Effects of Mindfulness-Based Interventions on Self-compassion in Health Care Professionals: a Meta-analysis
- 5 March 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Mindfulness
- Vol. 11 (8), 1914-1934
- https://doi.org/10.1007/s12671-020-01342-5
Abstract
Objectives Health care professionals have elevated rates of burnout and compassion fatigue which are correlated with poorer quality of life and patient care, and inversely correlated with self-compassion. Primary studies have evaluated the extent to which mindfulness-based interventions increase self-compassion with contradictory findings. A meta-analytic review of the literature was conducted to quantitatively synthesize the effects of mindfulness-based interventions on self-compassion among health care professionals. Methods Twenty-eight treatment outcome studies were identified eligible for inclusion. Five cumulative effect sizes were calculated using random-effects models to evaluate differences of changes in self-compassion for treatment and control groups. Within and between group comparisons were evaluated. Sub-group and moderator analyses were conducted to explore potential moderating variables. Results Twenty-seven articles (k = 29, N = 1020) were utilized in the pre-post-treatment meta-analysis. Fifteen samples (52%) included health care professionals and fourteen (48%) professional health care students. Results showed a moderate effect size between pre-post-treatment comparisons (g = .61, 95% CI = .47 to .76) for self-compassion and a strong effect size for pre-treatment to follow-up (g = .76, 95% CI = .41 to 1.12). The effect size comparing post-treatment versus post-control was moderate. One exploratory moderator analysis was significant, with stronger effects for interventions with a retreat component. Conclusions Findings suggest mindfulness-based interventions improve self-compassion in health care professionals. Additionally, a variety of mindfulness-based programs may be useful for employees and trainees. Future studies with rigorous methodology evaluating effects on self-compassion and patient care from mindfulness-based interventions are warranted to extend findings and explore moderators.Keywords
This publication has 100 references indexed in Scilit:
- The Impact of an Innovative Mindfulness-Based Stress Reduction Program on the Health and Well-Being of Nurses Employed in a Corporate SettingJournal of Workplace Behavioral Health, 2013
- Burnout and Satisfaction With Work-Life Balance Among US Physicians Relative to the General US PopulationArchives of Internal Medicine, 2012
- Relationships Between Medical Student Burnout, Empathy, and Professionalism ClimateAcademic Medicine, 2010
- Nurse burnout and quality of care: Cross‐national investigation in six countriesResearch in Nursing & Health, 2010
- Physician wellness: a missing quality indicatorThe Lancet, 2009
- An examination of self-compassion in relation to positive psychological functioning and personality traitsJournal of Research in Personality, 2006
- Self-compassion and adaptive psychological functioningJournal of Research in Personality, 2006
- Quantifying heterogeneity in a meta‐analysisStatistics in Medicine, 2002
- The power of statistical tests in meta-analysis.Psychological Methods, 2001
- Assessing the quality of reports of randomized clinical trials: Is blinding necessary?Controlled Clinical Trials, 1996