Comparison of the Effectiveness of Compassion-Based Therapy and Mentalization-Based Interventions on Perceived Stress and Psychological Well-Being in Workers with Job Burnout

Authors

    Marzieh Mahmoudi Baram PhD Student in General Psychology, Department of Psychology, ShK.C., Islamic Azad University, Shahrekord, Iran
    Mohammad Ghasemi Pirbaluti * Assistant Professor, Department of General Psychology, Department of Psychology, ShK.C., Islamic Azad University, Shahrekord, Iran ghasemi481@yahoo.com
    Tayyebeh Sharifi Professor, Department of Psychology, ShK.C., Islamic Azad University, Shahrekord, Iran

Keywords:

Perceived stress, psychological well-being, job burnout, compassion-based intervention, mentalization-based intervention

Abstract

The present study aimed to compare the effectiveness of a compassion-based intervention and a mentalization-based intervention on perceived stress and psychological well-being in workers experiencing job burnout. This study employed a quasi-experimental design with a pretest–posttest control group and a two-month follow-up. The statistical population included all workers with job burnout at Mansour Industry Factory in Falavarjan County in 2024. From this population, 60 participants were selected using purposive sampling and then randomly assigned to three groups of 20 participants each (two experimental groups and one control group). Data collection instruments included the Maslach Burnout Inventory (Maslach, 1981), the Perceived Stress Scale developed by Cohen and Kamarck (1983), and Ryff’s Psychological Well-Being Scale (Ryff, 1995). The first experimental group received mentalization-based training, and the second experimental group received a compassion-based intervention, each delivered in 12 sessions of 90 minutes, while the control group was placed on a waitlist. Data were analyzed using repeated-measures analysis of variance and Bonferroni post hoc tests. The results indicated that both interventions had a significant effect on perceived stress and psychological well-being, and the stability of these effects was maintained during the follow-up period (p < .05). Moreover, the findings showed that the compassion-based intervention was more effective than the mentalization-based intervention in reducing perceived stress and enhancing psychological well-being (p < .05). Accordingly, occupational and organizational counselors can utilize compassion-based and mentalization-based interventions to promote workers’ mental health and organizational performance.

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References

Agyapong, B., Obuobi-Donkor, G., Burback, L., & Wei, Y. (2022). Stress, burnout, anxiety and depression among teachers: a scoping review. International journal of environmental research and public health, 19(17), 10706. https://doi.org/10.3390/ijerph191710706

Alenezi, S., Almadani, A., Al Tuwariqi, M., Alzahrani, F., Alshabri, M., Khoja, M., & Alzahrani, R. (2022). Burnout, Depression, and Anxiety Levels among Healthcare Workers Serving Children with Autism Spectrum Disorder. Behavioral Sciences, 12(1), 15-32. https://doi.org/10.3390/bs12010015

Bateman, A., & Fonagy, P. (2016). Mentalization based treatment for personality disorders: A practical guide. Oxford University Press. https://doi.org/10.1093/med:psych/9780199680375.001.0001

Bateman, A. W. (2022). Mentalization-based treatment. https://doi.org/10.1037/0000310-011

Biber, D. D., & Ellis, R. (2021). Effects of self-compassion training on work-related well-being: A systematic review. Frontiers in psychology, 12, 630798. https://doi.org/10.3389/fpsyg.2021.630798

Catană, Ş. A., Toma, S. G., Imbrişcă, C., & Burcea, M. (2022). Teleworking impact on wellbeing and productivity: A cluster analysis of the Romanian graduate employees. Frontiers in psychology, 13, 856196. https://doi.org/10.3389/fpsyg.2022.856196

Ewing, L., & Hamza, C. A. (2023). A person-centered investigation into the co-development of perceived stress and internalizing symptoms among post-secondary students. Journal of youth and adolescence, 52(4), 852-865. https://doi.org/10.1007/s10964-023-01738-1

Firoozkouhi Moghadam, B., Sanaghi Maharrar, G., & Shirazi, M. (2024). A comparison of time pressure and job-related anxiety in employees with high and low occupational burnout in the Social Security Organization. Psychological Growth, 13(1), 160-151. https://doi.org/10.32604/frooyesh.4224

