Santos Laura, Pinheiro Maria do Rosário, Rijo Daniel
Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3030-115 Coimbra, Portugal.
Child Youth Care Forum. 2023 May 3:1-21. doi: 10.1007/s10566-023-09749-6.
Psychological distress is highly noticeable among caregivers working in residential youth care (RYC). Maintaining and enhancing caregivers' professional mental health and quality of life is crucial to achieve effective outcomes in RYC. Nevertheless, trainings to protect caregivers' mental health are scarce. Considering the buffering effect over negative psychological outcomes, compassion training could be beneficial in RYC.
This study is part of a Cluster Randomized Trial examining the effects of the Compassionate Mind Training for Caregivers (CMT-Care Homes), looking at professional quality of life and mental health of caregivers working in RYC.
The sample was composed of 127 professional caregivers from 12 Portuguese residential care homes (RCH). RCHs were randomly allocated at experimental (N = 6) and control group (N = 6). Participants were assessed at baseline, post-treatment, and 3 and 6-month follow-ups, answering to the Professional Quality of Life Scale and the Depression, Anxiety and Stress Scale. Program effects were tested using a two-factor mixed MANCOVA, with self-critical attitude and education degree as covariates.
MANCOVA showed a significant Time × Group interaction effects (F = 1.890, = .014; = .050), with CMT-Care Homes participants presenting lower scores on burnout, anxiety, and depression at 3 and 6-months follow-ups, when compared with controls. Participants that received CMT-Care Homes considered the program useful to deal with pandemic threats and with youth during lockdowns.
This study shows the benefits of the CMT-Care Homes in helping professional caregivers reducing burnout, anxiety and depression, and dealing with pandemic challenges in RYC.: This cluster randomized trial was registered at ClinicalTrials.gov (TRN: NCT04512092) on 6th August 2020.
在青少年寄宿照料机构（RYC）工作的照料者中，心理困扰非常明显。维持并提升照料者的职业心理健康和生活质量对于在RYC中取得有效成果至关重要。然而，保护照料者心理健康的培训却很稀缺。考虑到其对负面心理结果的缓冲作用，慈悲心训练可能对RYC有益。
本研究是一项整群随机试验的一部分，该试验考察了照料者慈悲心训练（CMT - 照料之家）的效果，着眼于在RYC工作的照料者的职业生活质量和心理健康。
样本由来自12所葡萄牙寄宿照料机构（RCH）的127名专业照料者组成。RCH被随机分配到实验组（N = 6）和对照组（N = 6）。参与者在基线、治疗后以及3个月和6个月随访时接受评估，回答职业生活质量量表以及抑郁、焦虑和压力量表。使用双因素混合协方差分析来检验项目效果，将自我批评态度和教育程度作为协变量。
协方差分析显示出显著的时间×组间交互效应（F = 1.890，p = 0.014；η² = 0.050），与对照组相比，接受CMT - 照料之家训练的参与者在3个月和6个月随访时的倦怠、焦虑和抑郁得分更低。接受CMT - 照料之家训练的参与者认为该项目有助于应对疫情威胁以及在封锁期间与青少年相处。
本研究表明CMT - 照料之家在帮助专业照料者减轻倦怠、焦虑和抑郁以及应对RYC中的疫情挑战方面具有益处。：这项整群随机试验于2020年8月6日在ClinicalTrials.gov（试验注册号：NCT04512092）注册。
