询自我效能感的影响。
采用交叉试验设计，将本科咨询培训生随机分配至 MBCT 组（n=25）或候补对照组（n=25）。在基线（T1）、干预后（T2）和六个月随访（T3）时，进行心理测量，包括正念、同理心、自我同情、心理困扰、咨询自我效能感，以及神经生理测量，包括额中线θ活动、呼吸率和皮肤电导。
正念训练可显著改善同理心、自我同情、减轻压力和咨询自我效能感，这在 T2 时得到了心理和神经生理证据的支持。然而，在交叉后，两组之间的差异大大减弱，在 T3 时，研究组和对照组分别出现了延续效应和显著改善。此外，根据回归模型，正念是对咨询自我效能感影响最大的因素，其次是心理困扰的减轻和自我同情。
将正念融入咨询培训对帮助专业培训生有益。
将正念融入咨询培训可以增强咨询中的必要“存在模式”素质，并解决培训期间的自我关怀问题。
