题名

靈氣和音樂介入對助人工作者負向情緒調節與專業枯竭之成效

并列篇名

The Effect of Reiki and Music on the Negative Mood Regulation Expectancies and Burnout of the Helpers

DOI

10.6251/BEP.202203_53(3).0001

作者

劉庭瑜(Ting-Yu Liu);劉奕蘭(Yih-Lan Liu)

关键词

專業枯竭 ; 遠距離靈氣 ; 負向情緒調節預期 ; 助人工作者 ; burnout ; distance reiki ; negative mood regulation expectancies ; the helpers

期刊名称

教育心理學報

卷期/出版年月

53卷3期(2022 / 03 / 01)

页次

517 - 542

内容语文

繁體中文

中文摘要

專業枯竭是普遍存在的社會現象,其影響深遠和廣泛。研究方向從探討原因朝向因應策略發展,並指出個體主動採取因應策略將可預防和改善枯竭情形。雖然國外普遍認為靈氣可作為因應策略,且能改善個體健康,但國內相關的研究卻寥寥無幾。有鑑於此,本研究旨在探討遠距離靈氣介入對助人者專業枯竭與負向情緒調節的成效。本研究的實驗設計採單盲和隨機分組,共招募30名新竹市大專校院的助人者為研究對象,分為實驗組和控制組,實驗組的介入策略為遠距離靈氣和音樂,控制組為音樂,每次30分鐘,每週一次,共八週,並在每次介入前後填寫專業枯竭量表與負向情緒調節預期量表。經介入後採24名有效樣本進行資料分析,每組12名。本研究發現如下:(1)實驗組接受八週介入後,其整體專業枯竭、整體負向情緒調節預期及相關分向度均獲得顯著改善;控制組則無;(2)實驗組相較控制組在整體專業枯竭與負向情緒調節預期的兩個分向度之成效為佳,且達顯著差異。但專業枯竭的三個分向度與整體負向情緒調節預期則無,而實驗組在每週的改善幅度均較控制組佳。本研究結論為遠距離靈氣為降低助人者專業枯竭風險的有效策略,並能提升調適負向情緒的自信程度。根據研究結果提出靈氣的應用價值與對未來研究的建議。

