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Mayo, ASU program helps mothers in medical professions lower stress and beat burnout

Mayo Clinic News May 09, 2017

Mothers who work as health care professionals, such as physicians, physician assistants and nurse practitioners, can reduce their stress levels and burnout significantly by participating in close supportive groups at work, according to a new study by researchers at Arizona State University and Mayo Clinic. According to this study, “Fostering Resilience Among Mothers Under Stress: ‘Authentic Connections Groups’ for Medical Professionals,” the shared experiences in these support groups provide a wealth of nurturance for the women.

The study results were published in the current issue of Women’s Health Issues.

Groups in the intervention provided “comfort, solace and advice, as needed, building what some called a ‘secret sisterhood’ of shared experiences with genuineness and reciprocity in the relationship,” says Suniya Luthar, PhD, a foundation professor of psychology at ASU and the lead author of the study. “These factors help build resilience for professional mothers who are under great daily stress, with substantial dual demands at work and at home.”

Cynthia Stonnington, MD, associate professor, Mayo Clinic College of Medicine and Science, and chair of psychiatry at Mayo Clinic’s Arizona campus, is senior co–author and collaborator on the project. Other authors are Alexandria Curlee, an ASU graduate student; Susannah Tye, PhD, Department of Psychiatry and Psychology, Mayo Clinic; and Judith Engelman, MD, a psychiatrist in private practice.

“Women medical professionals who are mothers often face the dual role of being the primary caregiver both for their patients and their children,” says Dr. Stonnington. “This puts them at higher risk for burnout than their male counterparts. Our study investigated how this supportive program might help mitigate stresses and promote their day–to–day health and well–being.”

The Authentic Connections Groups intervention involved weekly sessions at work over a three–month period. The researchers randomly assigned 40 women at Mayo to one of two groups ? either the 12 weekly one–hour sessions of the Authentic Connections Groups or 12 weekly hours of protected time to be used, as desired. The study was supported by a seed fund from ASU to Dr. Luthar, and Mayo Clinic contributed time to participate.

The study showed that those who participated in the Authentic Connections Groups significantly reduced their depression and other global symptoms of stress than those given free time (the control group). Secondly, relative gains were still more pronounced three months after the program ended. Follow–up assessments showed significant differences between the groups – not only on depression and stress, but also on almost all other central variables, including parenting stress, self–compassion, feeling loved, and physical affection. Participants in the Authentic Connections Groups also showed more reductions in cortisol levels than control moms after the intervention and at a three–month follow–up.

In explaining why this program worked, Dr. Luthar says that the Authentic Connections Groups actively and continually fostered the development of close, mutually supportive relationships, and the resulting shared experiences and bonding helped to lower participants’ stress levels.

“Resilience research clearly shows the critical protective power of reliable close relationships,” Dr. Luthar says. “In this program, our focus was on developing and strengthening what we called go–to committees for each woman. As topics were shared in the weekly group sessions over time, the moms each also shared them with their respective go–tos. By the end of three months, each woman had developed great closeness not only with other moms in their work setting, but also with at least two or three other women in their personal lives.”
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