Volume 14, Issue 1 (Jan & Feb 2024)                   J Research Health 2024, 14(1): 55-62 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ossai O V. Effect of Mindfulness-based Stress Reduction Intervention on Job Stress Among Primary School Teachers in Nigeria. J Research Health 2024; 14 (1) :55-62
URL: http://jrh.gmu.ac.ir/article-1-2373-en.html
Department of Childhood Education, Faculty of Education,University of Johannesburg, Johannesburg, South Africa. , osita.ossai@unn.edu.ng
Full-Text [PDF 586 kb]   (447 Downloads)     |   Abstract (HTML)  (1281 Views)
Full-Text:   (520 Views)
Introduction
Globally, the teaching career has been described as very demanding and stressful [13]. Daily, teaching requires both physical and mental energy [45]. Stress affects the health and well-being of teachers, as well as their recruitment and retention in the profession [6]. In primary schools, teachers face challenging demands, such as a heavy workload, emotional strain, and limited resources [7, 8, 9]. In Nigerian primary schools, the situation is common as a result of the instructional approach, in which a class teacher is expected to teach all school subjects with limited instructional resources [10, 11, 12]. The term "teacher stress" describes a variety of physiological, emotional, and psychological reactions to the stressors in the teaching profession, including exhaustion, burnout, depression, and others. Teachers throughout the world have encountered turmoil and tension when attempting to organize and regulate the kids in the classroom [13]. Over the years, numerous studies have sought to pinpoint the main factors contributing to teacher stress [141516]. These studies concluded that instructors are highly stressed because they must deal with their students' emotions and behavior, both of which interfere with their ability to teach [15, 1718].
Several variables have been identified as predisposing teachers to excessive stress [19]. Among teachers, daily aggravation arising from students’ behavior issues was recognized as a source of pressure. It frequently results in feelings of inadequacy, exhaustion, and low self-efficacy [15, 2021]. According to Granziera, Collie, and Martin [22], teacher stress can be associated with a high rate of teacher attrition, low self-efficacy, decreased job satisfaction, and impaired bodily and emotional. According to Skaalvik et al. [21], stress among instructors may result in lower levels of student involvement and academic achievement. The causes of teacher stress have been determined by several other studies. In particular, these factors include low self-efficacy, unsatisfactory work, inadequate organizational support, a hostile school climate, attrition, weariness, and unfavorable relationships between teachers and students [23]. A successful mental health management intervention is crucial to reduce stress among teachers in primary schools especially in Nigeria. In a meta-analysis regarding the effectiveness of psychological therapies targeted at reducing teacher strain and stress, Iancu et al. [24] found mindfulness interventions have significant benefits on stress and burnout dimensions, weariness, and personal accomplishment.
Mindfulness practice is a form of consciousness that promotes self-awareness, insight, and compassion [25]. The concept of mindfulness has been used by Buddhist lineages for approximately 2500 years [26]. Psychologists believe that many psychological disorders are caused by judgmental minds that categorize events as good or bad and invariably result in frustration, distress, anxiety, and depression [2728]. In modern psychology, mindfulness is considered a means of increasing consciousness and openness to mental developments that can affect emotional suffering and unhelpful behavior [29, 30]. According to Santorelli et al. [31], mindfulness-based stress reduction (MBSR) involves the practice of paying conscious attention to one's surroundings, body sensations, thoughts, and emotions. Its main purpose is to help individuals cope with stressful thoughts and events [31]. Several research studies have shown that MBSR reduces negative reactions to stressful situations and boosts empathy and compassion among practitioners [3233]. The MBSR process includes body scans, calm breathing, present-moment focus, guided imagery, and non-judgmental observation [28, 33]. Numerous researchers have studied the effectiveness of MBSR interventions using either the original MBSR procedure [31, 34] or modified versions [27, 35]. Many previous studies have reported that significant benefits of MBSR on signs of general distress can be indicative of a range of psychological conditions [36] and quality of life [37]. 
MBSR has been extensively studied. Beshai et al. [38] used a mindfulness-based intervention to reduce stress levels and enhance well-being among teachers. An intervention group was randomly assigned to the comparison group. Stress, well-being, mindfulness, and self-compassion were measured before the start of the study commencement and during the intervention sessions. The stress level was significantly lower and well-being level was significantly higher in the intervention condition. Bonde et al. [26] conducted an experimental study with cluster-randomized controls to test MBSR. The main result on stress was measured by Cohen's perceived stress scale (PSS). Bootstrapping was used to detect cluster effects using a mixed-effect linear regression model. PSS scores of the intervention group were statistically significantly lower than the wait-list control group by 1.7 (95% CI, 0.04%-3.3%). The mean PSS scores of the intervention group at six months were significantly lower than the wait-list control group by 2.1 (95% CI, 0.5%-3.8%).
Frank et al. [32] conducted a pilot study on MBSR for educators. A modified 8-week MBSR programme was offered to 36 high school teachers as a control group. MBSR participants demonstrated considerable improvements in self-discipline, self-compassion, and mindfulness. Also, significant improvements were observed in the rate and quality of sleep among study participants. Gold et al. [6] conducted a study on MBSR for primary school teachers. A stress-reduction MBSR course was offered to primary school teachers. MBSR was presented to a group of primary school teachers, and their responses were assessed for stress, anxiety, and depression, as well as progress toward a predetermined objective. The mindfulness skills questionnaire showed strong progress on two dimensions. Teachers in a typical Nigerian primary school are burdened by high-stress level as a result of heavy and excessive workloads, children’s disruptive behavior, poor work conditions, unfriendly school climate, lack of instructional resources, and poor school facilities. In Nigeria, it has been reported in the literature that many potential sources of stress can predispose teachers to impaired health status as well as job burnout, low job satisfaction, and psychological distress. It is pertinent to note that while MBSR intervention has been used in other countries for different populations, the intervention has not been used in Nigeria, especially for primary school teachers.  However, it is unclear whether MSBR intervention can help ameliorate the stress of primary school teachers in Nigeria. Therefore, it is imperative to seek research solutions, which can offer support for teachers to optimally manage their stressors for optimal productivity. The current study was conducted to determine whether MBSR intervention was effective in reducing job stress among primary school teachers in Nigeria. Many facets of teachers' work lives and pressures were considered.

