Evidence map›Paper›PMID 40468270›Full record

Trial reportBMC psychiatry2025

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

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Workplace Mental Health Programs for Healthcare Workers: A Systematic Review.International journal of environmental research and public health · 2026
    Pooled it
  2. Pooled it
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yuekun WuSchool of Resources and Environmental Engineering, Wuhan University of Science and Technology, No. 947, Heping Avenue, Qingshan District, Wuhan, 430081, China.
Yue BanDepartment of Social Medicine, School of Health Management, China Medical University, No.77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, China.
Guoliang PanKey Laboratory of Shenyang Mental Health Center, No.12, Jinfan Middle Road, Hunnan New District, Shenyang, Liaoning, 110170, China.
Mingyang YaoKey Laboratory of Shenyang Mental Health Center, No.12, Jinfan Middle Road, Hunnan New District, Shenyang, Liaoning, 110170, China.
Li LiuDepartment of Social Medicine, School of Health Management, China Medical University, No.77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, China.
Ting ChenHealthy Hubei Development and Social Progress Research Center of the Key Research Base of Humanities and Social Sciences in Hubei Province, School of Public Health, Wuhan University of Science and Technology, 1 Huangjiahuxi Road, Hongshan District, Wuhan, 430065, China. chent41@wust.edu.cn.
Hui WuDepartment of Social Medicine, School of Health Management, China Medical University, No.77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, China. hwu@cmu.edu.cn.

Funding

Basic Scientific Research project of Higher education Department of Liaoning Province LJKMR20221215National Natural Science Foundation of China 71673300
6 · The paper itself

Abstract

backgroundPsychiatric 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.

methodsThis 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.

resultsCompared 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]).

conclusionsOnline 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.

trial registrationThe clinical trial registration code was obtained from the Chinese Clinical Trial Registry (date of registration: 02/08/2022, registration number: ChiCTR2200062347).

Indexed as

AnxietyDepressionHealth PersonnelMindfulnessStress, PsychologicalAdultChinaFemaleHumansInternet-Based InterventionMaleMiddle AgedDepression and anxiety symptomsEmotional suppressionMediatorOnline mindfulness-based trainingPsychiatric healthcare workers

Identifiers

PMID40468270
PMCPMC12135318

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.