Acceptance and mindfulness-based stress management for support staff caring for individuals with intellectual disabilities

Research in Developmental Disabilities

Volumn 35, Issue 6, 2014, Pages 1216-1227

  McConachie, Douglas Alexander James ^a   McKenzie, Karen ^a   Morris, Paul Graham ^a   Walley, Robert M ^b  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

^b NHS LOTHIAN   (United Kingdom)

Author keywords

Acceptance and commitment therapy; Intellectual disability; Learning disability; Mindfulness; Support workers

Indexed keywords

ACCEPTANCE AND COMMITMENT THERAPY; ADULT; AGED; ARTICLE; AVOIDANCE BEHAVIOR; CAREGIVER SUPPORT; CONTROLLED STUDY; DISTRESS SYNDROME; FEMALE; HUMAN; INTELLECTUAL IMPAIRMENT; JOB STRESS; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; MEDICAL STAFF; MINDFULNESS; PSYCHOLOGICAL WELL BEING; RANDOMIZED CONTROLLED TRIAL; STRESS MANAGEMENT; THERAPY EFFECT; THINKING; CAREGIVER; MENTAL STRESS; MIDDLE AGED; NURSING; PROCEDURES; PSYCHOLOGY; THERAPY; TREATMENT OUTCOME; YOUNG ADULT;

ACCEPTANCE AND COMMITMENT THERAPY; ADULT; AGED; CAREGIVERS; FEMALE; HUMANS; INTELLECTUAL DISABILITY; MALE; MIDDLE AGED; MINDFULNESS; STRESS, PSYCHOLOGICAL; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84897042024     PISSN: 08914222     EISSN: 18733379     Source Type: Journal    
DOI: 10.1016/j.ridd.2014.03.005     Document Type: Article

References (86)