Methods
Sample and sampling methods

The researchers conducted a quasi-experimental pre-test-post-test design with a control group. The research participants included 70 primary school teachers with stress symptoms. The samples were selected using a random sampling technique in Nsukka City, Nigeria during the third academic session of 2023. Thereafter, the sampled teachers were randomly assigned to experimental and control groups (each group=35). Teachers who participated in the study were randomly selected. Each primary school teacher in the two groups completed an informed consent form before participating in this study. The teacher stress scale (TSS) and PSS were administered. Teachers in the experimental group received a MBSR intervention that lasted for eight weeks while the control group received no treatment. The data were analyzed using analysis of variance (ANOVA) in SPSS software, version 29. Using the two instruments, the researcher can ascertain the level of job stress among the study population. Eligibility criteria included manifestation of moderate to high stress levels and the provision of written informed consent to participate.

Instrumentation
The TSS is a scale that contains 23 items, which elicit information on teachers’ stress across different areas of the teaching profession [39]. The instrument’s items cut across areas, such as lesson planning, behavior of fellow teachers, inability to recognize, and classroom control of students’ behavior. The rating was on a five-point Likert scale ranging from, extremely stressful=5 to not at all stressful=1. A total aggregate score was obtained by adding the individual responses and a high score showed higher stress. 
The PSS-10 contains 10 items that are used to assess the stressfulness of life situations [40]. The PSS-10 measures the degree to which life has been experienced as unpredictable, uncontrollable, and overloaded in the past month. The PSS-10 has a five-point Likert scale (0=never, 1=almost never, 2=once in a while, 3=often, 4=very often). Sample items include “in the last month, how often have you felt that things were going your way” and “in the last month, how often have you found that you could not cope with all the things that you had to do.” Six negative items are scored in the non-reversed direction (i.e. “how often have you felt that you can control the crucial things in your life”). Four positive items are scored in the reversed direction (i.e. “how often have you felt that things were going your way”). The total scores range from 0 to 40, with higher scores indicating greater perceived stress. To ensure the reliability and validity of the instruments, the instruments were subjected to trial testing, after which the reliability scores were calculated using the IBM SPSS,software, version 29. The PSS and TSS had Cronbach’s α reliability scores of 0.91 and 0.88, respectively. 

