Are Mindfulness and Self-Compassion Associated with Sleep and Resilience in Health Professionals?
Are Mindfulness and Self-Compassion Associated with Sleep and Resilience in Health Professionals?
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DOI：
10.1089/acm.2014.0281
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发表时间：
2015-08-01
影响因子：
2.6
通讯作者：
Khayat, Rami
中科院分区：
文献类型：
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作者：
Kemper, Kathi J.;Mo, Xiaokui;Khayat, Rami
目标：描述年轻卫生专业人员和受训人员的可训练品质（正念和自我同情）与概念上与倦怠和护理质量（睡眠和复原力）相关的因素之间的关系。设计：横断面调查。地点：大型中西部学术健康中心。参与者：213 名临床医生和实习生。结果测量：使用 8 项 PROMIS 睡眠量表和 6 项简短恢复力量表评估睡眠和恢复力。使用 10 项认知和情感正念量表（修订版）和 12 项自我慈悲量表评估正念和自我慈悲。使用患者报告结果测量信息系统 (PROMIS) 全球健康指标评估健康状况，并使用 10 项感知压力量表评估压力。在检查描述性统计数据和皮尔逊相关性后，进行了多元回归分析，以确定正念和自我慈悲是否与更好的睡眠和恢复能力相关。结果：受访者平均年龄为28岁； 73%是女性。职业包括营养师（11%）、护士（14%）、医生（38%）、社会工作者（24%）和其他（12%）。单变量分析显示所有变量的标准值。睡眠障碍与感知压力和较差的健康状况显着且最强相关，但也与正念和自我同情心较少有关。复原力与更少的压力、更好的心理健康、更多的正念和更多的自我同情密切相关。结论：在这些年轻的卫生专业人员和学员中，睡眠和恢复力与正念和自我同情心相关。需要进行前瞻性研究来确定增加正念和自我慈悲的训练是否可以改善临床医生的睡眠和复原力，或者减少睡眠障碍和增强复原力是否可以改善正念和慈悲。
Objectives: To describe the relationship between trainable qualities (mindfulness and self-compassion), with factors conceptually related to burnout and quality of care (sleep and resilience) in young health professionals and trainees. Design: Cross-sectional survey. Setting: Large Midwestern academic health center. Participants: 213 clinicians and trainees. Outcome measures: Sleep and resilience were assessed by using the 8-item PROMIS Sleep scale and the 6-item Brief Resilience Scale. Mindfulness and self-compassion were assessed using the 10-item Cognitive and Affective Mindfulness Scale, Revised and the 12-item Self-Compassion Scale. Health was assessed with Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health measures, and stress was assessed with the 10-item Perceived Stress Scale. After examination of descriptive statistics and Pearson correlations, multiple regression analyses were done to determine whether mindfulness and self-compassion were associated with better sleep and resilience. Results: Respondents had an average age of 28 years; 73% were female. Professions included dieticians (11%), nurses (14%), physicians (38%), social workers (24%), and other (12%). Univariate analyses showed normative values for all variables. Sleep disturbances were significantly and most strongly correlated with perceived stress and poorer health, but also with less mindfulness and self-compassion. Resilience was strongly and significantly correlated with less stress and better mental health, more mindfulness, and more self-compassion. Conclusions: In these young health professionals and trainees, sleep and resilience are correlated with both mindfulness and self-compassion. Prospective studies are needed to determine whether training to increase mindfulness and self-compassion can improve clinicians' sleep and resilience or whether decreasing sleep disturbances and building resilience improves mindfulness and compassion.