The effectiveness of adapted group mindfulness-based stress management program on perceived stress and emotion regulation in midwives: a randomized clinical trial

Abstract

Background Midwives' stress can have negative consequences on their emotional state, burnout, and poor quality of midwifery care. This study aimed to determine the effectiveness of an adapted mindfulness-based stress management program on perceived stress and the emotional regulation of midwives. Methods The study was a parallel randomized clinical trial on the midwives working in general hospitals of Zanjan, Iran. In this study, 121 midwives registered to participate based on the census sampling method were screened using a cut point of ≥ 28 in the Perceived Stress Scale (PSS). From the initial sample, 42 subjects had inclusion criteria assigned to two groups of control (n = 21) and intervention (n = 21) using online random allocation. The intervention group received an 8-week adapted mindfulness-based stress management program. This program emanates from the Kabat-Zinn's MBSR program, which has been adjusted according to the Iranian culture. The ANCOVA and repeated measure analysis of variance test were used to compare groups over time. Results The results showed that the group intervention effectively affected perceived stress (P = 0.001) and difficulty in emotion regulation during the post-intervention period (P = 0.001). Moreover, the interventions were effective in emotion regulation (P = 0.003), but it was not effective on perceived stress (P = 0.125) at the 3-month follow-up. Conclusions This adapted mindfulness-based program successfully reduced stress and increased emotion regulation strategies in midwives; however, the long-term outcomes of this treatment program need further consideration.

Mediating role of perceived social support in the relationship between perceived stress and job burnout among midwives in the post‐COVID‐19 era

“…Thus, two approaches can be used to prevent and mitigate job burnout among the midwives: reducing perceived stress level and actively mobilizing the social support system for midwives. Emotion regulation interventions, including cognitive‐behavioural stress management and mindfulness‐based stress reduction, have been considered to be effective in the reduction in midwives' stress (Aghamohammadi et al, 2022). Social support for midwives from multiple levels such as family, hospital and national system needs to be drawn on.…”

“…stress management and mindfulness-based stress reduction, have been considered to be effective in the reduction in midwives' stress (Aghamohammadi et al, 2022). Social support for midwives from multiple levels such as family, hospital and national system needs to be drawn on.…”

Effects of a mindfulness-based interventions on stress, burnout in nurses: a systematic review and meta-analysis

“…The sample sizes for the studies varied from 40 to 106 participants. Regarding these studies, nine (26)(27)(28)(29)(30)(31)(32)(33)(34) were from China, two (35,36) were from the United States, four were from Japan (37), Iran (38), Portugal (39), and Turkey (40). The average age ranged from 21 to 60.…”

Effectiveness of mindfulness-based interventions on the well-being of healthcare workers: a systematic review and meta-analysis

“…A large number of studies were conducted in the USA (n=8), 25 31 34 35 42 44 45 47 followed by Spain (n=5). 26 27 29 43 46 Five studies were conducted in China, 30 38-40 49 two each in Australia 36 48 and Germany, 33 37 and one each in Colombia, 41 Italy, 28 Iran, 24 Sweden 32 and Turkey. 50 Most of the studies (n=12) had mixed populations of healthcare workers.…”