title: Acceptability and Effectiveness of a Long-Term Educational Intervention to Reduce Physicians' Stress-Related Conditions.
abstract: BACKGROUND
  This study aimed to test the acceptability and effectiveness of a two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase) in alleviating work stress-related symptoms (i.e., burnout, heart rate [HR], and blood pressure [BP]) in a sample of 42 physicians.
  
  
  METHODS
  A randomized controlled trial and a simple pre-post design were used, respectively, for each of the two phases of the study. Outcome measures included the Five Facets of Mindfulness Questionnaire and the Maslach Burnout Questionnaire. HR and BP measures were also obtained in the experimental group by means of a digital monitor.
  
  
  RESULTS
  After the initial 8 weeks of treatment, significant improvements for the experimental group in mindfulness levels and reductions in emotional exhaustion, HR, and BP were obtained. Effect sizes (Cohen d) significantly increased over the 10-month maintenance period, especially for mindfulness and systolic BP. Acceptance was notably high (low attrition rate and high compliance with program activities).
  
  
  CONCLUSIONS
  Outcomes are significant in terms of practical consequences for reducing and controlling risks of developing burnout and cardiovascular disease in this population and enhancing well-being in life.
authors.affiliation: Dr. Amutio: Department of Social Psychology and Methodology of the Behavioral Sciences, Faculty of Psychology, University of the Basque Country (UPV/EHU), Spain. Dr. Martínez-Taboada: Department of Social Psychology and Methodology of the Behavioral Sciences, Faculty of Psychology, University of the Basque Country (UPV/EHU), Spain. Dr. Delgado: Department of Psychology and Sociology, University of Zaragoza-Unizar, Spain. Dr. Hermosilla: Department of Social Psychology and Methodology of the Behavioral Sciences, Faculty of Psychology, University of the Basque Country (UPV/EHU), Spain. Dr. Mozaz: Department of Basic Psychology, Faculty of Psychology, University of the Basque Country (UPV/EHU), Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Amutio
authors.forename: Cristina
authors.initials: C
authors.lastname: Martínez-Taboada
authors.forename: Luis Carlos
authors.initials: LC
authors.lastname: Delgado
authors.forename: Daniel
authors.initials: D
authors.lastname: Hermosilla
authors.forename: María Jesus
authors.initials: MJ
authors.lastname: Mozaz
mesh_terms: D001794:Blood Pressure / Q000502:physiology; D002055:Burnout, Professional / Q000503:physiopathology / Q000517:prevention & control*; D004502:Education, Medical, Continuing; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D064866:Mindfulness; D010820:Physicians / Q000523:psychology*; D013030:Spain; D013315:Stress, Psychological / Q000503:physiopathology / Q000517:prevention & control*; D011795:Surveys and Questionnaires