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The Mindfulness-Based Stress Reduction Program (MBSR) Reduces Stress-Related Psychological Distress in Healthcare Professionals

  • Andrés Martín-Asuero (a1) and Gloria García-Banda (a1)

This semi-experimental study examines how Mindfulness facilitates a distress reduction in a group of health professionals. The sample comprises 29 professionals seeking stress reduction who undertook an 8 weeks psico-educative intervention, involving 28 hours of class, based on a program called Mindfulness-based Stress Reduction or MBSR. Results show a 35% reduction of distress, from percentile 75 to 45, combined with a 30% reduction in rumination and a 20% decrease in negative affect. These benefits lasted during the 3 months of the follow up period. The correlation analysis indicates that the decrease in distress is significantly related to the other two variables. These results confirm the effectiveness of MBSR to decrease distress and its applicability in training programs for health professionals.

Este estudio cuasi-experimental examina si el Mindfulness o conciencia plena reduce el malestar psicológico asociado al estrés en profesionales de la salud. La muestra estaba compuesta por 29 profesionales interesados en reducir el estrés, que siguieron una intervención psicoeducativa de 8 semanas, empleando un total de 28 horas lectivas y denominada Reducción de estrés basada en Mindfulness (Mindfulness-based Stress Reduction o MBSR). Los resultados muestran una disminución del malestar del 35%, descendiendo del percentil 75 al 45, así como reducciones del 30% en rumiación y del 20% en afectividad negativa. Estas mejoras se mantienen durante el periodo de seguimiento de 3 meses posteriores a la intervención. Las correlaciones encontradas indican que la reducción en malestar psicológico conlleva una disminución de la rumiación y de la afectividad negativa. Estos resultados confirman la utilidad de la técnica MBSR para reducir el malestar psicológico en programas de formación para profesionales de la salud.

