Effects of Mindfulness practice on work stress: a study with professionals in Primary Health Care





Mindfulness; Stress; Primary Health Care; Health professionals.


The objective of this study is to evaluate the effect of a Mindfulness-based program on mindfulness levels and in the risk of illness associated with stress at work in primary health care (PHC) professionals in Ribeirão Preto, Brazil. This is a quasi-experimental study, with 26 PHC professionals, using quantitative methods and an analytical before and after approach of an 8-week Mindfulness Program. The intervention was evaluated applying the instruments: Five Facet Mindfulness Questionnaire and Job Stress Scale. There were significant differences in six Mindfulness facets after the intervention: Observe (p = 0.002); Describe (p = 0.01); Act with awareness - autopilot (p = 0.01) and distraction (p = 0.05); Non-reactivity to inner experience (p = 0.0005); Non-judgement of inner experience (p = 0.01); and in total Mindfulness scores (p = 0.0000018). Regarding the stress levels at work, the reduction of the organizational mode in high job strain was observed (before: 35%, after: 19%).  It is concluded that interventions based on Mindfulness applied to PHC professionals can improve the levels of mindfulness and modify the modes of organization at work, reducing the risk of illness associated with stress in these professionals.


Alves, M. G. de M, Chor, D., Faerstein, E., Lopes, C. de S. & Werneck, G. L. (2004). Short version of the “job stress scale”: a Portuguese-language adaptation. Rev Saude Publica, 38(2),164–71.

Antanes, A. C. M., Andreoni, S., Hirayama, M. S., Montero-Marin, J., Barros, V. V., Ronzani T. M., … Demarzo, M. M. P. (2015). Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals. BMC Complement Altern Med, 15(303), 01–7.

Asuero, A. M., Blanco, T. R., Pujol-Ribera, E, Berenguera, A. & Queraltó, J. M. (2013). Effectiveness of a mindfulness program in primary care professionals. Gac Sanit., 27(6), 521–8.

Asuero, A. M., Queraltó, J. M., Pujol-Ribera, E., Berenguera, A., Rodriguez-Blanco, T. & Epstein, R. M. (2014). Effectiveness of a mindfulness education program in primary health care professionals: a pragmatic controlled trial. J Contin Educ Health Prof, 34(1), 4–12.

Auserón, G., Viscarret, M. R., Goñi, C. F., Rubio, V. G., Pascual, P. P. & Galdeano, E. S. de M. G. (2018). Evaluation of the effectiveness of a Mindfulness and Self-Compassion program to reduce stress and prevent burnout in Primary Care health professionals. Aten Primaria, 50, 141-50.

Barros, V. V., Kozasa, E. H., Souza, I. C. W de & Ronzani, T. M. (2014). Validity Evidence of the Brazilian Version of the Five Facet Mindfulness Questionnaire (FFMQ). Psicologia: Teoria e Pesquisa, 30(3), 317–27.

Bishop, S. R. (2002). What do we really know about mindfulness-based stress reduction? Psychosomatic Medicine, 64(1), 71–83.

Braun, S. E., Kinser, P. A. & Rybarczyk, B. (2019). Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. Transl Behav, 9(2), 187-201.

Camelo, S. H. H. & Angerami, E. L. S. (2004). Sintomas de estresse nos trabalhadores atuantes em cinco núcleos de saúde da família. Rev Latino-am Enfermagem, 12(1), 14–21.

Cascales-Pérez, M. L., Ferrer-Cascales, R., Fernández-Alcántara, M. & Cabañero-Martínez, M. J. (2020). Effects of a mindfulness-based programme on the health- and work-related quality of life of healthcare professionals. Scand J Caring Sci. Ahead of print. doi: 10.1111/scs.12905

Colgan, D. D., Christopher, M., Bowen, S., Brems, C., Hunsinger, M., Tucker, B., & Dapolonia, E. (2019). Mindfulness-based Wellness and Resilience intervention among interdisciplinary primary care teams: a mixed-methods feasibility and acceptability trial. Primary health care research & development, 20, e91.

Dutra, H. S., Reis, V. N. dos. (2016). Desenhos de estudos experimentais e quase-experimentais: definições e desafios na pesquisa em enfermagem. Rev enferm UFPE on line., 10(6), 2230-41.

Fortney, L., Luchterhand, C., Zakletskaia, L., Zgierska, A. & Rakel, D. (2013). Abbreviated Mindfulness Intervention for Job Satisfaction, Quality of Life, and Compassion in Primary Care Clinicians: A Pilot Study. Annals of Family Medicine, 11(5), 411–20.

Gavin, R. S., Reisdorfer, E., Gherardi-Donato, E. C. da S, Reis, L. N. & Zanetti, A. C. G. (2015). Associação entre depressão, estresse, ansiedade e uso de álcool entre servidores públicos. SMAD, Rev Eletrônica Saúde Mental Álcool Drog, 11(1), 2–9.

Hilton, L. G., Marshall, N. J., Motala, A., Taylor, S.L., Miake-Lye, I. M., Baxi, S., Shanman, R. M., Solloway, M. R., Beroesand, J. M. & Hempel, S. (2019). Mindfulness meditation for workplace wellness: An evidence map. Work, 63(2), 205-218.

Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R. & Ott, U. (2011). How Does Mindfulness Meditation Work? Proposing Mechanisms of Action from a Conceptual and Neural Perspective. Perspect Psychol Sci, 6(6), 537–59.

Kabat-Zinn J. (2017). Atenção plena para iniciantes: usando a prática de mindfulness para desenvolver o foco no momento presente, acalmar a mente e transformar sua qualidade de vida. Rio de Janeiro: Sextante.

Karasek, R. A. & Theorell T. (1992). Healthy work-stress, productivity, and the reconstruction of working life. New York: Basic Books.

Kirchhof, A. L. C., Magnago, T. S. B de S., Camponogara, S., Griep, R. H., Tavares, J. P., Prestes, F. C. & Paes, L. G. (2009). Working conditions and social-demographic characteristics related to the presence of minor psychic disorders in nursing workers. Texto Contexto Enferm, 18(2), 215–23.

Martí, A. C. i, Garcia-Campayo, J., Demarzo, M. M. P. (2016). Mindfulness e Ciência: da tradição à modernidade. São Paulo: Palas Athena.

Maslach, C., Leiter, M. P. & Bakker, A. B. (2014). Burnout at Work: A psychological perspective. New York: Psychology Press.

Maslach, C., Schaufeli, W. B. & Leiter, M. P. (2001). Job Burnout. Rev Psychol, 52, 397–422.

Melnyk, B. M., Kelly, S. A., Stephens, J., Dhakal, K., McGovern, C., Tucker, S., Hoying, J., McRae, K., Ault, S., Spurlock, E. & Bird SB. (2020). Interventions to Improve Mental Health, Well-Being, Physical Health, and Lifestyle Behaviors in Physicians and Nurses: A Systematic Review. Am J Health Promot, 34(8), 929-941.

Montero-Marin, J., Tops, M., Manzanera, R., Piva Demarzo, M. M., Álvarez de Mon, M., & García-Campayo, J. (2015). Mindfulness, Resilience, and Burnout Subtypes in Primary Care Physicians: The Possible Mediating Role of Positive and Negative Affect. Frontiers in psychology, 6, 1895.

Pérula-de Torres, L. A., Atalaya, J., García-Campayo, J., Roldán-Villalobos, A., Magallón-Botaya, R., Bartolomé-Moreno, C., Moreno-Martos, H., Melús-Palazón, E., Liétor-Villajos, N., Valverde-Bolívar, F. J., Hachem-Salas, N., Rodríguez, L. A., Navarro-Gil, M., Epstein, R., Cabezón-Crespo, A., Moreno, C. M., & collaborative group of the MINDUUDD study. (2019). Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol. BMC family practice, 20(1), 24.

Pizutti, L. T., Carissimi, A., Valdivia, L. J., Ilgenfritz, C. A. V., Freitas, J. J., Sopezki, D., Demarzo, M. M. P. & Hidalgo, M. P. (2019). Evaluation of Breathworks' Mindfulness for Stress 8-week course: Effects on depressive symptoms, psychiatric symptoms, affects, self-compassion, and mindfulness facets in Brazilian health professionals. J Clin Psychol, 75(6), 970-984.

Santiago, P. H. R., Valle Serra E Meira, L. R. & Colussi, C. F. (2019). Feasibility evaluation of a mindfulness-based stress reduction program for primary care professionals in Brazilian national health system. Complement Ther Clin Pract, 35, 8-17.

Schrader, G., Palagi, S., Padilha, M. A. S., Nuguez, P. T., Thofehrn, M. B. & Pai, D. P. (2012). Work in the Basic Health Unit: implications for nurses' quality of life. Rev Bras Enferm, 65(2), 222–8.

Shapiro, S. L., Astin, J. A., Bishop, S. R. & Cordova, M. (2005). Mindfulness-Based Stress Reduction for Health Care Professionals: Results from a Randomized Trial. International Journal of Stress Management, 12(2), 164–76.

van Wietmarschen, H., Tjaden, B., van Vliet, M., Battjes-Fries, M., & Jong, M. (2018). Effects of mindfulness training on perceived stress, self-compassion, and self-reflection of primary care physicians: a mixed-methods study. BJGP open, 2(4), bjgpopen18X101621.

Verweij, H., van Ravesteijn, H., van Hooff, M. L. M., Lagro-Janssen, A. L. M. & Speckens, A. E. M. (2018), Mindfulness-Based Stress Reduction for Residents: A Randomized Controlled Trial. J Gen Intern Med, (4), 429-436.

Verweij, H., Waumans, R. C., Smeijers, D., Lucassen, P. L., Donders, A. R. T., van der Horst, H. E. & Speckens A. E. (2016). Mindfulness-based stress reduction for GPs: results of a controlled mixed methods pilot study in Dutch primary care. British Journal of General Practice, 66(643), e99–105.




How to Cite

FERNANDES, M. .; SOUZA, J. P.; GHERARDI-DONATO, E. C. da S.; SOUZA, H. C. C. de .; FRANZON, A. C. A.; OLIVEIRA-CIABATI, L.; CAMPOS BRAGA, G. . Effects of Mindfulness practice on work stress: a study with professionals in Primary Health Care. Research, Society and Development, [S. l.], v. 10, n. 4, p. e23210414002, 2021. DOI: 10.33448/rsd-v10i4.14002. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14002. Acesso em: 8 may. 2021.



Health Sciences