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一项针对社会工作者的基于正念的社会工作与自我关怀随机试验。

A randomised trial of Mindfulness-based Social Work and Self-Care with social workers.

作者信息

Maddock Alan, McGuigan Karen, McCusker Pearse

机构信息

School of Social Policy, Social Work and Social Justice, University College Dublin, Dublin 4, Ireland.

School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland.

出版信息

Curr Psychol. 2023;42(11):9170-9183. doi: 10.1007/s12144-023-04410-w. Epub 2023 Feb 25.

Abstract

ABSTRACT

The primary objective of this study was to examine the effects of a bespoke and innovative six-week online Mindfulness-based Social Work and Self-Care (MBSWSC) programme on the stress, feelings of burnout, anxiety, depression, and well-being of a sample of social workers. This secondary objective was to examine the effectiveness of MBSWSC at improving a number of potentially important mindfulness-based programme mechanisms of action, including mindfulness, attention regulation (decentering), acceptance, self-compassion, non-attachment, aversion, worry and rumination. A randomised controlled trial with repeated measures (pre-post intervention) was conducted to evaluate the effects of MBSWSC against an active control. The active control was a modified mindfulness-based programme which focussed on supporting increases in mindfulness and self-compassion in social workers with a view to improving the same primary study outcomes. Sixty-two participants were randomly allocated to MBSWSC (n = 33) or the active control (n = 29). When compared to the active control group, the MBSWSC programme was found to be significantly superior at improving stress, emotional exhaustion, anxiety, and depression. MBSWSC was also superior to the active control at improving acceptance, mindfulness, non-attachment, attention regulation (decentering) and worry of the social workers in this study. The results suggest that MBSWSC is a very useful therapeutic programme, which has the capacity to improve a range of important mental health and well-being outcomes for social workers. The results also indicate that the MBSWSC programme has the capacity to improve a range of important mindfulness-based mechanisms of action.

TRIAL REGISTRATION

URL: https://www.clinicaltrials.gov; Unique identifier: NCT05519267 (retrospectively registered).

摘要

摘要

本研究的主要目的是检验一项为期六周、定制且创新的基于正念的社会工作与自我关怀(MBSWSC)在线项目对一组社会工作者的压力、倦怠感、焦虑、抑郁和幸福感的影响。次要目的是检验MBSWSC在改善一些潜在重要的基于正念的项目作用机制方面的有效性,这些机制包括正念、注意力调节(去中心化)、接纳、自我同情、不执着、厌恶、担忧和沉思。进行了一项带有重复测量(干预前后)的随机对照试验,以评估MBSWSC相对于积极对照组的效果。积极对照组是一个经过修改的基于正念的项目,其重点是支持社会工作者提高正念和自我同情,以期改善相同的主要研究结果。62名参与者被随机分配到MBSWSC组(n = 33)或积极对照组(n = 29)。与积极对照组相比,发现MBSWSC项目在改善压力、情绪耗竭、焦虑和抑郁方面明显更具优势。在本研究中,MBSWSC在提高社会工作者的接纳、正念、不执着、注意力调节(去中心化)和担忧方面也优于积极对照组。结果表明,MBSWSC是一个非常有用的治疗项目,有能力改善社会工作者一系列重要的心理健康和幸福感结果。结果还表明,MBSWSC项目有能力改善一系列重要的基于正念的作用机制。

试验注册

网址:https://www.clinicaltrials.gov;唯一标识符:NCT05519267(追溯注册)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b156/9959936/3fcba61932fb/12144_2023_4410_Fig1_HTML.jpg

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