Impact of mindfulness-based cognitive therapy on counseling self-efficacy: A randomized controlled crossover trial

• Published in: Patient education and counseling Vol. 104; no. 2; pp. 360 - 368
• Main Authors: Chan, Sunny H.W., Yu, Calvin Kai-Ching, Li, Alex W.O.
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier B.V 01.02.2021
• Subjects: counseling self-efficacy; crossover trial design; mindfulness; Nursing; crossover trial design; counseling self-efficacy; mindfulness
• ISSN: 0738-3991; 1873-5134
• DOI: 10.1016/j.pec.2020.07.022

•Mindfulness training shows promising effects on counseling self-efficacy.•The training effects are proven by psychological and neuro-physiological evidence.•Various facets of mindfulness contribute to counseling self-efficacy differently.•Stress reduction and self-compassion enhance counseling challenges self-efficacy. To investigate the impact of a structured eight-week mindfulness-based cognitive therapy (MBCT) program on counseling self-efficacy among counseling trainees. Undergraduate counseling trainees were randomized to an MBCT group (n = 25) or a waitlist control group (n = 25) with a crossover trial design. Psychological measurements regarding mindfulness, empathy, self-compassion, psychological distress, counseling self-efficacy as well as neuro-physiological measures including frontal midline theta activity, respiration rate, and skin conductance were taken at baseline (T1), after intervention (T2), and six-month follow-up (T3). Mindfulness training could make significant positive changes in empathy, self-compassion, stress reduction, and counseling self-efficacy with this being backed up by both psychological and neuro-physiological evidence at T2. However, such differences between the two groups had greatly subsided after crossover in which carry-over effect and marked improvement were noted in the study and control group, respectively, at T3. In addition, mindfulness was the most significant determinant that contributed to counseling self-efficacy, followed by psychological distress reduction and self-compassion according to the regression models. Integrating mindfulness into counseling training is beneficial for helping profession trainees. Incorporating mindfulness into counseling training can enhance the necessary “being mode” qualities in counseling and address self-care issues during training.