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Title: Impact of mindfulness-based cognitive therapy on counseling self-efficacy : a randomized controlled crossover trial
Authors: Chan, SHW 
Issue Date: Feb-2021
Source: Patient education and counseling, Feb. 2021, v. 104, no. 2, p. 360-368
Abstract: Objective: To investigate the impact of a structured eight-week mindfulness-based cognitive therapy (MBCT) program on counseling self-efficacy among counseling trainees.
Methods: Undergraduate counseling trainees were randomized to an MBCT group (n = 25) or a waitlist control group (n = 25) with a crossover trial design. Psychological measurements regarding mindfulness, empathy, self-compassion, psychological distress, counseling self-efficacy as well as neuro-physiological measures including frontal midline theta activity, respiration rate, and skin conductance were taken at baseline (T1), after intervention (T2), and six-month follow-up (T3).
Results: Mindfulness training could make significant positive changes in empathy, self-compassion, stress reduction, and counseling self-efficacy with this being backed up by both psychological and neuro-physiological evidence at T2. However, such differences between the two groups had greatly subsided after crossover in which carry-over effect and marked improvement were noted in the study and control group, respectively, at T3. In addition, mindfulness was the most significant determinant that contributed to counseling self-efficacy, followed by psychological distress reduction and self-compassion according to the regression models.
Conclusion: Integrating mindfulness into counseling training is beneficial for helping profession trainees. Practice implication: Incorporating mindfulness into counseling training can enhance the necessary “being mode” qualities in counseling and address self-care issues during training.
Keywords: Counseling self-Efficacy
Crossover trial design
Publisher: Elsevier
Journal: Patient education and counseling 
ISSN: 0738-3991
EISSN: 1873-5134
DOI: 10.1016/j.pec.2020.07.022
Rights: © 2020 Elsevier B.V. All rights reserved.
© 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
The following publication Chan, S. H. W., Yu, C. K.-C., & Li, A. W. O. (2021). Impact of mindfulness-based cognitive therapy on counseling self-efficacy: A randomized controlled crossover trial. Patient Education and Counseling, 104(2), 360-368 is available at
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