Promoting mindfulness in training psychotherapists in a university settinga pilot study
- AndrésE. Zerpa 1
- María Teresa Miró 1
- Emiliano Díez 1
- María A. Alonso 1
-
1
Universidad de La Laguna
info
ISSN: 1136-1034
Year of publication: 2024
Volume: 29
Issue: 1
Pages: 86-95
Type: Article
More publications in: Revista de psicodidáctica
Abstract
To respondto external andinternaldemandsduring a therapeutic session,psychotherapistsmustmonitor their attention. Research shows that mindfulness practice is beneficial in promoting this ability and acts as a protective agent against adverse states. However, its implementation in psychotherapist training has been limited. The aim of this pilot study was to explore the influence of mindfulness training on stress, anxiety, depression, and the mindfulness construct in trainee psychotherapists, and to examine its feasibility as part of their training. Fifty-one university students participated in the study and were divided into experimental and control groups. Pre- and post-training measures of mindfulness were considered. Both groups completed a battery of questionnaires related to adverse states and mindfulness before the training. Subsequently,the experimental groupunderwentnine weeks ofmindfulness training. After the training, both groups completed the questionnaire battery again. The results showed that the group that underwent mindfulness training exhibited a decrease in adverse symptoms and an increase in mindfulness scores compared with the control group. These findings highlight not only the viability of incorporating mindfulness practice into the academic training of future therapists, but also its utility as a tool for personal development and the necessary skills to effectively face and develop their professional practice.
Funding information
Funders
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Ministerio de Ciencia e Innovación
- PID2020-115861GB-I00
Bibliographic References
- Aggs, C., & Bambling, M. (2010). Teaching mindfulness to psychotherapists in clinical practice: The mindful therapy programme. Counselling & Psychotherapy Research, 10(4), 278–286. https://doi.org/10.1080/14733145.2010.485690
- Anderson, D. T. (2005). Empathy, psychotherapy integration, and meditation: A Buddhist contribution to the common factors movement. Journal of Humanistic Psychology, 45(4), 483–502. https://doi.org/10.1177/0022167805280264
- Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. https://doi.org/10.1093/clipsy.bpg015
- Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., Smith, G. T., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 15(3), 27–45. https://doi.org/10.1177/1073191105283504
- Barnes, S., Brown, K. W., Krusemark, E., Campbell, W. K., & Rogge, R. D. (2007). The role of mindfulness in romantic relationship satisfaction and responses to relationship stress. Journal of Marital and Family Therapy, 33(4), 482–500. https://doi.org/10.1111/j.1752-0606.2007.00033.x
- Birnbaum, L. (2008). The use of mindfulness training to create an “accompanying place” for social work students. Social Work Education, 27(8), 837–852. https://doi.org/10.1080/02615470701538330
- Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077
- Blegen, M. A. (1993). Nurses’ job satisfaction: A meta-analysis of related variables. Nursing Research, 42(1), 36–41. https://doi.org/10.1097/00006199-199301000-00007
- Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822. https://doi.org/10.1037/0022-3514.84.4.822
- Bruce, N., Manber, R., Shapiro, S. L., & Constantino, M. J. (2010). Psychotherapist mindfulness and the psychotherapy process. Psychotherapy: Theory, Research, Practice, Training, 47(1), 83–97. https://doi.org/10.1037/a0018842
- Bruce, A., Young, L., Turner, L., Vander Wal, R., & Linden, W. (2002). Meditation-based stress reduction: Holistic practice in nursing education. In L. E. Young, & V. E. Hayes (Eds.), Transforming health promotion practice: concepts, issues and applications (pp. 241–252). Davis.
- Cayoun, B. A., Francis, S. E., & Shires, A. G. (2019). The clinical handbook of mindfulness-integrated cognitive behavior therapy, a step-by step guide for therapists. Wiley-Blackwell.
