Effects of online mindfulness-based stress reduction training on depression and anxiety symptoms among psychiatric healthcare workers in a randomized controlled trial: the mediating role of emotional suppression.
Yuekun Wu, Yue Ban, Guoliang Pan, Mingyang Yao, Li Liu, Ting Chen, Hui Wu
BMC Psychiatry June 4, 2025 DOI: 10.1186/s12888-025-06967-1 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 135 |
| Population | Psychiatric healthcare workers at a mental health center in Shenyang, China |
| Intervention | Online mindfulness-based stress reduction training |
| Duration | 8-week intervention |
| Topics | Meditation Anxiety Depression |
| Keywords | Emotional suppression Mediator Online mindfulness-based training Psychiatric healthcare workers Mindfulness-based intervention Psychological support Stress reduction Employee mental health Affect regulation Stress coping Emotional processing Medical staff support Clinician well-being |
| Citations | 6 |
| Key findings | Online MBSR reduced symptoms of depression and anxiety in psychiatric healthcare workers, and this effect was mediated by a decrease in emotional suppression. |
Abstract
Psychiatric healthcare workers experience prolonged exposure to psychological trauma and negative emotions, which ultimately predisposes them to mental health issues. The effectiveness of online mindfulness-based stress reduction training on depression and anxiety symptoms among psychiatric healthcare workers (HCWs) and the possible mechanisms that benefit these outcomes remain unclear. This randomized controlled trial evaluated the effect of an 8-week online MBSR among psychiatric HCWs (165 participants) at the mental health center in Shenyang, China from August to November 2022, compared with the waitlist control group. The effective sample size that actually completed the intervention was 135 (74 participants in the intervention group and 61 in the control group), and the loss-to-follow-up rate was approximately 18%. Participants completed assessments of depression and anxiety symptoms (Hospital Anxiety and Depression Scale, HADS), and emotional suppression (Courtauld Emotional Control Scale, CECS) at baseline and week 8 online via the "Wenjuanxing" Platform. Intervention outcomes were estimated via analysis of covariance (ANCOVA). Multiple linear regression and mediation models with bias-corrected bootstrapping were performed to explore the mediating role of emotional suppression. Compared with those in the control group, the participants in the online MBSR group presented lower emotional suppression (P < 0.001), symptoms of depression (P < 0.001) and anxiety (P = 0.002). The decrease in emotional suppression mediated the effects of online MBSR on 8-week symptoms of depression (indirect effect = - 1.106, 95% CI [- 1.683, - 0.600]) and anxiety (indirect effect = - 1.182, 95% CI [- 1.731, - 0.706]). Online MBSR training could be utilized to alleviate depression and anxiety symptoms in psychiatric HCWs. It might weaken depression and anxiety symptoms by reducing emotional suppression. Emotional suppression might be the key change process of the effects of online MBSR on depression and anxiety symptoms in psychiatric HCWs. The clinical trial registration code was obtained from the Chinese Clinical Trial Registry (date of registration: 02/08/2022, registration number: ChiCTR2200062347).
Comparable studies
Other randomized controlled trials on anxiety, most cited first.
Citations in the library
Cited by 5
- Intervention effects of subconscious cultivation in mindfulness-based physical education teaching and training on pain perception and psychological resilience in advanced cancer patients Psycho-Oncologie December 17, 2025
- Mindfulness and Resilience Intersection of Psychology, Esotericism, and Cultural Development July 16, 2026
- Rapid Reduction in Cancer Worry Through a Mindfulness-based Coping Programme: Evidence from a Randomised Trial with Women Awaiting Biopsy Results. Seminars in Oncology Nursing June 27, 2026
- Immediate mood changes and practice adherence during a self-directed SKT1 meditation program in university students: An intensive longitudinal study. PLoS One May 29, 2026
- Acute response and neurophysiological mechanisms of mindfulness meditation in emotional eating. Journal of Eating Disorders March 31, 2026
Cites 17
- Mechanisms of mindfulness Journal of Clinical Psychology December 29, 2005
- A Qualitative Study with Healthcare Staff Exploring the Facilitators and Barriers to Engaging in a Self-Help Mindfulness-Based Intervention Mindfulness May 25, 2017
- Effectiveness of mindfulness-based interventions on the well-being of healthcare workers: a systematic review and meta-analysis. General Psychiatry 2024
- The effects of mindfulness-based techniques on self-rumination, cognitive reappraisal and expressive suppression among patients with major depression: a nursing perspective. Journal of Research in Nursing August 1, 2024
- A study on improving cancer-related fatigue and disease-related psychological variables in patients with cervical cancer based on online mindfulness-based stress reduction: a randomized controlled trial. BMC Women's Health September 19, 2024
and 12 more in the library