英文摘要

Burnout is a universal social phenomenon and has been paid attention to by researchers, office workers, and the general public. Its influence is far-reaching and extensive. A survey shows that up to 90% of office workers have experienced burnout in Taiwan, and the helpers are one of the high-risk groups. Research in burnout has developed from exploring the causes of burnout to individuals' coping strategies. When individuals can cope with stress, burnout will be reduced. Although the research of burnout has been widely discussed abroad, there are only a few studies of intervention strategies. One of the critical symptoms of burnout is emotional exhaustion. Previous studies found that negative mood regulation expectancies can predict individuals' experience of burnout due to work stress and maladaptation. The theory of resource conservation suggests that when individuals lost resources at work and out of balance, the stress will cause burnout. Negative mood regulation expectancies are one kind of resource that has a connection with burnout. However, studies concerning the relationship between burnout and negative mood regulation expectancies are few, and therefore this relationship cannot be confirmed. With the improvement of the social economy, individuals were willing to use complementary and alternative medicine (CAM). Reiki is one kind of the CAM that belongs to the biofield therapies in energy healing therapies, which can affect the surrounding body energy field. Reiki charges, adjusts, and rebalances the body energy field to create the best state for the body's natural healing system. Previous studies found that Reiki decreases depression and anxiety, reduces burnout, and improves the quality of cancer patients' lives. Although the efficacy of Reiki has been widely discussed abroad, there are only a few studies in Taiwan, not even mentioning distance Reiki, which is another form of Reiki. To reduce the counter-transference of touching from Reiki, distance Reiki is a better choice. On the other hand, negative mood regulation expectancies are one of the factors that predict the incidence of burnout. This study aimed to investigate the effects of distance Reiki on the burnout and negative mood regulation expectancies of the helpers. This study recruited 30 helping workers at university in the northern cities between 2018 and 2019 and conducted distance Reiki and musical interventions by adopting a single-blind, randomized experimental design. Participants were divided into experimental groups and control groups. The experimental group accepted distance Reiki and musical interventions, and the control group accepted musical interventions. Participants accepted thirty minutes intervention each time, once a week, over eight weeks. Before and after the intervention, participants filled in the NMRS (Negative Mood Regulation Scale) and MBI scale (Maslach Burnout Inventory. Only twenty-four participants' data (12 in each intervention group) were included in the analysis. The MBI scale was developed to assess burnout and includes three dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. The high scores indicate a more severe burnout. NMRS was a commonly used scale to measure individual beliefs regarding what they can do to make themselves feel better when they are in a bad mood. IT includes two different dimensions: emotional response adjustment and cognitive-behavioral adjustment. Before conducting interventions, the Researcher explained the research purpose, conditions, intervention process, intervention strategies, potential risks, privacy, and right of participants. Participants' informed consent forms were obtained after confirming that they understood all of the content. All of the research data were processed to ensure the privacy of the participants. The intervention procedure was as follows: (1) measured one-minute average decibels with the noise APP to confirm the environment was suitable for the research before the intervention; (2) confirmed that participants did not have physical discomfort before filled the scale; (3) after filling out the scales, guide them to lie down on the floor with a soft mattress; (4) played music and guided relaxing steps, then research stayed away three meters and behind the participants to make sure participants cannot see research; (5) after finishing the intervention, waked up participants gently with sound; and filled out the scale again. After the participants had finished the interventions, researchers emailed and informed participants in which intervention group they were. The main findings of the study were as follows: (1) after receiving distance Reiki and musical intervention, the experimental group displayed significant differences between pre-test and post-test in helpers' burnout and its sub-dimensions, but the control group did not show these significance; (2) after receiving distance Reiki and musical intervention, the experimental group showed significant differences between pre-test and post-test in helpers' negative mood expectancies and its sub-dimensions, but the control group did not show these significance; (3) the experimental group was better than the control group in reducing burnout and its subdimensions scores weekly and achieved significant differences between pre-and post-tests, but this significance of pre- and post-tests did not appear in its' sub-dimensions; (4) the experimental group' was better than the control group in improving negative mood regulation expectancies and achieved significant differences between pre-and post-tests, but the improving effect did not appear in overall negative mood regulation expectancies; (5) the experimental group was better than the control group in improving negative mood regulation expectancies and its sub-dimensions weekly. The conclusions of this study are that distance Reiki could improve individuals' confidence to adjust to negative emotions, and distance Reiki is also one of the effective strategies to reduce helpers' burnout risk. This study is the first article about distance Reiki intervention in Taiwan and designs standardized processes to improve the research quality. Based on the findings of this study, we provide the application value of distance Reiki and propose suggestions for future research. The research limitations and suggestions of the study are as follows: (1) more than half of the participants have master's and doctor's degrees, and their education level is higher than the general public. Then, the results cannot be generalized to other helpers; (2) as the participants agreed to participate in the study, they accepted pretest and were immediately and randomly assigned to the experimental group or the control group. Therefore, some participants were receiving the intervention while the recruiting was ongoing. It was difficult to match the basic characteristics of the participants between the experimental group and the control group; (3) the experimental group accepted distance Reiki and musical interventions, and the improving effect of burnout and negative mood regulation expectancies cannot be inferred to the group when accepting distance Reiki only. It is recommended to include a distance group as a control group in the future; (4) if readers are interested in taking Reiki intervention or participate in Reiki workshop, they need to be familiar with this procedure addressed in the current study. Moreover, they need to be aware that the capability to channel Reiki has to be enlightened through Reiki attunement by Reiki Master; (5) Reiki workshop provides Reiki implementation steps, Reiki attunement, related precautions, and course manuals. However, these workshops are not free for participation; (6) the study showed that distance Reiki reduces burnout and improves negative mood regulation expectancies. Helpers can use distance Reiki at work, such as sending Reiki to depressed or anxious students or cases to improve their physical health and emotion; (7) it is suggested that research should be encouraged to cooperate with Reiki-related organizations, such as Taiwan Reiki Culture Association and Taiwan Reiki Promotion Association, to promote scientific research.