1. Alexander M., Hegarty J.R. Measuring staff burnout in a community home. The British Journal of Development Disabilities 2000, 46(90):51-62.
2. Baldwin T.T., Ford J.K. Transfer of training: A review and directions for future research. Personnel Psychology 1988, 41(1):63-105.
3. Bethay J.S. Acceptance and commitment training to address burnout and stress in staff working with people with intellectual disabilities. Dissertation Abstracts International: Section B: The Sciences and Engineering 2010, 70(11-B):7249. (Dissertation).
4. Bethay J.S., Wilson K.G., Moyer K.H. Acceptance and commitment therapy training for work stress and burnout in mental health direct care providers. Acceptance and commitment therapy: Contemporary theory, research and practice 2009, 223-246. Austrailia Academic Press, Sydney, Austrailia, (Chapter 9).
5. Bethay J.S., Wilson K.G., Schnetzer L.W., Nassar S.L., Bordieri M.J. A controlled pilot evaluation of acceptance and commitment training for intellectual disability staff. Mindfulness 2012, 1-9.
6. Bland J.M., Altman D.G. Statistics notes: Some examples of regression towards the mean. British Medical Journal 1994, 309(6957):780-781.
7. Blumenthal S., Lavender T., Hewson S. Role clarity, perception of the organization and burnout amongst support workers in residential homes for people with intellectual disability: A comparison between a National Health Service trust and a charitable company. Journal of Intellectual Disability Research 1998, 42(5):409-417.
8. Bond F.W., Bunce D. Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology 2000, 5(1):156-163.
9. Bond F., Bunce D. The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology 2003, 88(6):1057-1067.
10. Bond F., Hayes S. ACT at work. Handbook of brief cognitive behaviour therapy 2002, 117-140. Wiley, Chichester, England. F. Bond, W. Dryden (Eds.).
11. Bond F.W., Hayes S.C., Baer R.A., Carpenter K.C., Guenole N., Orcutt H.K., et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire - II: A revised measure of psychological flexibility and acceptance. Behavior Therapy 2011, 1-38.
12. Brinkborg H., Michanek J., Hesser H., Berglund G. Acceptance and commitment therapy for the treatment of stress among social workers: A randomized controlled trial. Behaviour Research and Therapy 2011, 49:389-398.
13. Carmody J., Baer R.A. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine 2008, 31(1):23-33.
14. Chapman M.J., Hare D.J., Caton S., Donalds D., McInnis E., Mitchell D. The use of mindfulness with people with intellectual disabilities: A systematic review and narrative analysis. Mindfulness 2013, 1-11.
15. Cohen J. Statistical power analysis for the behavioral sciences 1988, Lawrence Erlbaum, Hillsdale, New Jersey.
16. Devereux J., Hastings R., Noone S. Staff stress and burnout in intellectual disability services: Work stress theory and its application. Journal of Applied Research in Intellectual Disabilities 2009, 22(6):561-573.
17. Devereux J.M., Hastings R.P., Noone S.J., Firth A., Totsika V. Social support and coping as mediators or moderators of the impact of work stressors on burnout in intellectual disability support staff. Research in Developmental Disabilities 2009, 30(2):367-377.
18. Dyer S., Quine L. Predictors of job satisfaction and burnout among the direct care staff of a community learning disability service. Journal of Applied Research in Intellectual Disabilities 1998, 11(4):320-332.
19. Erisman S.M., Roemer L. A preliminary investigation of the process of mindfulness. Mindfulness 2011, 1-14.
20. Felce D. The determinants of staff and resident activity in residential services for people with severe intellectual disability: Moving beyond size, building design, location and number of staff 1. Journal of Intellectual and Developmental Disability 1998, 23(2):103-119.
21. Fidell L.S., Tabachnick B. Using multivariate statistics 2006, Allyn & Bacon, Boston, MA.
22. Field A.P. Discovering statistics using SPSS 2011, SAGE Publications Ltd., London.
23. Flaxman P.E., Bond F.W. A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. Behaviour Research and Therapy 2010, 48:816-820.
24. Flaxman P.E., Bond F.W. Worksite stress management training: Moderated effects and clinical significance. Journal of Occupational Health Psychology 2010, 15(4):347-358.
25. Gardner B., Rose J., Mason O., Tyler P., Cushway D. Cognitive therapy and behavioural coping in the management of work-related stress: An intervention study?. Work & Stress 2005, 19(2):137-152.
26. Goldberg D. General health questionnaire (GHQ-12) 1992, Nfer-Nelson, Windsor, UK.
27. Goldberg D., Bridges K. Screening for psychiatric illness in general practice: The general practitioner versus the screening questionnaire. The Journal of the Royal College of General Practitioners 1987, 37(294):15-18.
28. Goldberg D., Williams P. General health questionnaire 2006, GL Assessment, London.
29. Goldberg D.P., Gater R., Sartorius N., Ustun T., Piccinelli M., Gureje O., et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine 1997, 27(1):191-197.
30. Grossman P. Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology's (re) invention of mindfulness: Comment on Brown et al. (2011). Psycholigical Assessment 2011, 23(4):1034-1040.
31. Guyatt G., Walter S., Norman G. Measuring change over time: Assessing the usefulness of evaluative instruments. Journal of Chronic Diseases 1987, 40(2):171-178.
32. Harper S.K., Webb T.L., Rayner K. The effectiveness of mindfulness-based interventions for supporting people with intellectual disabilities: A narrative review. Behavior Modification 2013, 37(2):1-21.