- Cebolla, A., García-Palacios, A., Soler, J., Guillén, V., Ba ˜nos, R., & Botella, C. (2012). Psychometric properties of the Spanish validation of the Five Facets of Mindfulness Questionnaire (FFMQ). The European Journal of Psychiatry, 26(2), 118–126. https://doi.org/10.4321/S0213-61632012000200005
- Chang, V. Y., Palesh, O., Caldwell, R., Glasgow, N., Abramson, M., Luskin, F., Gill, M., Burke, A., & Koopman, C. (2004). The effects of a mindfulness-based stress reduction program on stress, mindfulness self-efficacy, and positive states of mind. Stress and Health: Journal of the International Society for the Investigation of Stress, 20(3), 141–147. https://doi.org/10.1002/smi.1011
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Publishers.
- Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., Kimmel, S., & Shapiro, S. (2005). The effects of mindfulness-based stress reduction on nurse stress and burnout, part II: A quantitative and qualitative study. Holistic Nursing Practice, 19(1), 26–35.
- Concoran, K. M., Farb, N., Anderson, A., & Segal, Z. V. (2010). Mindfulness and emotion regulation: Outcomes and possible mediating mechanisms. In A. M. Kring, & D. M. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (pp. 339–355). Guilford Press.
- R Core Team. (2020). R: a language and environment for statistical computing Available online at:. Vienna, Austria: R Foundation for Statistical Computing. https://www.R-project.org/
- Coster, J. S., & Schwebel, M. (1997). Well-functioning in professional psychologists. Professional Psychology: Research and Practice, 28(1), 5–13. https://doi.org/10.1037/0735-7028.28.1.5
- Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48(2), 198–208. https://doi.org/10.1037/a0022062
- Dekeyser, M., Raes, F., Leijssen, M., Leyson, S., & Dewulf, D. (2008). Mindfulness skills and interpersonal behavior. Personality and Individual Differences, 44(5), 1235–1245. https://doi.org/10.1016/j.paid.2007.1
- Dunning, D. L., Grifths, K., Kuyken, W., Crane, C., Foulkes, L., Parker, J., & Dalgleish, T. (2019). Research review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents – a meta-analysis of randomized controlled trials. Journal of Child Psychology and Psychiatry, 60(3), 244–258. https://doi.org/10.1111/jcpp.12980
- Fauth, J., Gates, S., Vinca, M. A., Boles, S., & Hayes, J. A. (2007). Big ideas for psychotherapy training. Psychotherapy: Theory, Research, Practice, Training, 44(4), 384–391. https://doi.org/10.1037/0033-3204.44.4.384
- Geller, S. M., & Greenberg, L. S. (2012). Therapeutic presence: A mindful approach to effective psychotherapy. American Psychological Association. https://doi.org/10.1037/13485-000
- Grepmair, L., Mitterlehner, F., Loew, T., & Nickel, M. (2007). Promotion of mindfulness in psychotherapists in training: Preliminary study. European Psychiatry, 22(8), 485–489. https://doi.org/10.1016/j.eurpsy.2007.02.004
- Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76(6), 332–338. https://doi.org/10.1159/000107560
- Guy, J. D., Poelstra, P. L., & Stark, M. J. (1989). Personal distress and therapeutic effectiveness: National survey of psychologists practicing psychotherapy. Professional Psychology: Research and Practice, 20(1), 48–50.
- Hafenbrack, A. C., Cameron, L. D., Spreitzer, G. M., Zhang, C., Noval, L. J., & Shaffakat, S. (2020). Helping people by being in the present: Mindfulness increases prosocial behavior. Organizational Behavior and Human Decision Processes, 159, 21–38. https://doi.org/10.1016/j.obhdp.2019.08.005
- Hoffman, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. https://doi.org/10.1037/a0018555
- Ivanovic, M., Swift, J. K., Callahan, J. L., & Dunn, R. (2015). A multi-site pre/post study of mindfulness training for psychotherapists: The impact on session presence and effectiveness. Journal of Cognitive Psychotherapy, 29(4), 331–342. https://doi.org/10.1891/0889-8391.29.4
- Jalón, C., Montero-Marin, J., Modrego-Alarcón, M., Gascón, S., Navarro-Gil, M., Barceló-Soler, A., Delgado-Suárez, I., & García-Campayo, J. (2022). Implementing a training program to promote mindful, empathic, and proenvironmental attitudes in the classroom: A controlled exploratory study with elementary school students. Current Psychology, 41(7), 4422–4430. https://doi.org/10.1007/s12144-020-00962-00963
- Jansen, P., Schulz, A., & Nottberg, C. (2016). Influence of mindfulness-based interventions on executive functions in childhood: A systematic review. Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie, 48(4), 206–216. https://doi.org/10.1026/0049-8637/a000160
- Jones, R. K., & Simpson, W. S. (1960). The growth of a psychotherapy program. Psychiatric Services, 11(6), 22–24. https://doi.org/10.1176/ps.11.6.22
- Kabat-Zinn, J. (1990). Full catastrophe living: The program of the stress reduction clinic at the University of Massachusetts medical center. Delta.
