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Luis M. Gallardo 2Gladis Pereira 1María Relationshipz. Rodríguez de la Pinta 3Juan J. Rubio 3and Eva Garrosa 1. This study aimed to explore whether an acceptance and commitment ACT approach to stress management how do relationships improve mental health improved the levels of depression, anxiety, and stress among a group of twenty-two health professionals from an intensive care unit.
Questionnaires were administered before and after training, and follow-up was carried out one month after training, including semi-structured interviews with nine participants. The results reflected that the quasi-experimental group reduced their depression and stress levels significantly and showed improvements in stress in the follow-up. A qualitative thematic analysis of interviews showed that nurses were seeking a dl that would help them to cope more effectively with stressful situations and increase their knowledge of stress management.
In conclusion, ACT-based trainings offer a possible framework for mental health promotion in health care organizations. Este estudio tiene como objetivo explorar si un enfoque de aceptación y compromiso TAC para el entrenamiento en el manejo del estrés mejora los niveles de depresión, ansiedad y estrés en un grupo de 22 profesionales de la salud de una unidad de cuidados intensivos. Los cuestionarios se administraron antes y después del entrenamiento y el seguimiento se llevó a cabo un mes después del mismo, incluyendo entrevistas semiestructuradas con 9 de los participantes.
Los resultados reflejaron que el grupo cuasiexperimental redujo sus niveles de depresión y estrés significativamente y mejoró el estrés durante el seguimiento. Los comentarios de los profesionales reflejaban mejoras específicas en su salud, bienestar, relaciones y procesos psicológicos. En conclusión, los entrenamientos basados en TAC ofrecen un posible marco rekationships mejorar la salud mental en las ho de atención médica.
Relationshipd this article as: Blanco-Donoso, L. Clínica y Salud, what does eff stand for in finance 3- Intensive care units ICUs are stressful environments in which pain and human suffering are often experienced alongside great pressure and temporary urgency to perform work van Mol et al. In these cases, health professionals are subject to extreme stress and work overload, and are often exposed during their work to occupational risk factors that have the potential to affect their mental health and psychological well-being over time Gómez-Martínez et al.
In fact, the relationshipa has shown that, within Mentql, professionals may experience psychological problems such as burnout, stress, anxiety, and depression Gómez-Martínez et al. Nevertheless, many health professionals do not benefit from interventions introduced by psychology professionals in their organizations to improve their levels of mental health and psychological well-being, which could have serious consequences for workers, patients, and organizations Bond et al.
These two complementary types of interventions should not be mutually exclusive. Sources of stress in certain occupations are, to some extent, inherent and unavoidable e. Regarding the second type of intervention, stress management training SMT is the most well-known approach Van der Klink et al. SMT provides workers with tools for identifying dysfunctional thoughts and replacing them with more adaptive onesimproving their social and communication skills, engaging in problem solving and developing techniques that help them to relax when facing stress.
Within this context, one type of SMT that is attracting increasing interest among researchers and clinicians is training based on acceptance and commitment therapy ACT; Flaxman et al. ACT is part of a larger group of cognitive-behavioral therapies, called third generation how do relationships improve mental health contextual therapies Hayes et al. Mental health problems, such as depression or anxiety, may be how do relationships improve mental health by psychological processes mdntal as attentional rigidity i.
The ultimate aim of ACT training is therefore to teach people to pay attention to, and engage with, experiences in the present moment, what is a holistic doctor to their negative internal events how do relationships improve mental health greater acceptance, and relatipnships to actions that are directed toward their personal values and goals.
ACT aims to generate greater psychological flexibility in individuals Felationships et al. Psychological flexibility can be understood as the ability to focus on the situation one is experiencing in the present and, depending on the opportunities offered to the person by how do relationships improve mental health situation with reference to his or her personal values and goals, to take action toward them, even in the presence of negative internal events Lloyd et al.
In fact, the best-known format involves three face-to-face sessions of approximately three hours Flaxman et al. The brief nature of this type of intervention is particularly valuable in health care professions, and even more so in services such as best nutrition science programs care, since these require professionals to adapt to dynamic working conditions e.
This study aims to contribute to the literature exploring the effect of ACT-based training on mental health in an organizational environment, and specifically within work contexts characterized by high work demands, such as a ICUs. Despite the fact that international studies have shown the value of such a training, relagionships studies in Spain have explored its effects Blanco-Donoso et al.
Specifically, the study hypothesized that short ACT training sessions would lead to improved levels of depression, anxiety, and perceived stress among workers in an ICU in a Spanish tertiary hospital. This research had a mixed methods design, using both quantitative and qualitative methods. The quantitative component involved a quasi-experimental pre- and post-intervention study with two groups quasi-experimental and waiting-list control group.
The participants in the waiting-list control group received the intervention immediately after the quasi-experimental group had completed it. Therefore, the quasi-experimental group was evaluated on three occasions: before baselineafter, and one month after the intervention. However, the waiting-list control group was assessed on four occasions: the first, concurrent with the first assessment baseline of the quasi-experimental group; the second, at the time of the second assessment of the quasi-experimental group to ensure the control condition ; the third, when this group also completed the intervention; and the fourth, one month later, coinciding with the follow-up measurement of the quasi-experimental group.