Procedure
The MBSR intervention package was presented to primary school teachers using a modified version of Kabat-Zinn [34] course manuals. This package was designed to be used for eight weeks. For each course period, a course plan was prepared by the researcher by reviewing relevant literature and with the help of experts in educational psychology, stating how the course training will be conducted. Each course plan was designed to be observed 8 times in 1-hour sessions per week, including a 5-hour session normally conducted on a Saturday between the 5th and 6th week as a silent day observation. Information in the MBSR intervention package is meant to guide the research assistants in coaching primary school teachers [35]. The primary school teachers in the waitlist control group were scheduled to receive their course intervention one month after the last follow-up meeting. The research data were collected two times (pre-test and post-test). In this study, the research assistants are certified clinicians with industrial experience at the Nsukka Psychotherapy Centre. The research assistants were trained on the rudiments of the MBSR intervention package.

Data analysis 
Data were analyzed in the IBM SPSS software, version 29 using repeated measures ANOVA (statistical significance level was set at P<0.05). Analysis of primary school teachers’ demographic characteristics was performed for each group using relevant statistical tests. 

Results
Demographic characteristics of the study participants

Based on the biodata of this study, 41% of the participants were men and 59% were women. Also, 24% of the participants were in the age bracket of 25-30; 43% of the participants were in the age bracket of 31-35; and 33% of the participants were in the age bracket of 36-40. 
Table 1 shows the timelines in the intervention of the study.


Table 2 presents the pre-test-post-test, and follow-up tests of the participants in mindfulness and waiting groups.


The data show that at pre-test, the mean ratings of participants in mindfulness and waiting groups were almost the same based on their stress perceptions. However, in the post-test, the participants’ mean stress rating drastically decreased compared to participants on the waiting list. A further decline was observed in the mean ratings of participants in the mindfulness group compared to the waiting list.
Since differences exist in the post-test and follow-up test, the dataset was subjected to repeated ANOVA. The data showed a significant difference in terms of time (F(1.126, 68)=531.468; P=0.001, ηp2=0.507). With regard to intervention, a significant difference was observed (F(1.126, 68)=159.386; P=0.001, η2=0.221). Finally, a statistically significant interaction effect was observed between time and intervention (F(2, 67)=120.272; P=0.001, η2=0.115]. Since P<0.05, the alternative hypotheses were accepted. Furthermore, a post hoc test was conducted since a significant difference was observed in terms of time and intervention. Holm post hoc test revealed a significant difference in Mean±SD ratings of mindfulness and waiting list (-23.013±1.823; P=0.001). Concerning significant differences exist between pre-test and post-test (35.577±1.308; P=0.001), pre-test and follow-up (338.150±1.308; P=0.001), and post-test and follow-up (2.573±1.308; P=0.001).
Data in Table 3 illustrates the pre-test, post-test, and follow-up test results for the participants in the mindfulness and waiting groups, as determined by TSS.


In terms of stress perceptions, the data indicate that the mean ratings of participants in mindfulness and waiting groups were almost identical at pre-test. However, in the post-test, the participant’s mean stress rating dramatically decreased when compared to participants in the control group. Participants in the mindfulness group experienced a further decline in mean ratings as compared to those in the control group.
According to the difference between the post-test and the follow-up test, the dataset was subjected to repeated ANOVA. According to the data, a significant difference was observed in terms of time (F(1.165, 68)=32.320; P=0.001, ηp2=0.048). In terms of the intervention, a significant difference was observed (F(1, 68)=174.340; P=0.001, η2=0.448]. Finally, a statistically significant interaction effect was observed between time and intervention (F(1.165, 68)=156.390; P=0.001, η2=0.232). Since P<0.05, the alternative hypotheses were accepted. In addition, a post hoc analysis was performed since a significant difference was observed in both time and intervention. A post hoc Holm test revealed a significant difference in Mean±SD ratings of mindfulness and control group (-11.886±1.132; P=0.001). In terms of time, significant differences exist between pre-test and post-test (35.577±0.956; P=0.001), pre-test and follow-up (34.000±0.956; P=0.001) and post-test and follow-up 3.200±0.956; P=0.001).