- Kabat-Zinn, J. (2013). Full catastrophe living, revised edition: How to cope with stress, pain and illness using mindfulness meditation. Piatkus.
- Kane, F. J., Jr, & Harper, R. G. (1992). Psychotherapy: Past training and current practice. General Hospital Psychiatry, 14(2), 131–134. https://doi.org/10.1016/0163-8343(92)90038-C
- Keane, A. (2014). The influence of psychotherapist mindfulness practice on psychotherapeutic work: A mixed-methods study. Mindfulness, 5(6), 689–703. https://doi.org/10.1007/s12671-013-0223-9
- Klein, G. (1996). The effect of acute stressors on decision making. In J. Driskell, & E. Salas (Eds.), Stress and human performance (pp. 49–88). Erlbaum.
- Lesh, T. V. (1970). Zen meditation and the development of empathy in counsellors. The Journal of Humanistic Psychology, 10(1), 39–74. https://doi.org/10.1177/002216787001000105
- Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.).). Psychology Foundation of Australia.
- Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 12(4), 163–169. https://doi.org/10.1016/j.tics.2008.01.005
- Martínez-Rubio, D., Navarrete, J., & Montero-Marin, J. (2022). Feasibility, effectiveness, and mechanisms of a brief mindfulness-and compassion-based program to reduce stress in university students: A pilot randomized controlled trial. International Journal of Environmental Research and Public Health, 19(1), 154. https://doi.org/10.3390/ijerph19010154
- Melcop, N., von Werder, T., Sarubin, N., & Benecke, A. (2019). The role of psychotherapy in the German health care system. Clinical Psychology in Europe, 1(4), 1–12. https://doi.org/10.32872/cpe.v1i4.34304
- Miró, M. T. (2017). Mindfulness y el problema de la integración de las psicoterapias. Revista de Psicoterapia, 28(108), 39–58. https://doi.org/10.33898/rdp.v28i108.199
- Moore, A., & Malinowski, P. (2009). Meditation, mindfulness and cognitive flexibility. Consciousness and Cognition, 18(1), 176–186. https://doi.org/10.1016/j.concog.2008.12.008
- Newsome, S., Christopher, J. C., Dahlen, P., & Christopher, S. (2006). Teaching counsellors self-care through mindfulness practices. Teachers College Record, 108(9), 1881–1990. https://doi.org/10.1111/j.1467-9620.2006.00766.x
- Norcross, J. C., & Lambert, M. J. (2011). Psychotherapy relationships that work II. Psychotherapy, 48(1), 4–8. https://doi.org/10.1037/a0022180
- Norcross, J. C., & Lambert, M. J. (2019). (3rd ed.). Psychotherapy relationships that work (vol. I) Oxford University Press.
- Ortner, C. N. M., Kilner, S. J., & Zelazo, P. D. (2007). Mindfulness meditation and reduced emotional interference on a cognitive task. Motivation and Emotion, 31, 271–283. https://doi.org/10.1007/s11031-007–9076-7
- Radeke, J. T., & Mahoney, M. J. (2000). Comparing the personal lives of psychotherapists and research psychologists. Professional Psychology: Research and Practice, 31(1), 82–84. https://doi.org/10.1037/0735-7028.31.1.82
- Regehr, C., Glancy, D., & Pitts, A. (2013). Interventions to reduce stress in university students: A review and meta-analysis. Journal of Affective Disorders, 148(1), 1–11. https://doi.org/10.1016/j.jad.2012.11.026
- Renjilian, D. A., Baum, R. E., & Landry, S. L. (1998). Psychotherapist burnout: Can college students see the signs? Journal of College Student Psychotherapy, 13(1), 39–48. https://doi.org/10.1300/J035v13n01 04
- Rice, L., & Greenberg, L. (1984). Patterns of change: Intensive analysis of psychotherapy process. The Guilford Press.
