Comparison of the Effectiveness of Compassion-Based Therapy and Mentalization-Based Interventions on Perceived Stress and Psychological Well-Being in Workers with Job Burnout
Keywords:
Perceived stress, psychological well-being, job burnout, compassion-based intervention, mentalization-based interventionAbstract
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.
Downloads
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