Discussion
The study was conducted to examine how MBSR affects the job stress level among primary school teachers in Nigeria. In the post-test, MBSR significantly reduced primary school teachers’ job stress. Through MBSR interventions, primary school teachers can effectively manage their stress. The results of the study indicated that most participants experienced drastically reduced stress after the intervention. This is consistent with the research conducted by Beshai et al. [38], who reported that those in the intervention group experienced significantly lower levels of stress and higher levels of well-being following the intervention than the comparison group. This means that the basic tenets of MBSR tend to ameliorate job stress among primary school teachers. As demonstrated by previous studies [6, 4142], MBSR interventions are effective in helping people with stress-related problems. The study results support the results of Burton et al. [43] who reported that occupational stress was significantly decreased.
In this study, the results indicate that teachers in a typical Nigerian primary school are under high-stress level as a result of heavy and excessive workloads. MBSR intervention is very effective in reducing stress-related issues. The results of this study confirm the results of Bonde et al. [26], who discovered a statistically significant decrease in the mean score for perceived stress in the intervention group. Additionally, the results of previous research using MBSR intervention to treat occupational stress were substantial among the study participants [44]. Several plausible arguments can account for the differences among the groups studied. However, in this study, it can be validly claimed that the greater percentage of the significant difference in the post-test scores of the participants on the MBSR can be attributed to the effect of the intervention. Similarly, a previous study conducted by Omidi et al. [45] showed encouraging results on the effectiveness of MBSR intervention for stress reduction among different population groups. Another previous study by Gouda et al. [46] reveals that the effectiveness of MBSR intervention on job stress and related symptoms among research participants who received MBSR intervention for job stress from the pre- to the post-treatment phases was also supported by these authors. Teachers in Nigeria are particularly prone to excessive job stress which impairs their performance on the job. However, if the MBSR intervention is carefully administered, it will lead to a positive outcome. This assertion is supported by the results of Jennings and DeMauro [47] who found that MBSRIs decreased teachers’ job stress among students at sampled schools, which is similar to the results in this study. It is imperative to note that the statistically significant interaction effect between time and intervention can be attributed to the efficacy of the instructional package. This result implies that teachers’ job stress can hamper their productivity and job performance. Therefore, teachers who are prone to stress must be subjected to intervention to help them cope effectively with their job demands. 

Conclusion
According to the study, primary school teachers’ work-related stress can be effectively reduced by MBSR intervention. A vigorous application of MBSR intervention for job stress among primary school teachers can highly benefit their academic productivity, psychological health, and overall well-being by identifying and addressing the causes of their job stress. It may be possible to study how well MBSRI works for teachers about their job stress and other crucial psychological factors to improve their productivity.

Ethical Considerations
Compliance with ethical guidelines

The Ethical Approval was obtained from the Ethics Committee of the Faculty of Education, University of Nigeria (Code: REB/FE/OO3/F2). The participants provided written informed consent to take part in this study.

 Funding
This research did not receive any grant from funding agencies in the public, commercial, or non-profit sectors.

Acknowledgments
The author appreciates all the people who contributed in several ways to the success of the research study, especially the research assistants who facilitated the clinical and intervention procedures. 