33. Hastings R.P., Remington B. Staff behaviour and its implications for people with learning disabilities and challenging behaviours. British Journal of Clinical Psychology 1994, 33(4):423-438.
34. Hatton C., Emerson E., Rivers M., Mason H., Mason L., Swarbrick R., et al. Factors associated with staff stress and work satisfaction in services for people with intellectual disability. Journal of Intellectual Disability Research 1999, 43(4):253-267.
35. Hatton C., Rivers M., Mason H., Mason L., Kiernan C., Emerson E., et al. Staff stressors and staff outcomes in services for adults with intellectual disabilities: The staff stressor questionnaire. Research in Developmental Disabilities 1999, 20(4):269-285.
36. Hatton C., Emerson E., Rivers M., Mason H., Swarbrick R., Mason L., et al. Factors associated with intended staff turnover and job search behaviour in services for people with intellectual disability. Journal of Intellectual Disability Research 2001, 45(3):258-270.
37. Hayes S.C., Strosahl K., Wilson K. Acceptance and commitment therapy: An experiential approach to behavior change 1999, Guilford Press, New York.
38. Hayes S.C., Strosahl K., Wilson K., Bissett R., Batten S., Bergan J., et al. The Acceptance and Action Questionnaire (AAQ) as a measure of experiential avoidance. Psychological Record 2004, 54:553-578.
39. Hayes S., Strosahl C., Wilson K., Bissett K., Pistorello R., Toarmino J., et al. Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record 2004, 54(4):553-579.
40. Hayes S.C., Luoma J.B., Bond F.W., Masuda A., Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy 2006, 44(1):1-25.
41. Huppert F.A., Johnson D.M. A controlled trial of mindfulness training in schools: The importance of practice for an impact on well-being. The Journal of Positive Psychology 2010, 5(4):264-274.
42. Hwang Y.-S., Kearney P. Mindful and mutual care for individuals with developmental disabilities: A systematic literature review. Journal of Child and Family Studies 2013, 1-13.
43. Innstrand S., Espnes G., Mykletun R. Job stress, burnout and job satisfaction: An intervention study for staff working with people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities 2004, 17(2):119-126.
44. Jenkins R., Rose J., Lovell C. Psychological well-being of staff working with people who have challenging behaviour. Journal of Intellectual Disability Research 1997, 41(6):502-511.
45. Kabat-Zinn J. Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice 2003, 10(2):144-156.
46. Khansari D.N., Murgo A.J., Faith R.E. Effects of stress on the immune system. Immunology Today 1990, 11:170-175.
47. Lawson D., Brien O.R. Behavioral and self-report measures of staff burnout in developmental disabilities. Journal of Organizational Behavior Management 1994, 14(2):37-54.
48. Leka S., Jain A., Zwetsloot G., Cox T. Policy-level interventions and work-related psychosocial risk management in the European Union. Work & Stress 2010, 24(3):298-307.
49. Lin J.D., Lee T.N., Yen C.F., Loh C.H., Hsu S.W., Wu J.L., et al. Job strain and determinants in staff working in institutions for people with intellectual disabilities in Taiwan: A test of the Job Demand-Control-Support model. Research in Developmental Disabilities 2009, 30(1):146-157.
50. Lindsay G., Strand S., Davis H. A comparison of the effectiveness of three parenting programmes in improving parenting skills, parent mental well-being and children's behaviour when implemented on a large scale in community settings in 18 English local authorities: The Parenting Early Intervention Pathfinder (PEIP). BMC Public Health 2011, 11(1):962-975.
51. Longmore R.J., Worrell M. Do we need to challenge thoughts in cognitive behavior therapy?. Clinical Psychology Review 2007, 27(2):173-187.
52. MacDonald E.E., Hastings R.P., Fitzsimons E. Psychological acceptance mediates the impact of the behaviour problems of children with intellectual disability on fathers psychological adjustment. Journal of Applied Research in Intellectual Disabilities 2010, 23(1):27-37.
53. Mayer B., Muche R., Hohl K. Software for the handling and imputation of missing data - An overview. Journal of Clinical Trials 2012, 1(103):2-10.
54. McCracken L.M., Zhao-O'Brien J. General psychological acceptance and chronic pain: There is more to accept than the pain itself. European Journal of Pain 2010, 14(2):170-175.
55. McGill P., Bradshaw J., Hughes A. Impact of extended education/training in positive behaviour support on staff knowledge, causal attributions and emotional responses. Journal of Applied Research in Intellectual Disabilities 2007, 20(1):41-51.
56. Melamed S., Shirom A., Toker S., Berliner S., Shapira I. Burnout and risk of cardiovascular disease: Evidence, possible causal paths, and promising research directions. Psychological Bulletin 2006, 132(3):327-353.
57. Mutkins E., Brown R., Thorsteinsson E. Stress, depression, workplace and social supports and burnout in intellectual disability support staff. Journal of Intellectual Disability Research 2011, 55(5):500-510.
58. Noone S.J., Hastings R.P. Building psychological resilience in support staff caring for people with intellectual disabilities: Pilot evaluation of an acceptance-based intervention. Journal of Intellectual Disabilities 2009, 13(1):43-53.
59. Noone S.J., Hastings R.P. Using acceptance and mindfulness-based workshops with support staff caring for adults with intellectual disabilities. Mindfulness 2010, 1(2):67-73.
