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"Stress, Psychological - prevention "
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Overcoming burnout and compassion fatigue in schools : a guide for counselors, administrators and educators
\"This book examines the cumulative effects of working with high trauma populations as they pertain to education settings. The text incorporates current research, anecdotal stories, and workbook pages to properly inform practitioners on how to identify and employ protective practices when it comes to burnout and compassion fatigue\"-- Provided by publisher.
Book
A synergistic mindsets intervention protects adolescents from stress
Social-evaluative stressors—experiences in which people feel they could be judged negatively—pose a major threat to adolescent mental health
1
–
3
and can cause young people to disengage from stressful pursuits, resulting in missed opportunities to acquire valuable skills. Here we show that replicable benefits for the stress responses of adolescents can be achieved with a short (around 30-min), scalable 'synergistic mindsets' intervention. This intervention, which is a self-administered online training module, synergistically targets both growth mindsets
4
(the idea that intelligence can be developed) and stress-can-be-enhancing mindsets
5
(the idea that one’s physiological stress response can fuel optimal performance). In six double-blind, randomized, controlled experiments that were conducted with secondary and post-secondary students in the United States, the synergistic mindsets intervention improved stress-related cognitions (study 1,
n
= 2,717; study 2,
n
= 755), cardiovascular reactivity (study 3,
n
= 160; study 4,
n
= 200), daily cortisol levels (study 5,
n
= 118 students,
n
= 1,213 observations), psychological well-being (studies 4 and 5), academic success (study 5) and anxiety symptoms during the 2020 COVID-19 lockdowns (study 6,
n
= 341). Heterogeneity analyses (studies 3, 5 and 6) and a four-cell experiment (study 4) showed that the benefits of the intervention depended on addressing both mindsets—growth and stress—synergistically. Confidence in these conclusions comes from a conservative, Bayesian machine-learning statistical method for detecting heterogeneous effects
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. Thus, our research has identified a treatment for adolescent stress that could, in principle, be scaled nationally at low cost.
An online training module that synergistically targets two different mindsets can reduce stress levels in adolescents in the context of social-evaluative stressors—stressful experiences in which individuals fear that others are judging them negatively.
Journal Article
A Randomized Trial of a Family-Support Intervention in Intensive Care Units
In a cluster-randomized trial conducted in five ICUs, a nurse-led family-support intervention did not affect surrogates’ scores for anxiety and depression 6 months after the patients’ hospitalization, but it improved surrogates’ ratings of the patient-centeredness of care.
Journal Article
Anger management for dummies
\"Learn to: defuse your anger before it strikes, express your feelings calmly, identify anger triggers, release healthy anger effectively\"--Cover.
Book
The efficacy of a brief app-based mindfulness intervention on psychosocial outcomes in healthy adults: A pilot randomised controlled trial
Previous evidence suggests that mindfulness training may improve aspects of psychosocial well-being. Whilst mindfulness is traditionally taught in person, consumers are increasingly turning to mindfulness-based smartphone apps as an alternative delivery medium for training. Despite this growing trend, few studies have explored whether mindfulness delivered via a smartphone app can enhance psychosocial well-being within the general public.
The present pilot randomised controlled trial compared the impact of engaging with the self-guided mindfulness meditation (MM) app 'Headspace' (n = 38) for a period of 10 or 30 days, to a wait-list (WL) control (n = 36), using a cohort of adults from the general population. The Satisfaction with Life Scale, Perceived Stress Scale, and Wagnild Resilience Scale were administered online at baseline and after 10 and 30 days of the intervention.
Twelve participants (MM n = 9, WL n = 3) were lost to follow-up for unknown reasons. Relative to the WL control, the MM app positively impacted self-reported satisfaction with life, stress, and resilience at day 10, with further improvements emerging at day 30 (Cohen's d = 0.57, 1.42, 0.63 respectively). The rate of improvement was largest at the 10-day assessment point, dropping moderately by day 30. Participants that rated the MM app as easy to engage with experienced the largest self-reported benefits. Moreover, the MM app was able to protect against an unexpected increase in perceived stress that emerged in the control group.
This pilot randomised controlled trial shows that self-reported improvements in psychosocial outcomes can be achieved at low cost through short-term engagement with a mindfulness-based smartphone app, and should be followed up with more substantive studies.
ISRCTN ISRCTN34618894.
