Santamaría-Peláez Mirian, González-Bernal Jerónimo Javier, Verdes-Montenegro-Atalaya Juan Carlos, Pérula-de Torres Luis Ángel, Roldán-Villalobos Ana, Romero-Rodríguez Esperanza, Hachem Salas Nur, Magallón Botaya Rosa, González-Navarro Teresa de Jesús, Arias-Vega Raquel, Valverde Francisco Javier, Jiménez-Barrios María, Mínguez Luis Alberto, León-Del-Barco Benito, Soto-Cámara Raúl, González-Santos Josefa
Department of Health Sciences, University of Burgos, 09001 Burgos, Spain.
Family and Community Medicine Teaching Department of Burgos, 09006 Burgos, Spain.
J Clin Med. 2021 Dec 17;10(24):5941. doi: 10.3390/jcm10245941.
In primary health care, the work environment can cause high levels of anxiety and depression, triggering relevant expert and individual change. Mindfulness-Based Stress Reduction (MBSR) programs reduce signs of anxiety and depression. The purpose of this sub-analysis of the total project, was to equate the effectiveness of the standard MBSR curriculum with the abbreviated version in minimizing anxiety and depression. This randomized controlled clinical trial enrolled 112 mentors and resident specialists from Family and Community Medicine and Nurses (FCMN), distributed across six teaching units (TU) of the Spanish National Health System (SNHS). Experimental group participants received a MBRS training (abbreviated/standard). Depression and anxiety levels were measured with the Goldberg Anxiety and Depression Scale (GADS) at three different time periods during the analysis: before (pre-test) and after (post-test) participation, as well as 3 months after the completion of intervention. Taking into account the pre-test scores as the covariate, an adjusted analysis of covariance (ANCOVA) showed significant depletion in anxiety and depression in general (F (2.91) = 4.488; = 0.014; η = 0.090) and depression in particular (F (2, 91) = 6.653; = 0.002; η = 0.128 at the post-test visit, maintaining their effects for 3 months (F (2.79) = 3.031; = 0.050; η = 0.071-F (2.79) = 2.874; = 0.049; η = 0.068, respectively), which is associated with the use of a standard training program. The abbreviated training program did not have a significant effect on the level of anxiety and depression. The standard MBSR training program had a positive effect on anxiety and depression and promotes long-lasting effects in tutors and resident practitioners. New research is needed to demonstrate the effectiveness of abbreviated versions of training programs.
在初级卫生保健中，工作环境可能导致高度焦虑和抑郁，引发相关专家和个人的改变。基于正念的减压（MBSR）项目可减轻焦虑和抑郁症状。本项目总分析的子分析目的是，比较标准MBSR课程与简化版课程在减轻焦虑和抑郁方面的效果。这项随机对照临床试验招募了来自家庭与社区医学及护士专业（FCMN）的112名导师和住院专科医生，他们分布在西班牙国家卫生系统（SNHS）的六个教学单位（TU）。实验组参与者接受了MBRS培训（简化版/标准版）。在分析过程中的三个不同时间段，使用戈德堡焦虑和抑郁量表（GADS）测量抑郁和焦虑水平：参与培训前（预测试）和参与培训后（后测试），以及干预结束后3个月。将预测试分数作为协变量，协方差调整分析（ANCOVA）显示，总体上焦虑和抑郁有显著减轻（F(2,91)=4.488；P=0.014；η=0.090），尤其是抑郁（后测试时F(2,91)=6.653；P=0.002；η=0.128），且在3个月内保持效果（分别为F(2,79)=3.031；P=0.050；η=0.071 - F(2,79)=2.874；P=0.049；η=0.068），这与使用标准培训项目有关。简化培训项目对焦虑和抑郁水平没有显著影响。标准MBSR培训项目对焦虑和抑郁有积极影响，并在导师和住院医生中产生持久效果。需要新的研究来证明培训项目简化版的有效性。