60. Noone S.J., Hastings R.P. Values and psychological acceptance as correlates of burnout in support staff working with adults with intellectual disabilities. Journal of Mental Health Research in Intellectual Disabilities 2011, 4(2):79-89.
61. O'Connor R.J., Cano S.J., Thompson A.J., Hobart J.C. Exploring rating scale responsiveness. Neurology 2004, 62(10):1842-1844.
62. Piko B. Work-related stress among nurses: A challenge for health care institutions. The journal of the Royal Society for the Promotion of Health 1999, 119(3):156-162.
63. Richardson K.M., Rothstein H.R. Effects of occupational stress management intervention programs: A meta-analysis. Journal of Occupational Health Psychology 2008, 13(1):69-93.
64. Robertson J., Hatton C., Felce D., Meek A., Carr D., Knapp M., et al. Staff stress and morale in community-based settings for people with intellectual disabilities and challenging behaviour: A brief report. Journal of Applied Research in Intellectual Disabilities 2005, 18(3):271-277.
65. Rose J., Jones F., Fletcher B. Investigating the relationship between stress and worker behaviour. Journal of Intellectual Disability Research 1998, 42(2):163-172.
66. Rose J., Madurai T., Thomas K., Duffy B., Oyebode J. Reciprocity and burnout in direct care staff. Clinical Psychology & Psychotherapy 2010, 17(6):455-462.
67. Schlomer G.L., Bauman S., Card N.A. Best practices for missing data management in counseling psychology. Journal of Counseling Psychology 2010, 57(1):1-10.
68. Schulz K., Altman D., Moher D. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. Bio Med Central Medicine 2010, 8(1):18-28.
69. Schwetschenau H.M. The effectiveness of an acceptance and commitment intervention for work stress. Dissertation Abstracts International: Section B: The Sciences and Engineering 2009, 69(11-B):7150. (Dissertation).
70. Segal Z.V., Teasdale J.D., Williams J.M., Gemar M.C. The mindfulness-based cognitive therapy adherence scale: Inter-rater reliability, adherence to protocol and treatment distinctiveness. Clinical Psychology & Psychotherapy 2002, 9(2):131-138.
71. Singh N.N., Lancioni G.E., Winton A.S.W., Wahler R.G., Singh J., Sage M. Mindful caregiving increases happiness among individuals with profound multiple disabilities. Research in Developmental Disabilities 2004, 25(2):207-218.
72. Singh N.N., Lancioni G.E., Winton A.S., Curtis W., Wahler R.G., Sabaawi M., et al. Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities 2006, 27(5):545-558.
73. Singh N.N., Lancioni G.E., Winton A.S.W., Curtis W.J., Wahler R.G., Sabaawi M., et al. Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities 2006, 27(5):545-558.
74. Singh N.N., Lancioni G.E., Winton A.S.W., Fisher B.C., Wahler R.G., Mcaleavey K., et al. Mindful parenting decreases aggression, noncompliance, and self-injury in children with autism. Journal of Emotional and Behavioral Disorders 2006, 14(3):169-177.
75. Singh N.N., Lancioni G.E., Winton A.S., Singh J., Curtis W., Wahler R.G., et al. Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification 2007, 31(6):749-771.
76. Singh N.N., Lancioni G.E., Winton A.S.W., Singh A.N., Adkins A.D., Singh J. Clinical and benefit-cost outcomes of teaching a mindfulness-based procedure to adult offenders with intellectual disabilities. Behavior Modification 2008, 32(5):622-637.
77. Singh N.N., Lancioni G.E., Winton A.S.W., Singh A.N., Adkins A.D., Singh J. Mindful staff can reduce the use of physical restraints when providing care to individuals with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities 2009, 22(2):194-202.
78. Skirrow P., Hatton C. 'Burnout' amongst direct care workers in services for adults with intellectual disabilities: A systematic review of research findings and initial normative data. Journal of Applied Research in Intellectual Disabilities 2007, 20(2):131-144.
79. Smith M.P., Gore N.J. Outcomes of a 'Train the Trainers' approach to an acceptance based stress intervention in a specialist challenging behaviour service. International Journal of Positive Behavioural Support 2012, 2(1):39-48.
80. Tennant R., Hiller L., Fishwick R., Platt S., Joseph S., Weich S., et al. The Warwick-Edinburgh Mental Well-being Scale(WEMWBS): Development and UK validation. Health and Quality of Life Outcomes 2007, 5(1, 63):1-13.
81. Thompson L., Rose J. Does organizational climate impact upon burnout in staff who work with people with intellectual disabilities? A systematic review of the literature. Journal of Intellectual Disabilities 2011, 15(3):177-193.
82. van Oorsouw W.M.W.J., Embregts P.J.C.M., Bosman A.M.T., Jahoda A. Training staff serving clients with intellectual disabilities: A meta-analysis of aspects determining effectiveness. Research in Developmental Disabilities 2009, 30(3):503-511.
83. Wegner D., Zanakos S. Chronic thought suppression. Journal of Personality 1994, 62(4):615-640.
84. White C., Holland E., Marsland D., Oakes P. The identification of environments and cultures that promote the abuse of people with intellectual disabilities: A review of the literature. Journal of Applied Research in Intellectual Disabilities 2003, 16(1):1-9.
85. White P., Edwards N., Townsend-White C. Stress and burnout amongst professional carers of people with intellectual disability: Another health inequity. Current Opinion in Psychiatry 2006, 19(5):502-507.
86. Young A.F., Powers J.R., Bell S.L. Attrition in longitudinal studies: Who do you lose?. Australian and New Zealand Journal of Public Health 2006, 30(4):353-361.