- Richardson, J. T. E. (2011). Eta squared and partial eta squared as measures of effect size in educational research. Educational Research Review, 6(2), 135–147. https://doi.org/10.1016/j.edurev.2010.12.001
- Roemer, L., Williston, S. K., Eustis, E. H., & Orsillo, S. M. (2013). Mindfulness and acceptance-based behavioral therapies for anxiety disorders. Current Psychiatry Reports, 15(11), 1–10. https://doi.org/10.1007/s11920-013-0410-3
- Rosenzweig, S., Reibel, D. K., Greeson, J. M., Brainard, G. C., & Hojat, M. (2003). Mindfulness-based stress reduction lowers psychological distress in medical students. Teaching and Learning in Medicine, 15(2), 88–92. https://doi.org/10.1207/S15328015TLM1502 03
- Ruiz, F. J., García-Martín, M. B., Suárez-Falcón, J. C., & Odriozola-González, P. (2017). The hierarchical factor structure of the Spanish version of Depression Anxiety and Stress Scale - 21. International Journal of Psychology and Psychological Therapy, 17(1), 97–105.
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Press.
- Segal, Z., Williams, M., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression. Guilford Publications.
- Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1(2), 105–115. https://doi.org/10.1037/1931-3918.1.2.105
- Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581–599. https://doi.org/10.1023/A:1018700829825
- Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management, 12(2), 164–176. https://doi.org/10.1037/1072–5245.12.2.164
- Shapiro, S. L., Carlson, L., Astin, J., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386. https://doi.org/10.1002/jclp.20237
- Siegel, D. J. (2007). The mindful brain: Reflection and attunement in the cultivation of well-being. Norton.
- Skovholt, T. M., & Ronnestad, M. H. (2003). Struggles of the novice counselor and therapist. Journal of Career Development, 30, 45–58. https://doi.org/10.1177/089484530303000103
- Sternberg, R. J. (2000). Images of mindfulness. Journal of Social Issues, 56(1), 11–26. https://doi.org/10.1111/0022-4537.00149
- Tanay, G., & Bernstein, A. (2013). State Mindfulness Scale (SMS): Development and initial validation. Psychological Assessment, 25(4), 1286. https://doi.org/10.1037/a0034044
- Ullrich-French, S., González Hernández, J., & Hidalgo Montesinos, M. D. (2017). Validity evidence for the adaptation of the State Mindfulness Scale for Physical Activity (SMS-PA) in Spanish youth. Psicothema, 29(1), 119–125. https://doi.org/10.7334/psicothema2016.204
- Vander-Kolk, C. J. (1982). Physiological arousal of beginning counselors in relation to disabled and non-disabled clients. Journal of Applied Rehabilitation Counseling, 13(1), 37–39. https://doi.org/10.1891/0047-2220.13.1.37
- Villalba, M. J. A., Rubio, D. A., & Díaz, M. A. P. (2022). Meta-análisis multinivel de los programas escolares de intervención basados en mindfulness en España. Revista de Psicodidáctica, 27(2), 109–117. https://doi.org/10.1016/j.psicod.2022.04.005
- Vredenburgh, L. D., Carlozzi, A. F., & Stein, L. B. (1999). Burnout in counseling psychologists: Type of practice setting and pertinent demographics. Counseling Psychology Quarterly, 12(3), 293–302. https://doi.org/10.1080/09515079908254099
- Wachs, K., & Cordova, J. V. (2007). Mindful relating: Exploring mindfulness and emotion repertoires in intimate relationships. Journal of Marital and Family Therapy, 33(4), 464–481. https://doi.org/10.1111/j.17520606.2007.00032.x
- Wang, S. J. (2007). Mindfulness meditation: Its personal and professional impact on psychotherapists. Dissertation Abstracts International: Section B: Science and Engineering, 67, 4122.