Corresponding author
Correspondence concerning this article should be addressed to Andrés Martín. C/ Marc Aureli 10, 4º 2ª. 08006 Barcelona. (Spain). E-mail:
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Baer R. A. (2003). Mindfulness training as a clinical intervention: A Conceptual and empirical review. Clinical Psychology: Science and practice, 10, 125144.
Bishop S. (2002). What do we really know about Mindfulness-Based Stress Reduction? Psychosomatic Medicine, 64, 7184.
Bishop S. R., Lau M., Shapiro S., Carlson L. E., Anderson N., Carmody J. et al. , (2004). Mindfulness: A Proposed Operational Definition. Clinical Psychology, 11, 230241.
Carlson L. E., Ursuliak Z., Goodey E., Angen M., & Speca M. (2001). The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Support Care Cancer, 9, 112–23.
Carmody J., & Baer R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 2333
Cioffi D., & Holloway J. (1993). Delayed cost of suppressed pain. Journal of Personality and Social Psychology, 64, 274282.
Clark D., M., Ball S., & Pape D. (1991). An experimental investigation of thought suppression. Behaviour, Research and Therapy, 29. 253257.
Cohen J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.), Hillsdale, NJ: Laurence Erlbaum Associates.
Crawford J. R., & Henry J. (2004). The positive and negative affect schedule (PANAS): Construct validity, measurement properties and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 43, 245266.
Derogatis L. R. (2002). SCL-90R Manual. Madrid: Tea Ediciones.
European Agency for health and safety at work (2007). Fourth European working conditions survey, 2007. Retrieved from
Ewers P., Bradshaw T., McGovern J., & Ewers B. (2002). Does training in psychosocial interventions reduce burnout rates in forensic nurses? Journal of Advanced Nursing, 5, 470–6.
Gross J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General psychology, 2, 271299.
Grossman P., Niemann L., Schmidt S., & Walach H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57, 3543.
Hayes S. C., Wilson K. G., Gifford E. V., Follette V. M., & Strosahl K. (1996). Experiential Avoidance and Behavioral Disorders: A Functional Dimensional Approach to Diagnosis and Treatment. Journal of Consulting and Clinical Psychology, 64, 11521168.
Hayes S. C., Strosahl K. D., & Wilson K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
Hayes S. C., Luoma J. B., Bond F. W., Masuda A., & Lillis J. (2006). Acceptance and commitment therapy: Model, process and outcomes. Behaviour Research and Therapy, 44, 125.
Joireman J. (2004). Empathy and the Self-Absorption Paradox II: Self-Rumination and Self-Reflection as mediators between shame, guilt, and empathy. Self and Identity, 3, 325338.
Joireman J. A., Parrott L., & Hammersla J. (2002). Empathy and the self-absorption paradox: Support for the distinction between self-rumination and self-reflection. Self and Identity, 1, 5365.
Kabat-Zinn J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation. General Hospital Psychiatry, 4, 3347.
Kabat-Zinn J. (1986). Four year follow up of meditation-based program for the self regulation of chronic pain. Treatment Outcomes and compliance. Clinical Journal of Pain, 2, 159173.
Kabat-Zinn J. (1996). Mindfulness Meditation, what is what isn't. In Haruki Y., Ishii Y., & Suzuki M. (Eds.). Comparative and Psychological Study on Meditation. Netherlands: Eburon.
Kabat-Zinn J. (2003). MBSR interventions in context: Past, Present and Future. Clinical Psychology: Science and Practice, 10, 144156.
Kuyken W. S., Byford R. S., Taylor E., Watkins E., Holden K., White B. et al. , (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology. 76, 966978.
Kohn P. M., & MacDonald J. E. (1992). The Survey of Recent Life Experiences: A decontaminated hassles scale for adults. Journal of Behavioral Medicine, 13, 619630.
Lazarus R., & Folkman S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1, 141169.
Linehan M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Ludwig D. S., & Kabat-Zinn J. (2008). Mindfulness in Medicine. Journal of American Medical Association, 300, 13501352.
Madrid Médico (2003). Uno de cada cuatro médicos dejaría la medicina por insatisfacción laboral [One out of four doctors would quit medicine due to job dissatisfaction]. Madrid Médico, 171, 1820.
Martín A. (2008). Con rumbo propio [With own course]. Barcelona: Plataforma editorial.
Martín A., & García de la Banda G. (2007). Las Ventajas de estar Presente: Como el desarrollo de la Atención Plena reduce el malestar psicológico. [Advantages of being present: the use of Mindfulness reducess distress]. International Journal of Clinical and Health Psychology, 7, 369384.
Martín A., García de la Banda G., & Benito E. (2005). Reducción de Estrés mediante la Conciencia Plena según la técnica MBSR. [Stress reduction using mindfulness, the MBSR technique]. Análisis y Modificación de Conducta, 139, 557571.
National Center for Complementary and Alternative Medicine-NCCAM (2006, April 30). Mind-body medicine: An overview. Retrieved from:
Nolen-Hoeksema S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109, 504511.
Nolen-Hoesema S., Wisco B. E., & Lyubomirsky S. (2008). Rethinking rumination. Perspectivas on Psychological Science, 3, 400424.
Pérez Álvarez M. (2006). La terapia de conducta de tercera generación. [Third generation behaviour therapy]. Edupsykhé, 5, 159172.
Ramel W., Goldin Ph. R., Carmona P. E., & McQuaid J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433462.
Reibel D. K., Greeson J. M., Brainard G. C., & Rosenzweig S. (2001). Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population. General Hospital Psychiatry, 23, 183192.
Roger D., & Najarian B. (1989). The construction and validation of a new scale for measuring emotion control. Personality and Individual Differences, 10, 845853.
Roger D., García de la Banda G., Lee H. S., & Olason T. O. (2001). A Factor-analytic study of cross-cultural differences in emotional rumination and emotional inhibition. Personality and Individual Differences, 31, 227238.
Sandín B. (1999). El estrés psicosocial. Madrid: UNED-FUE.
Santed M. A., Sandín B., Chorot P., Olmedo M., & García-Campallo J. (2001). El papel de la afectividad negativa y positiva en las relaciones entre el estrés diario y la sintomatología somática: un estudio intra e interindividual. [The role of negative and positive affect in relation with daily stress and somatization: an study intra and interpersons]. Cuadernos de Medicina Psicosomática y Psiquiatría de enlace, 58, 4153.
Shapiro S. L., Astin J. A., Bishop S. R., & Cordova M. (2005). Mindfulness-based stress reduction in health care professionals: Results from a randomized trial. International Journal of Stress Management, 12, 164176.
Shapiro S. L., Schwartz G. E. & Bonner G. (1998). Effects of Mindfulness-based Stress Reduction on Medical and Premedical Students. Journal of Behavioural Medicine, 21, 581599.
Shapiro S. L., Shapiro D. E., & Schwartz G. E. (2000). Stress management in medical education: A review of the literature. Academic Medicine, 75, 748759.
Shapiro S. L., Oman D., Thoresen C. E., Plante T. G., & Flinders T. (2008). Cultivating mindfulness: effects on well-being. Journal of Clinical Psychology, 64, 840862.
Teasdale J., Moore R., Hayhurst H., Pope M., Williams S., & Segal Z. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275287.
Teasdale J., Segal Z. Y., Williams M., Ridgeway V., Soulsby J., & Lau M. (2000). Prevention of relapse/recurrence in major depression by Mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615623.
Watson D., Clark L. A., & Tellegen A. (1988). Development and validation of brief measures of positives and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 10631070.
Wegner D., & Zanakos S. I. (1994). Chronic thought suppression. Journal of Personality, 62, 615640.
Wells A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester, UK: Willey.
Wolpe J. (1993). Práctica de la terapia de la conducta [Practice of behavior therapy]. 3ed. México, DF: Trillas.
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