Determining the effectiveness of Mindful Self-Compassion therapy on fatigue, emotional regulation, and self-critical rumination in nurses with burnout
Design
This clinical trial study is a controlled, parallel-group, unblinded, and randomized (sealed envelope) study. It was conducted on 30 nurses working in Aftab and Parsian hospitals who scored at least 66 on the burnout questionnaire. It includes a control group and an intervention group that participate in mindfulness self-compassion therapy sessions, and then the results of the questionnaire are evaluated.
Settings and conduct
30 eligible people are randomly placed in two experimental and control groups (15 people). Both groups will complete a pre-test; the experimental group will receive 8 sessions of mindful self-compassion therapy and 1 session of retreat (165 minutes), while the control group will receive no treatment. Finally, both groups will complete a post-test.
Participants/Inclusion and exclusion criteria
Inclusion Criteria: Minimum score of 66 on the Maslach and Jackson Burnout Inventory (1981); Meeting burnout diagnostic criteria according to ICD-11 and structured clinical interview; No concurrent psychiatric disorder (DSM-5); No concurrent acute or chronic physical illness; Not receiving any other psychological treatment simultaneously;
Exclusion Criteria:
Nurses with less than one year of work experience
Intervention groups
Control group: 15 eligible nurses who complete the research questionnaires as a pre-test but do not receive any treatment.
Intervention group: 15 eligible nurses who, after the pre-test, participate in 8 sessions of mindfulness self-compassion therapy based on the Neff and Grammer(2013)protocol and1 session of retreat for165 minutes.
The Effectiveness of Mindful Self-Compassion Therapy on Mental Fatigue, Emotion Regulation, and Self-Critical Rumination in Nurses with Job Burnout
Public title
The effectiveness of mindfulness self-compassion therapy on Mental Fatigue, Emotional Regulation, and Self-Critical Rumination
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Obtaining a minimum score of 66 to diagnose burnout from the Maslach and Jackson (1981) questionnaire
Having the necessary criteria for diagnosing burnout according to (ICD-11) based on a structured interview with a clinical psychologist
Absence of diagnosable psychiatric disorders based on diagnostic criteria (DSM-5) and concurrent absence of acute physical illness
No concurrent chronic physical illnesses
Not receiving any other psychological treatment at the same time
Exclusion criteria:
Nurses with less than one year of work experience
Age
From 30 years old to 50 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
Experimental and control groups: After selecting the sample, in the next step, people are divided into experimental and control groups using a random method.
How to perform randomization: First step: After selecting the voluntary sample, all selected people are placed on a list (numbers from 1 to 30 are assigned to people). Second step: From these people, using a random method using sealed and opaque (numbered) envelopes, people are divided into two experimental groups and a control group. Each person randomly selects an envelope and is divided into the corresponding group.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Research Ethics Committees of Islamic Azad University - Varamin-Pishva Branch
Street address
Islamic Azad University, Varamin–Pishva Branch, Naghsh-e Jahan Town, Pishva County, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
7489533817
Approval date
2025-06-10, 1404/03/20
Ethics committee reference number
IR.IAU.VARAMIN.REC.1404.033
Health conditions studied
1
Description of health condition studied
Burn-out
ICD-10 code
Z73.0
ICD-10 code description
Burn-out
Primary outcomes
1
Description
Mental Fatigue
Timepoint
Pre-intervention and Post-intervention
Method of measurement
Mental Fatigue Questionnaire Johnson et al. 2010
2
Description
Emotion Regulation
Timepoint
Pre-intervention and Post-intervention
Method of measurement
Emotion Regulation Questionnaire Cross and John 2003
3
Description
Self-Critical Rumination
Timepoint
Pre-intervention and Post-intervention
Method of measurement
Self-Critical Rumination Questionnaire Smart et al. 2016
Secondary outcomes
empty
Intervention groups
1
Description
Control group: 15 participants who meet the inclusion criteria and score at least 66 on the Maslach and Jackson 1981 Burnout Questionnaire will be randomly assigned to the control group. They will complete the Mental Fatigue, Emotion Regulation, and Self-Critical Rumination Questionnaire; however, no treatment will be administered to this group.
Category
Behavior
2
Description
Intervention group: 15 participants who meet the inclusion criteria and score at least 66 on the Maslach and Jackson 1981 Burnout Questionnaire will be randomly assigned to the intervention group. They will complete the psychological fatigue, emotional regulation, and self-critical rumination questionnaires as a pre-test, then undergo 8 sessions of mindfulness-based self-compassion therapy based on the Neff and Grammer (2013) method, as well as 1 session of seclusion, each session lasting 165 minutes. After completing the sessions, they will complete the psychological fatigue, emotional regulation, and self-critical rumination questionnaires as a post-test.
Category
Behavior
Recruitment centers
1
Recruitment center
Name of recruitment center
Aftab Eye Hospital
Full name of responsible person
Mahmoud Jabbarvand
Street address
Aftab Eye Hospital, Opposite Javanmardan Park, After Kan Bridge, Hemmat Expressway (West), Tehran, Iran ا
City
Tehran
Province
Tehran
Postal code
-
Phone
+98 21 4614 3300
Email
info@aftabhospital.com
2
Recruitment center
Name of recruitment center
Parsian Hospital
Full name of responsible person
Mohammad Gili
Street address
Parsian Super Specialty Hospital, Farhang Square, East Sarv Street, Saadat Abad, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
-
Phone
+98 21 2209 7151
Email
info@parsianhospital.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Azad University, South Tehran Branch
Full name of responsible person
Razieh Farazkish
Street address
7th Floor, Islamic Azad University, South Tehran Branch Building, Corner of Azarshahr St. and Iranshahr St., Karimkhan Zand St., Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1584715414
Phone
+98 21 8883 3104
Email
research@azad.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?