References
  1. Dawn S, Talukdar P, Bhattacharjee S, Singh OP. A study on job related stress among school teachers in different schools of West Bengal, India. Eastern Journal of Psychiatry. 2016; 19(1):12-7. [DOI:10.5005/EJP-19-1-12]
  2. Wang Y, Ramos A, Wu H, Liu L, Yang X, Wang J, et al. Relationship between occupational stress and burnout among Chinese teachers: A cross-sectional survey in Liaoning, China. International Archives of Occupational and Environmental Health. 2015; 88:589-97. [DOI:10.1007/s00420-014-0987-9]
  3. Yunarti BS, Asaloei SI, Wula P, Werang BR. Stress and performance of elementary school teachers of Southern Papua: A survey approach. Universal Journal of Educational Research. 2020; 8(3):924-30. [DOI:10.13189/ujer.2020.080325]
  4. Chang ML. An appraisal perspective of teacher burnout: Examining the emotional work of teachers. Educational Psychology Review. 2009; 21:193-218. [DOI:10.1007/s10648-009-9106-y]
  5. Garrick A, Mak AS, Cathcart S, Winwood PC, Bakker AB, Lushington K. Psychosocial safety climate moderating the effects of daily job demands and recovery on fatigue and work engagement. Journal of Occupational and Organizational Psychology. 2014; 87(4):694-714. [DOI:10.1111/joop.12069]
  6. Gold E, Smith A, Hopper I, Herne D, Tansey G, Hulland C. Mindfulness-based stress reduction (MBSR) for primary school teachers. Journal of Child and Family Studies. 2010; 19:184-9. [DOI:10.1007/s10826-009-9344-0]
  7. Alhija FNA. Teacher stress and coping: The role of personal and job characteristics. Procedia - Social and Behavioral Sciences. 2015; 185:374-80. [DOI:10.1016/j.sbspro.2015.03.415]
  8. Bottiani JH, Duran CA, Pas ET, Bradshaw CP. Teacher stress and burnout in urban middle schools: Associations with job demands, resources, and effective classroom practices. Journal of School Psychology. 2019; 77:36-51. [DOI:10.1016/j.jsp.2019.10.002]
  9. De Carlo A, Girardi D, Falco A, Dal Corso L, Di Sipio A. When does work interfere with teachers’ private life? An application of the job demands-resources model. Frontiers in Psychology. 2019; 10:1121. [DOI:10.3389/fpsyg.2019.01121]
  10. Abiam PO, Abonyi OS, Ugama JO, Okafor G. Effects of ethnomathematics-based instructional approach on primary school pupils’ achievement in geometry. Journal of Scientific Research & Reports. 2016; 9(2):1-15. [Link]
  11. Friday Mbon U, Omorobi Omorobi G, Owan VJ, Asuquo Ekpenyong J.Analysis of the Quality of Educational Resources and Effective Instructional Service Delivery in Nigerian Universities. International Journal of Education and Evaluation. 2019; 5(7):25-34. [Link]
  12. Olayinka ARB. Effects of instructional materials on secondary schools students’ academic achievement in social studies in Ekiti State, Nigeria. World Journal of Education. 2016; 6(1):32-9. [DOI:10.5430/wje.v6n1p32]
  13. Sandilos LE, Goble P, Rimm-Kaufman SE, Pianta RC. Does professional development reduce the influence of teacher stress on teacher-Child interactions in pre-kindergarten classrooms? Early Childhood Research Quarterly. 2018; 42:280-90. [DOI:10.1016/j.ecresq.2017.10.009]
  14. Darmody M, Smyth E. Primary school principals’ job satisfaction and occupational stress. International Journal of Educational Management. 2016; 30(1). [DOI:10.1108/IJEM-12-2014-0162]
  15. Prilleltensky I, Neff M, Bessell A. Teacher stress: What it is, why it’s important, how it can be alleviated. Theory Into Practice. 2016; 55(2):104-11. [DOI:10.1080/00405841.2016.1148986]
  16. Travers CJ, Cooper CL. Mental health, job satisfaction and occupational stress among UK teachers. In: Cooper CL, editor. Managerial, occupational and organizational stress research. London: Routledge; 2018. [DOI:10.4324/9781315196244-24]