Firouzkouhi Moghaddam, B., Sanago Moharer, G., & Shirazi, M. (2024). Comparison of time pressure, job-related anxiety and job stress in Employees with job burnout and without job burnout of social security organization. Rooyesh, 13(1), 151-160. https://doi.org/10.32604/frooyesh.4224

Foster, S., Estévez-Lamorte, N., Walitza, S., Dzemaili, S., & Mohler-Kuo, M. (2023). Perceived stress, coping strategies, and mental health status among adolescents during the COVID-19 pandemic in Switzerland: a longitudinal study. European Child & Adolescent Psychiatry, 32(6), 937-949. https://doi.org/10.1007/s00787-022-02119-y

Gabriel, K. P., & Aguinis, H. (2022). How to prevent and combat employee burnout and create healthier workplaces during crises and beyond. Business Horizons, 65(2), 183-192. https://doi.org/10.1016/j.bushor.2021.02.037

Gori, A., Topino, E., & Musetti, A. (2023). Pathways towards posttraumatic stress symptomatology: A moderated mediation model including perceived stress, worry, and defense mechanisms. Psychological Trauma: Theory, Research, Practice, and Policy. https://doi.org/10.1037/tra0001435

Gutiérrez-Cobo, M. J., García-Rubio, M. J., & Cabello, R. (2024). The efficacy of compassion training programmes for healthcare professionals: A systematic review and meta-analysis. Current Psychology. https://doi.org/10.1007/s12144-024-05618-0

Hajek Gross, C., Oehlke, S. M., Prillinger, K., Goreis, A., Plener, P. L., & Kothgassner, O. D. (2024). Efficacy of mentalization‐based therapy in treating self‐harm: A systematic review and meta‐analysis. Suicide and Life‐Threatening Behavior, 54(2), 317-337. https://doi.org/10.1111/sltb.13044

Healy, L., Payne, A., & Kirby, J. N. (2024). The effectiveness of brief workplace compassion-focused training in improving wellbeing of stressed school employees. Mindfulness. https://doi.org/10.1007/s12671-025-02590-z

Heintzelman, S. J., & Diener, E. (2019). Subjective wellbeing, social interpretation, and relationship thriving. Journal of research in personality, 78(2), 93-105. https://doi.org/10.1016/j.jrp.2018.11.007

Hodkinson, A., Zhou, A., Johnson, J., Geraghty, K., Riley, R., Zhou, A., & Panagioti, M. (2022). Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. bmj, 378. https://doi.org/10.1136/bmj-2022-070442

Inwood, E., & Ferrari, M. (2018). Mechanisms of change in the relationship between self‐compassion, emotion regulation, and mental health: A systematic review. Applied Psychology: Health and Well‐Being, 10(2), 215-235. https://doi.org/10.1111/aphw.12127

Kim, S., & Woo, S. (2025). Indirect Effects of Self-Differentiation and Mentalization on Family of Origin Health and Marital Satisfaction Among Korean Adults. Journal of marital and family therapy, 51(1), e12756. https://doi.org/10.1111/jmft.12756

Kwak, E. J., Ji, Y. A., Baek, S. H., & Baek, Y. S. (2021). High levels of burnout and depression in a population of senior dental students in a school of dentistry in Korea. Journal of Dental Sciences, 16(1), 65-70. https://doi.org/10.1016/j.jds.2020.07.009

Le, C. M., Huynh, S. V., Luu, K., Ho, Q. N. N., Nguyen, V. T. L., & Tran-Chi, V. L. (2024). Exploring the Interplay between Job Stress, Work Performance, and Attitudes toward Professional Psychological Help among Employees. International Journal of Mental Health Promotion, 26(7). https://doi.org/10.32604/ijmhp.2024.050961

Locati, F., Federica, C., Karin, E., Nick, M., & Laura, P. (2025). Mentalization, theory of mind and socioemotional development in middle childhood: Mentalization, TOM and socioemotional skills. Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues. https://doi.org/10.1007/s12144-025-07475-x

Lucas, G., Colson, S., Boyer, L., Inthavong, K., Haller, P. H., Lancon, C., & Fond, G. (2022). Risk factors for burnout and depression in healthcare workers: The national AMADEUS study protocol. L'Encéphale, 48(3), 247-253. https://doi.org/10.1016/j.encep.2021.06.001

