ROLE OF RESILIENCE IN MINDFULNESS TRAINING FOR FIRST RESPONDERS.

ROLE OF RESILIENCE IN MINDFULNESS TRAINING FOR FIRST RESPONDERS.
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DOI:
10.1007/s12671-017-0713-2
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发表时间:
2017-10
期刊:
影响因子:
3.6
通讯作者:
Hunsinger M
Hunsinger M
中科院分区:
医学3区
文献类型:
--
作者:
Kaplan JB;Bergman AL;Christopher M;Bowen S;Hunsinger M

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第一反应者暴露于关键事件和慢性压力源,与其他职业相比,这些压力源导致负面健康结果的发生率更高。心理弹性是一种可学习的积极适应压力的过程,已被确定为对抗倦怠负面影响的保护因素。基于正念的复原力训练(MBRT)是为第一反应者量身定制的预防性干预措施,以减少负面的健康结果,如倦怠。本研究是对执法人员和消防员样本的二次分析,以检验心理弹性对倦怠的机制作用。结果表明,复原力的变化部分地调节了正念和倦怠之间的关系,正念的增加与复原力的增加有关(B = 0.41,SE = 0.11,p <0.01),而复原力的增加又与倦怠的减少有关(B =-0.25,SE = 0.12,p = 0.03)。间接效应的自举置信区间不包含零[95% CI;-0.27,-0.01],为中介提供了证据。限制和影响进行了讨论。
First responders are exposed to critical incidents and chronic stressors that contribute to a higher prevalence of negative health outcomes compared to other occupations. Psychological resilience, a learnable process of positive adaptation to stress, has been identified as a protective factor against the negative impact of burnout. Mindfulness-Based Resilience Training (MBRT) is a preventive intervention tailored for first responders to reduce negative health outcomes, such as burnout. This study is a secondary analysis of law enforcement and firefighters samples to examine the mechanistic role of psychological resilience on burnout. Results indicated that changes in resilience partially mediated the relationship between mindfulness and burnout, and that increased mindfulness was related to increased resilience (b = .41, SE = .11, p < .01), which in turn was related to decreased burnout (b = −.25, SE = .12, p = .03). The bootstrapped confidence interval of the indirect effect did not contain zero [95% CI; −.27, −.01], providing evidence for mediation. Limitations and implications are discussed.
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