  17. Haydon T, Alter P, Hawkins R, Kendall Theado C. Check yourself: Mindfulness-based stress reduction for teachers of students with challenging behaviors. Beyond Behavior. 2019; 28(1):55-60. [DOI:10.1177/1074295619831620]
  18. Yu G, Dong Y, Wang Q, An R. Reducing teacher stress: Improving humanized management of Chinese teachers. Journal of Chinese Human Resource Management. 2016; 7(2):82-99. [DOI:10.1108/JCHRM-07-2016-0014]
  19. Kellmann M, Heidari J. Changes in the perception of stress and recovery in German secondary school teachers. Teacher Development. 2020; 24(2):242-57. [DOI:10.1080/13664530.2020.1752791]
  20. Pereira H, Gonçalves VO, Assis RM. Burnout, organizational self-efficacy and self-esteem among Brazilian teachers during the COVID-19 pandemic.European Journal of Investigation in Health, Psychology and Education. 2021; 11(3):795-803. [DOI:10.3390/ejihpe11030057]
  21. Skaalvik EM, Skaalvik S. Teacher stress and teacher self-efficacy: Relations and consequences. In: McIntyre T, McIntyre S, Francis D, editors. Educator stress. Aligning perspectives on health, safety and well-being. Cham: Springer; 2017. [Link]
  22. Granziera H, Collie R, Martin A. Understanding teacher wellbeing through job demands-resources theory. In: Mansfield CF, editor. Cultivating teacher resilience. Singapore: Springer; 2021. [DOI:10.1007/978-981-15-5963-1_14]
  23. Abdullah AS, Ismail SN. A structural equation model describes factors contributing teachers’ job stress in primary schools. International Journal of Instruction. 2019; 12(1):1251-62. [DOI:10.29333/iji.2019.12180a]
  24. Iancu AE, Rusu A, Măroiu C, Păcurar R, Maricuțoiu LP. The effectiveness of interventions aimed at reducing teacher burnout: A meta-analysis. Educational Psychology Review. 2018; 30:373-96. [DOI:10.1007/s10648-017-9420-8]
  25. Husgafvel V. The ‘universal dharma foundation’of mindfulness-based stress reduction: Non-duality and mahāyāna buddhist influences in the work of jon kabat-zinn. Contemporary Buddhism. 2018; 19(2):275-326. [DOI:10.1080/14639947.2018.1572329]
  26. Bonde EH, Fjorback LO, Frydenberg M, Juul L. The effectiveness of mindfulness-based stress reduction for school teachers: A cluster-randomized controlled trial. European Journal of Public Health. 2022; 32(2):246-53. [DOI:10.1093/eurpub/ckab223]
  27. Grossman P. Mindfulness: Awareness informed by an embodied ethic. Mindfulness. 2015; 6(1):17-22. [DOI:10.1007/s12671-014-0372-5]
  28. Van Gordon W, Shonin E, Griffiths MD, Singh NN. There is only one mindfulness: Why science and Buddhism need to work together. Mindfulness. 2015; 6:49-56. [DOI:10.1007/s12671-014-0379-y]
  29. Ivtzan I. Mindfulness in positive psychology: An introduction. In: Mindfulness in positive psychology, the science of meditation and wellbeing, Ivtzan I, Lomas T, editors. Milton Park: Taylor & Francis; 2016. [Link]
  30. Nagy LM, Baer RA. Mindfulness: What should teachers of psychology know? Teaching of Psychology. 2017; 44(4):353-9. [DOI:10.1177/0098628317727913]
  31. Santorelli SF, Kabat-Zinn J, Blacker M, Meleo-Meyer F, Koerbel L. Mindfulness-based stress reduction (MBSR) authorized curriculum guide. Massachusetts: Center for Mindfulness in Medicine, Health Care, and Society (CFM). University of Massachusetts Medical School; 2017. [Link]
  32. Frank JL, Reibel D, Broderick P, Cantrell T, Metz S. The effectiveness of mindfulness-based stress reduction on educator stress and well-being: Results from a pilot study. Mindfulness. 2015; 6:208-16. [DOI:10.1007/s12671-013-0246-2]