主题分类 社會科學 > 心理學
社會科學 > 教育學
参考文献
  1. 王琮賢, T.-H.,黃孔良, K.-L.(2015)。養生與生命能量進展之初探。發展與前瞻學報,10,57-72。
    連結:
  2. 吳宗祐, T.-Y.,鄭伯壎, B.-S.(2006)。工作投入,調節他人情緒能力與情緒勞動之交互作用對情緒耗竭的預測效果。中華心理學刊,48,69-87。
    連結:
  3. 洪敬倫, G. C.-L.(2018)。憂鬱症的正念認知治療:背景,實務與師資培訓。中華團體心理治療,24(2),31-43。
    連結:
  4. 洪瑞斌, J.-P.(2013)。職業倦怠研究在臺灣之回顧與前瞻。人力資源管理學報,13(3),107-140。
    連結:
  5. 葉在庭, Z.-T.(2001)。青少年情緒調適、焦慮、社會支持及生活事件與自殺意念的關係。中華輔導學報,10,151-178。
    連結:
  6. 趙燕, Y.,王郁琮, Y.-L.,王智弘, C.-H.(2019)。臨床護理師職業倦怠雙元三因子效度研究。教育心理學報,51,207-230。
    連結:
  7. 羅寶鳳, P.-F.,陳麒, Q.(2020)。初任教師工作困擾、教學效能與專業表現之研究。教育科學研究期刊,65(2),37-71。
    連結:
  8. Ahola, K.,Honkonen, T.,Isometsä, E.,Kalimo, R.,Nykyri, E.,Koskinen, S.,Aromaa, A.,Lönnqvist, J.(2006).Burnout in the general population.Social Psychiatry and Psychiatric Epidemiology,41,11-17.
  9. Alarcão, Z.,Fonseca, J. R.(2016).The effect of Reiki therapy on quality of life of patients with blood cancer: Results from a randomized controlled trial.European Journal of Integrative Medicine,8,239-249.
  10. Anderson, E. Z.,Wolk-Weiss, C.(2008).Reiki.Complementary therapies for physical therapy: A clinical decision-making approach
  11. Baldwin, A. L.,Vitale, A.,Brownell, E.,Kryak, E.,Rand, W.(2017).Effects of Reiki on pain, anxiety, and blood pressure in patients undergoing knee replacement: A pilot study.Holistic Nursing Practice,31,80-89.
  12. Baldwin, A. L.,Vitale, A.,Brownell, E.,Scicinski, J.,Kearns, M.,Rand, W.(2010).The touchstone process: An ongoing critical evaluation of reiki in the scientific literature.Holistic Nursing Practice,24,260-276.
  13. Birocco, N.,Guillame, C.,Storto, S.,Ritorto, G.,Catino, C.,Gir, N.,Balestra, L.,Tealdi, G.,Orecchia, C.,Vito, G. D.,Giaretto, L.,Donadio, M.,Bertetto, O.,Schena, M.,Ciuffreda, L.(2012).The effects of Reiki therapy on pain and anxiety in patients attending a day oncology and infusion services unit.American Journal of Hospice and Palliative Medicine,29,290-294.
  14. Blood, A. J.,Zatorre, R. J.(2001).Intensely pleasurable responses to music correlate with activity in brain regions implicated in reward and emotion.Proceedings of the National Academy of Sciences,98,11818-11823.
  15. Bowden, D.,Goddard, L.,Gruzelier, J.(2011).A randomised controlled single-blind trial of the efficacy of Reiki at benefitting mood and well-being.Evidence-based Complementary and Alternative Medicine,2011,Article 381862.
  16. Boyle, M. V.,Healy, J.(2003).Balancing mysterium and onus: Doing spiritual work within an emotion-laden organizational context.Organization,10,351-373.
  17. Bremner, M. N.,Blake, B. J.,Wagner, V. D.,Pearcey, S. M.(2016).Effects of Reiki with music compared to music only among people living with HIV.Journal of the Association of Nurses in AIDS Care,27,635-647.
  18. Brotheridge, C. M.,Grandey, A. A.(2002).Emotional labor and burnout: Comparing two perspectives of “people work”.Journal of Vocational Behavior,60,17-39.
  19. Brown, K. W.,Ryan, R. M.(2003).The benefits of being present: Mindfulness and its role in psychological well-being.Journal of Personality and Social Psychology,84,822-848.
  20. Catanzaro, S. J.,Mearns, J.(1990).Measuring generalized expectancies for negative mood regulation: Initial scale development and implications.Journal of Personality Assessment,54,546-563.
  21. Cheek, J. R.,Bradley, L. J.,Parr, G.,Lan, W.(2003).Using music therapy techniques to treat teacher burnout.Journal of Mental Health Counseling,25,204-217.
  22. Chirico, A.,DʼAiuto, G.,Penon, A.,Mallia, L.,Laurentiis, M. D.,Lucidi, F.,Botti, G.,Giordano, A.(2017).Self-efficacy for coping with cancer enhances the effect of Reiki treatments during the pre-surgery phase of breast cancer patients.Anticancer Research,37,3657-3665.
  23. Clarke, T. C.,Black, L. I.,Stussman, B. J.,Barnes, P. M.,Nahin, R. L.(2015).Trends in the use of complementary health approaches among adults: United States, 2002–2012.National Health Statistics Reports,79,1-16.
  24. Cuneo, C. L.,Cooper, M. R. C.,Drew, C. S.,Naoum-Heffernan, C.,Sherman, T.,Walz, K.,Weinberg, J.(2011).The effect of Reiki on work-related stress of the registered nurse.Journal of Holistic Nursing,29,33-43.
  25. Davidson, R. J.,Begley, S.(2012).The emotional life of your brain: How its unique patterns affect the way you think, feel, and live--and how you can change them.Hudson Street Press.