Matin, H., Etemadi, O., & Abedi, M. R. (2025). Facilitating Factors of Mentalizing in Marital Relationships: A Thematic Analysis of Content and Process Dynamics. The Family Journal. https://doi.org/10.1177/10664807251335642

Matos, M., Albuquerque, I., & Galhardo, A. (2022). Nurturing compassion in schools: A randomized controlled trial of the effectiveness of a Compassionate Mind Training program for teachers. Psychology in the Schools, 59(9), 1804-1820. https://doi.org/10.1002/pits.22749

Meier, S. T., & Kim, S. (2022). Meta-regression analyses of relationships between burnout and depression with sampling and measurement methodological moderators. Journal of occupational health psychology, 27(2), 195. https://doi.org/10.1037/ocp0000273

Moradi, L., Mohtashami, J., Rahgoy, A., & Behzadi, F. (2023). Investigating the relationship between occupational burnout and alexithymia in nurses. Nursing Psychology, 11(2), 121-112. https://doi.org/10.32604/ijpn.2215

Moradi, L. M., Mohtashami, J., Rahgoi, A., & Behzadi, F. (2023). Relationship between Job Burnout with Alexithymia among Nurses. ijpn, 11(2), 112-121. https://doi.org/10.32604/ijpn.2215

Murthy, V. H. (2022). Confronting health worker burnout and well-being. New England Journal of Medicine, 387(7), 577-579. https://doi.org/10.1056/NEJMp2207252

Páez Gallego, J., De-Juanas Oliva, Á., García Castilla, F. J., & Díaz Santiago, M. J. (2020). A study about social values and psychological well-being in young people: implications for educational social work. Social Work Education, 39(6), 721-736. https://doi.org/10.1080/02615479.2020.1793935

Peng, Y., Zhou, H., Zhang, B., Mao, H., Hu, R., & Jiang, H. (2022). Perceived stress and mobile phone addiction among college students during the 2019 coronavirus disease: The mediating roles of rumination and the moderating role of self-control. Personality and individual differences, 185, 111222. https://doi.org/10.1016/j.paid.2021.111222

Ryff, C. D. (2013). Psychological well-being revisited: Advances in the science and practice of eudaimonia. Psychotherapy and psychosomatics, 83(1). https://doi.org/10.1159/000353263

Salmanian, S., Jabalameli, S., Moghimian, M., & Arjmandi, F. (2021). Comparison of the effect of mentalization-based therapy and emotion-regulated therapy based on the Gross process model on psychological well-being and quality of work-life of nurses in intensive care units. Cardiovascular Nursing, 10(1), 178-187. https://doi.org/10.3201/journal.icns.732

Soleimani, S., Jabal Ameli, S., Moqimian, M., & Arjomandi, F. (2021). A comparison of the effects of mentalization-based therapy and emotion regulation therapy based on Gross's process model on psychological well-being and professional quality of life among intensive care unit nurses. Cardiovascular Nursing, 10(1), 178-187. https://doi.org/10.3201/journal.icns.732

Vaičienė, V., Blaževičienė, A., Macijauskiene, J., & Sidebotham, M. (2022). The prevalence of burnout, depression, anxiety and stress in the Lithuanian midwifery workforce and correlation with sociodemographic factors. Nursing Open, 9(4), 2209-2216. https://doi.org/10.1002/nop2.948

Yang, L. (2025). Childhood Maltreatment and Non-Suicidal Self-Injury: The Mediating Role of Mentalization and Depression. European Journal of Psychotraumatology, 16(1). https://doi.org/10.1080/20008066.2025.2466279

Yunus, S., & Mostafa, A. M. S. (2022). Flexible working practices and job-related anxiety: Examining the roles of trust in management and job autonomy. Economic and Industrial Democracy, 43(3), 1340-1368. https://doi.org/10.1177/0143831X21995259

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Published

2026-01-10

Submitted

2025-09-30

Revised

2025-12-15

Accepted

2025-12-22

Issue

Section

Rehabilitation Counseling

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How to Cite

Mahmoudi Baram, M. ., Ghasemi Pirbaluti, M., & Sharifi, T. . (2026). Comparison of the Effectiveness of Compassion-Based Therapy and Mentalization-Based Interventions on Perceived Stress and Psychological Well-Being in Workers with Job Burnout. KMAN Counseling & Psychology Nexus, 4, 1-11. https://journals.kmanpub.com/index.php/psychnexus/article/view/4877