  33. Harris AR, Jennings PA, Katz DA, Abenavoli RM, Greenberg MT. Promoting stress management and wellbeing in educators: Feasibility and efficacy of a school-based yoga and mindfulness intervention. Mindfulness. 2016; 7:143-54. [DOI:10.1007/s12671-015-0451-2]
  34. Kabat-Zinn J. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delta New York: Trade Paperbacks; 1990. [Link]
  35. Lensen JH, Stoltz S, Kleinjan M, Speckens AEM, Kraiss JT, Scholte RHJ. Mindfulness-based stress reduction intervention for elementary school teachers: A mixed method study. Trials. 2021; 22(1):826. [DOI:10.1186/s13063-021-05804-6]
  36. Evans S, Wyka K, Blaha KT, Allen ES. Self-compassion mediates improvement in well-being in a mindfulness-based stress reduction program in a community-based sample. Mindfulness. 2018; 9:1280-7. [DOI:10.1007/s12671-017-0872-1]
  37. Dada T, Lahri B, Mahalingam K, Shakrawal J, Kumar A, Sihota R, et al. Beneficial effect of mindfulness based stress reduction on optic disc perfusion in primary open angle glaucoma: A randomized controlled trial. Journal of Traditional and Complementary Medicine. 2021; 11(6):581-6. [DOI:10.1016/j.jtcme.2021.06.006]
  1. Beshai S, McAlpine L, Weare K, Kuyken W. A non-randomised feasibility trial assessing the efficacy of a mindfulness-based intervention for teachers to reduce stress and improve well-being. Mindfulness. 2016; 7:198-208. [DOI:10.1007/s12671-015-0436-1]
  2. Chaplain RP. Stress and psychological distress among trainee secondary teachers in England. Educational Psychology. 2008; 28(2):195-209. [DOI:10.1080/01443410701491858]
  3. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress.Journal of Health and Social Behavior. 1983; 24(4):385-96. [DOI:10.2307/2136404]
  4. Juul L, Pallesen KJ, Bjerggaard M, Nielsen C, Fjorback LO. A pilot randomised trial comparing a mindfulness-based stress reduction course, a locally-developed stress reduction intervention and a waiting list control group in a real-life municipal health care setting. BMC Public Health. 2020; 20(1):409. [DOI:10.1186/s12889-020-08470-6]
  5. Smith SA. Mindfulness-based stress reduction: An intervention to enhance the effectiveness of nurses’ coping with work-related stress.International Journal of Nursing Knowledge. 2014; 25(2):119-30. [DOI:10.1111/2047-3095.12025]
  6. Burton A, Burgess C, Dean S, Koutsopoulou GZ, Hugh-Jones S. How effective are mindfulness-based interventions for reducing stress among healthcare professionals? A systematic review and meta-analysis. Stress and Health. 2017; 33(1):3-13. [DOI:10.1002/smi.2673]
  7. Yang J, Tang S, Zhou W. Effect of mindfulness-based stress reduction therapy on work stress and mental health of psychiatric nurses. Psychiatria Danubina. 2018; 30(2):189-96. [Link]
  8. Omidi A, Mohammadi A, Zargar F, Akbari H. Efficacy of mindfulness-based stress reduction on mood States of veterans with post-traumatic stress disorder. Archives of Trauma Research. 2013; 1(4):151-4. [DOI:10.5812/atr.8226]
  9. Gouda S, Luong MT, Schmidt S, Bauer J. Students and teachers benefit from mindfulness-based stress reduction in a school-embedded pilot study. Frontiers in Psychology. 2016; 7:590. [Link]
  10. Jennings PA, DeMauro AA. Individual-level interventions: Mindfulness-based approaches to reducing stress and improving performance among teachers.In: McIntyre T, McIntyre S, Francis D, editors. Educator stress. Aligning perspectives on health, safety and well-being. Cham: Springer; 2017.[DOI:10.1007/978-3-319-53053-6_14]
Type of Study: Orginal Article | Subject: ● Psychosocial Health
Received: 2023/06/20 | Accepted: 2023/09/5 | Published: 2024/02/1

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Research and Health

Designed & Developed by : Yektaweb