Burnout profiles among French healthcare professionals caring for young cancer patients.

PURPOSE: The aims of this study were to identify specific burnout profiles among healthcare workers caring for young cancer patients and to investigate their specificities in terms of sociodemographic characteristics, stress, coping mechanisms, and perceived rewards. METHODS: A total of 262 French healthcare professionals working with young cancer patients completed the study protocol (sociodemographic characteristics, Pediatric Caregiver Stress Questionnaire, Work Rewards Scale-Pediatric Oncology, Ways of Coping Checklist - Revised, Maslach Burnout Inventory). A cluster analysis was performed to identify burnout profiles. ANOVAs and chi-tests were performed in order to identify the differences between the clusters. RESULTS: The cluster analysis performed showed two end-points profiles with three low or high dimensions (Engagement, Burnout) and three intermediate profiles with only one high dimension (Overextended, Disengaged, Ineffective). The Burnout profile was characterized by a high level of stress, particularly related to working conditions, a low level of perceived rewards, and a low use of problem-focused coping. The Overextended profile was characterized by a high level of stress, particularly related to working conditions. The Disengaged profile had a higher level of stress and a lower level of perceived rewards than the Engagement profile. The Ineffective profile was characterized by low levels of perceived rewards, problem-focused coping, and social support seeking. CONCLUSION: Interventions to improve the health of healthcare professionals caring for young cancer patients should focus primarily on improving working conditions (work overload, work/life balance) and promoting a stable work environment, enabling healthcare workers to develop their resources at work.

The effects of mindfulness training on weight-loss and health-related behaviours in adults with overweight and obesity: A systematic review and meta-analysis.

The aim of this study was to conduct a comprehensive quantitative synthesis of the effects of mindfulness training interventions on weight-loss and health behaviours in adults with overweight and obesity using meta-analytic techniques. Studies included in the analysis (k=12) were randomised controlled trials investigating the effects of any form of mindfulness training on weight loss, impulsive eating, binge eating, or physical activity participation in adults with overweight and obesity. Random effects meta-analysis revealed that mindfulness training had no significant effect on weight loss, but an overall negative effect on impulsive eating (d=-1.13) and binge eating (d=-.90), and a positive effect on physical activity levels (d=.42). Meta-regression analysis showed that methodological features of included studies accounted for 100% of statistical heterogeneity of the effects of mindfulness training on weight loss (R2=1,00). Among methodological features, the only significant predictor of weight loss was follow-up distance from post-intervention (ß=1.18; p<.05), suggesting that the longer follow-up distances were associated with greater weight loss. Results suggest that mindfulness training has short-term benefits on health-related behaviours. Future studies should explore the effectiveness of mindfulness training on long-term post-intervention weight loss in adults with overweight and obesity.