The Effects of the Compassionate Mind Training for Caregivers on Professional Quality of Life and Mental Health: Outcomes from a Cluster Randomized Trial in Residential Youth Care Settings.

IF 1.7 4区心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Child & Youth Care Forum Pub Date : 2023-05-03 DOI:10.1007/s10566-023-09749-6

Laura Santos, Maria do Rosário Pinheiro, Daniel Rijo

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Abstract

Background: 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.

Objective: 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.

Method: 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.

Results: MANCOVA showed a significant Time × Group interaction effects (F = 1.890, p = .014; $η_{p}^{2}$ = .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.

Conclusion: 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.Trial registration: This cluster randomized trial was registered at ClinicalTrials.gov (TRN: NCT04512092) on 6th August 2020.

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护理人员的同情心理训练对职业生活质量和心理健康的影响：在寄宿青少年护理环境中进行的一项集群随机试验的结果。

背景：在寄宿青年护理（RYC）工作的护理人员中，心理困扰非常明显。维持和提高护理人员的职业心理健康和生活质量对于在RYC中取得有效结果至关重要。然而，保护照顾者心理健康的培训却很少。考虑到对负面心理结果的缓冲作用，同情训练可能对RYC有益。目的：本研究是一项集群随机试验的一部分，旨在检验照顾者同情心理训练（CMT护理院）的效果，观察RYC护理人员的职业生活质量和心理健康。方法：样本由来自12家葡萄牙养老院（RCH）的127名专业护理人员组成。RCH在实验（N = 6）对照组（N = 6）。参与者在基线、治疗后以及3个月和6个月的随访中接受评估，回答职业生活质量量表和抑郁、焦虑和压力量表。以自我批评态度和受教育程度为协变量，采用双因素混合MANCOVA测试项目效果。结果：MANCOVA显示出显著的时间 × 群体互动效应（F = 1.890，p = .014；ηp2=.050），与对照组相比，CMT养老院参与者在3个月和6个月的随访中在倦怠、焦虑和抑郁方面的得分较低。接受CMT养老院的参与者认为该计划有助于应对疫情威胁，并在封锁期间帮助年轻人。结论：这项研究显示了CMT护理院在帮助专业护理人员减少RYC的倦怠、焦虑和抑郁以及应对疫情挑战方面的好处。试验注册：这项集群随机试验于2020年8月6日在ClinicalTrials.gov（TRN:NCT04512092）上注册。

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来源期刊

Child & Youth Care Forum PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

3.60

自引率

5.60%

发文量

期刊介绍： Child & Youth Care Forum is a peer-reviewed, multidisciplinary publication that welcomes submissions – original empirical research papers and theoretical reviews as well as invited commentaries – on children, youth, and families. Contributions to Child & Youth Care Forum are submitted by researchers, practitioners, and clinicians across the interrelated disciplines of child psychology, early childhood, education, medical anthropology, pediatrics, pediatric psychology, psychiatry, public policy, school/educational psychology, social work, and sociology as well as government agencies and corporate and nonprofit organizations that seek to advance current knowledge and practice. Child & Youth Care Forum publishes scientifically rigorous, empirical papers and theoretical reviews that have implications for child and adolescent mental health, psychosocial development, assessment, interventions, and services broadly defined. For example, papers may address issues of child and adolescent typical and/or atypical development through effective youth care assessment and intervention practices. In addition, papers may address strategies for helping youth overcome difficulties (e.g., mental health problems) or overcome adversity (e.g., traumatic stress, community violence) as well as all children actualize their potential (e.g., positive psychology goals). Assessment papers that advance knowledge as well as methodological papers with implications for child and youth research and care are also encouraged.