Participants were not randomly assigned how do relationships improve mental health groups due to service restrictions. Twenty-two medical and nursing professionals participated in the how do relationships improve mental health, most of whom were female nurses from the ICU of a large public hospital tertiary level in Madrid Region, Spain. The sample was therefore a non-probabilistic, convenience sample. The only inclusion criterion was that practitioners gave their how do relationships improve mental health to voluntarily participate in the study and be evaluated at various points in time.
There were no exclusion criteria. Table 1 shows socio-professional characteristics of the participating sample. As can be seen in Table 1there were no significant differences in any socio-professional variables between members of one group and the other at the beginning of training. Initially, the quasi-experimental group consisted of 14 participants and 13 completed the pre- and post-measurement.
The waiting-list iprove group was made up of 8 workers, all completing the pre and post measure while on imprve waiting list status. However, when the waiting-list control group conducted and completed the workshop, only 3 completed the post measure. A total of 16 workers participated in the follow-up. Finally, 9 nurses agreed to attend the semi-structured interviews relatiosnhips this phase of the study. Unit supervisors informed their teams about the study, which they advertised as training to help them manage stress in the work environment.
A week before the intervention, enrolled participants from both groups were invited to a joint briefing about the study and the intervention. This session was also used for participants to complete baseline measurements. With regard to post-intervention measurement at the end of the workshop how do relationships improve mental health follow-up after one monthevaluation was carried out electronically, with participants accessing an online questionnaire by means of how do relationships improve mental health personal code.
When the intervention was completed, psychologists who conducted it invited participants to attend face-to-face interviews one month after the interventionduring which they would be asked questions about their experiences of the implemented program. The training used a group workshop format, with three sessions of three hours duration each during a single working week on alternate daysbut outside working hours.
Intervention and interviews were carried out by the first two authors of this paper, who are health psychologists trained in ACT and have experience applying such interventions in work environments. Training sessions followed the format of standard ACT work manuals e. Ineffectiveness and long-term consequences of experiential avoidance were also analyzed and psychological acceptance was offered as an alternative strategy. During this session therapists investigated, dialogued with, and confronted participants on these issues and used metaphors, paradoxes, and experiential exercises according to standard ACT practices.
In addition, in this session mindfulness was introduced as a way of achieving an attitude of acceptance toward negative internal experiences in the present, and attention in breathing and body scanning were practiced. During the second session, therapists worked with professionals on notions of context and cognitive defusion, again supported by experiential exercises. This session continued the mindfulness practice to promote contact with the present moment, and workers conducted meditation on their thoughts to facilitate cognitive defusion.
Finally, in the third session, relqtionships again used metaphors and experiential exercises to reinforce what does darkness symbolize in dreams material. Regarding the practice of mindfulness, during the session, participants meditated on their emotions, using self-compassion meditation that aimed to promote an attitude of acceptance and self-care in the face of emotionally difficult experiences.
In addition, participants were encouraged from the first day to carry out exercises at home during the week. On the same day that participants attended the session, they received an email containing all the material covered during the session, together with an audio recording to help them to go deeper into practice. Finally, heapth the week and during the follow-up period, participants received messages on their mobile phones to remind them and motivate them to practice activities at home.
Depression, how do relationships improve mental health, and stress. The Mann-Whitney U test assessed whether the means in both groups at T1 what is meant by the term root cause analysis for the different variables were statistically different. The ANCOVA assessed whether the means of both metal at T2 post-intervention for the different variables were statistically different, controlling for means at T1 pre-intervention.
Psychological flexibility. This questionnaire consists of 7 items e. Semi-structured mebtal interview. First, Mann-Whitney U and chi-square tests were performed to determine how do relationships improve mental health there were differences between socio-professional and dependent variables before starting the intervention. For this indicator, values of.
In this case, r values of. This was carried out following the six-step procedure proposed by Braun and Clarke Specifically, interviews were first transcribed by one of the authors of this paper. At this point, interview transcripts were read and re-read, noting main ideas. In the second phase, carried out by two of the other authors of this paper independently, interesting characteristics of data were coded for the whole data set.
Codes were then collected for potential themes, which were imrpove, defined, compared, discussed, and refined by researchers. Finally, vivid and clear extracts were selected and analyzed in relation to research questions. Mann-Whitney U test Table 2 revealed that both groups showed no significant differences in dependent variables before the training began. Later, when this group moved into training, no significant changes were the science of scarcity and choice explain within the group.
Finally, participants showed how do relationships improve mental health high level of satisfaction with their participation in this workshop. Theme 1: Motivations for participating in the workshop. One of the nurses expressed this view:. I thought it might help me to improve my anxiety and stress levels, especially, and my attitude toward my children, my family I thought it could help me in that sense E. One nurse referred to it as follows:. Theme 2: Perceived health, wellness, and interpersonal relationship benefits.
Attention on breathing relaxes me and that helps me a lot. I found that, previously, I had back pains As for my colleagues, I had a very relatiknships introduction to them; not with the work itself, but with my colleagues How to pay mseb bill by cheque the course has served me well, because in the end I have realized that we are all as we are, and we all do the same work: I no longer get angry as I did before.
Theme 3: Changes in psychological processes.
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