Journal Article
Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study
Pressures and responsibilities of medical school put a strain on medical student's personal wellbeing, leading among all to high rates of anxiety, emotional discomfort and stress. In this work we evaluated the effectiveness of a comprehensive Mindfulness-Based Intervention (MBI) in reducing this load. The intervention comprised 10 twice-a-week Integral Meditation classes, dietary advice, and brief yoga sessions. We performed a randomized trial on two cohort of medical students from Italian universities: 239 in cohort 1 (106 treated and 133 controls), and 123 in cohort 2 (68 treated and 55 control) for a total sample of 362 students. Nine questionnaires for evaluating the effectiveness of our intervention on stress (PSS), state anxiety (STAIX-1), well-being (WEMWBS), mind-wandering (MW-S), overall distress (PANAS), emotion regulation (DERS), resilience (RS-14), and attentional control (ACS-C and ACS-D) were collected both pre and post intervention. Linear mixed effect models were run on the whole sample showing that, after multiple testing correction, our intervention was effective in reducing perceived stress (β = − 2.57 [− 4.02; − 1.12], p = 0.004), improving mental well-being (β = 2.82 [1.02; 4.63], p = 0.008) and emotional regulation (β = − 8.24 [− 12.98; − 3.51], p = 0.004), resilience (β = 3.79 [1.32; 6.26], p = 0.008), reducing the tendency to wander with the mind (β = − 0.70 [− 0.99; − 0.39], p = 0.0001), ameliorating the ability to maintain attention (AC-S (β = − 0.23 [− 0.44; − 0.02], p = 0.04) and AC-D (β = − 0.19 [− 0.36; − 0.01], p = 0.04)), and the overall distress (β = 1.84 [0.45; 3.23], p = 0.02).
Journal Article
Responses to terrorism : can psychosocial approaches break the cycle of violence?
\"Why do responses to terrorist attacks often perpetuate cycles of deadly violence?Can an understanding of the psychology of these cycles help us to break them?Drawing on clinical experience of the care of people and communities affected by violence and disasters and on advances in cognitive and dynamic psychology, attachment theory, group psychology and thanatology, this ground-breaking work by a prominent and varied array of contributors casts light on the causes of terrorism, the reasons why responses to deadly attacks easily give rise to or maintain cycles of violence and some ways to prevent and interrupt these cycles.Using the violence in Northern Ireland and Rwanda as case studies throughout, Part 1, The Context of Terrorism, looks at the psychological and social influences behind extremism, terrorism and conflict. Part 2, Reponses to a Terrorist Attack, examines the responses that can feed a cycle of violence and assesses a range of approaches for their success in ending violence. Part 3, Breaking the Cycle, looks in depth at specific environments, influences and changes that can affect how violence can be prevented or mitigated, including the role of schools and the media and an examination of how peace processes were carried out in Northern Ireland and Rwanda. The book works to demonstrate how psychological responses to a terror attack can trigger unstable emotional responses and override judgement and to identify the five key points in a cycle of violence where change, for better or for worse, is possible.Ideal for psychiatrists, thanatologists, palliative care and bereavement staff, politicians and journalists as well as anyone with an interest in terrorism and its causes, this is a thought-provoking and accessible work on a highly topical subject\"-- Provided by publisher.
Book
Psycho-social factors associated with mental resilience in the Corona lockdown
The SARS-CoV-2 pandemic is not only a threat to physical health but is also having severe impacts on mental health. Although increases in stress-related symptomatology and other adverse psycho-social outcomes, as well as their most important risk factors have been described, hardly anything is known about potential protective factors. Resilience refers to the maintenance of mental health despite adversity. To gain mechanistic insights about the relationship between described psycho-social resilience factors and resilience specifically in the current crisis, we assessed resilience factors, exposure to Corona crisis-specific and general stressors, as well as internalizing symptoms in a cross-sectional online survey conducted in 24 languages during the most intense phase of the lockdown in Europe (22 March to 19 April) in a convenience sample of N = 15,970 adults. Resilience, as an outcome, was conceptualized as good mental health despite stressor exposure and measured as the inverse residual between actual and predicted symptom total score. Preregistered hypotheses (osf.io/r6btn) were tested with multiple regression models and mediation analyses. Results confirmed our primary hypothesis that positive appraisal style (PAS) is positively associated with resilience (p < 0.0001). The resilience factor PAS also partly mediated the positive association between perceived social support and resilience, and its association with resilience was in turn partly mediated by the ability to easily recover from stress (both p < 0.0001). In comparison with other resilience factors, good stress response recovery and positive appraisal specifically of the consequences of the Corona crisis were the strongest factors. Preregistered exploratory subgroup analyses (osf.io/thka9) showed that all tested resilience factors generalize across major socio-demographic categories. This research identifies modifiable protective factors that can be targeted by public mental health efforts in this and in future pandemics.
Journal Article