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A psychological flexibility -based intervention for burnout : A randomized controlled trial

Abstract
A novel eight-week program based on Acceptance and Commitment Therapy (ACT) principles was created to alleviate burnout-related ill-being and to enhance well-being. This randomized controlled trial investigated the effectiveness of the program and explored whether changes in psychological flexibility mediated the results of the intervention. The program consisted of structured weekly face-to-face group meetings and daily practices provided via a website. Employees from varying professional backgrounds with burnout (mean age = 47 years, 79% female), who all received usual treatment, 1 were randomized into control (TAU, n = 80, receiving no other support) and ACT + TAU intervention (n = 88, receiving additional ACT support) groups. The ACT + TAU group outperformed the TAU group in all 14 scales used, indicating that burnout-related ill-being at work (between-group Cohen's d = 0.36–0.76) and psychological symptoms (d = 0.27–0.61) decreased and general well-being (d = 0.14–0.38) and psychological flexibility skills (d = 0.29–0.64) increased during the intervention. These gains were maintained during the one-year follow-up period. The changes in the psychological flexibility -factor mediated almost completely the changes in the outcome factors of burnout, well-being, and psychological symptoms. The study suggests that psychological flexibility skills can be crucial elements in job-related burnout interventions and that combined group and web-based interventions may offer an efficient treatment method.
Main Authors
Puolakanaho, Anne Tolvanen, Asko Kinnunen, Sanna M. Lappalainen, Raimo
Format
Articles Research article
Published
2020
Series
Journal of Contextual Behavioral Science
Subjects
acceptance and commitment therapy (ACT)
mindfulness-based stress reduction (MBSR)
psychological flexibility
burnout
stress
well-being
psychological symptoms
tietoinen läsnäolo
hyväksymis- ja omistautumisterapia
uupumus
stressi
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/33596690
Publisher
Elsevier BV
The permanent address of the publication
https://urn.fi/URN:NBN:fi:jyu-201912165350Use this for linking
Review status
Peer reviewed
ISSN
2212-1447
DOI
https://doi.org/10.1016/j.jcbs.2019.11.007
Language
English
Published in
Journal of Contextual Behavioral Science
Citation
  • Puolakanaho, A., Tolvanen, A., Kinnunen, S. M., & Lappalainen, R. (2020). A psychological flexibility -based intervention for burnout : A randomized controlled trial. Journal of Contextual Behavioral Science, 15, 52-67. https://doi.org/10.1016/j.jcbs.2019.11.007
License
CC BY-NC-ND 4.0Open Access
Additional information about funding
The study was funded by the Social Insurance Institution of Finland (Dnro33/331/2012) and supported and conducted in the University of Jyväskylä, Finland.
Copyright© 2020 Elsevier BV

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author Puolakanaho, Anne Tolvanen, Asko Kinnunen, Sanna M. Lappalainen, Raimo
author_facet Puolakanaho, Anne Tolvanen, Asko Kinnunen, Sanna M. Lappalainen, Raimo
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description A novel eight-week program based on Acceptance and Commitment Therapy (ACT) principles was created to alleviate burnout-related ill-being and to enhance well-being. This randomized controlled trial investigated the effectiveness of the program and explored whether changes in psychological flexibility mediated the results of the intervention. The program consisted of structured weekly face-to-face group meetings and daily practices provided via a website. Employees from varying professional backgrounds with burnout (mean age = 47 years, 79% female), who all received usual treatment, 1 were randomized into control (TAU, n = 80, receiving no other support) and ACT + TAU intervention (n = 88, receiving additional ACT support) groups. The ACT + TAU group outperformed the TAU group in all 14 scales used, indicating that burnout-related ill-being at work (between-group Cohen's d = 0.36–0.76) and psychological symptoms (d = 0.27–0.61) decreased and general well-being (d = 0.14–0.38) and psychological flexibility skills (d = 0.29–0.64) increased during the intervention. These gains were maintained during the one-year follow-up period. The changes in the psychological flexibility -factor mediated almost completely the changes in the outcome factors of burnout, well-being, and psychological symptoms. The study suggests that psychological flexibility skills can be crucial elements in job-related burnout interventions and that combined group and web-based interventions may offer an efficient treatment method.
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spellingShingle A psychological flexibility -based intervention for burnout : A randomized controlled trial Puolakanaho, Anne Tolvanen, Asko Kinnunen, Sanna M. Lappalainen, Raimo acceptance and commitment therapy (ACT) mindfulness-based stress reduction (MBSR) psychological flexibility burnout stress well-being psychological symptoms tietoinen läsnäolo hyväksymis- ja omistautumisterapia uupumus stressi Journal of Contextual Behavioral Science
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title A psychological flexibility -based intervention for burnout : A randomized controlled trial
title_full A psychological flexibility -based intervention for burnout : A randomized controlled trial
title_fullStr A psychological flexibility -based intervention for burnout : A randomized controlled trial
title_full_unstemmed A psychological flexibility -based intervention for burnout : A randomized controlled trial
title_short A psychological flexibility -based intervention for burnout : A randomized controlled trial
title_sort A psychological flexibility based intervention for burnout A randomized controlled trial
topic acceptance and commitment therapy (ACT) mindfulness-based stress reduction (MBSR) psychological flexibility burnout stress well-being psychological symptoms tietoinen läsnäolo hyväksymis- ja omistautumisterapia uupumus stressi
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