  26. Díaz-Rodríguez, L.,Arroyo-Morales, M.,Fernández-de-las-Peñas, C.,García-Lafuente, F.,García-Royo, C.,Tomás-Rojas, I.(2011).Immediate effects of Reiki on heart rate variability, cortisol levels, and body temperature in health care professionals with burnout.Biological Research for Nursing,13,376-382.
  27. Erdogan, Z.,Cinar, S.(2016).The effect of Reiki on depression in elderly people living in nursing home.Indian Journal of Traditional Knowledge,15,35-40.
  28. Erkkilä, J.,Punkanen, M.,Fachner, J.,Ala-Ruona, E.,Pöntiö, I.,Tervaniemi, M.,Vanhala, M.,Gold, C.(2011).Individual music therapy for depression: Randomised controlled trial.The British Journal of Psychiatry,199,132-139.
  29. Finlay-Jones, A. L.,Rees, C. S.,Kane, R. T.(2015).Self-compassion, emotion regulation and stress among Australian psychologists: Testing an emotion regulation model of self-compassion using structural equation modeling.PLOS ONE,10(7),Article e0133481.
  30. Franko, D. L.,Powers, T. A.,Zuroff, D. C.,Moskowitz, D. S.(1985).Children and affect: Strategies for self–regulation and sex differences in sadness.American Journal of Orthopsychiatry,55,210-219.
  31. Freudenberger, H. J.(1974).Staff burn‐out.Journal of Social Issues,30(1),159-165.
  32. Gross, J. J.(1998).The emerging field of emotion regulation: An integrative review.Review of General Psychology,2,271-299.
  33. Gutheil, T. G.,Gabbard, G. O.(1993).The concept of boundaries in clinical practice: Theoretical and risk-management dimensions.The American Journal of Psychiatry,150,188-196.
  34. Herron-Marx, S.,Price-Knol, F.,Burden, B.,Hicks, C.(2008).A systematic review of the use of Reiki in health care.Alternative & Complementary Therapies,14,37-42.
  35. Hobfoll, S. E.(1989).Conservation of resources: A new attempt at conceptualizing stress.American Psychologist,44,513-524.
  36. Honervogt, T.(2006).Reiki for emotional healing.Octopus Publishing Group.
  37. Jackson, S. E.,Schwab, R. L.,Schuler, R. S.(1986).Toward an understanding of the burnout phenomenon.Journal of Applied Psychology,71,630-640.
  38. Joyce, J.,Herbison, G. P.(2015).Reiki for depression and anxiety.The Cochrane Database of Systematic Reviews,4,Article CD006833.
  39. Kim, M. Y.,Lee, J. Y.,Kim, J.(2009).Relationships among burnout, social support, and negative mood regulation expectancies of elementary school teachers in Korea.Asia Pacific Education Review,10,475-482.
  40. Kurebayashi, L. F. S.,Turrini, R. N. T.,de Souza, T. P. B.,TaKiguchi, R. S.,Kuba, G.,Nagumo, M. T.(2016).Massage and Reiki used to reduce stress and anxiety: Randomized clinical trial.Latino-Americana de Enfermagem,24,Article e2834.
  41. Lasagna, L.,Mosteller, F.,von Felsinger, J. M.,Beecher, H. K.(1954).A study of the placebo response.The American Journal of Medicine,16,770-779.
  42. LaTorre, M. A.(2005).Integrative Perspectives: The use of Reiki in psychotherapy.Perspectives in Psychiatric Care,41,184-187.
  43. Mackay, N.,Hansen, S.,McFarlane, O.(2004).Autonomic nervous system changes during Reiki treatment: A preliminary study.Journal of Alternative & Complementary Medicine,10,1077-1081.
  44. Maslach, C.,Jackson, S. E.(1981).The measurement of experienced burnout.Journal of Organizational Behavior,2,99-113.
  45. Maslach, C.,Schaufeli, W. B.,Leiter, M. P.(2001).Job burnout.Annual Review of Psychology,52,397-422.
  46. May, R. W.,Sanchez-Gonzalez, M. A.,Fincham, F. D.(2015).School burnout: Increased sympathetic vasomotor tone and attenuated ambulatory diurnal blood pressure variability in young adult women.Stress,18,11-19.
  47. McManus, D. E.(2017).Reiki is better than placebo and has broad potential as a complementary health therapy.Journal of Evidence-Based Complementary & Alternative Medicine,22,1051-1057.
  48. Mearns, J.,Cain, J. E.(2003).Relationships between teachers' occupational stress and their burnout and distress: Roles of coping and negative mood regulation expectancies.Anxiety, Stress & Coping,16,71-82.
  49. Miles, P.,True, G.(2003).Reiki-review of a biofield therapy history, theory, practice, and research.Alternative Therapies in Health and Medicine,9(2),62-72.
  50. Natale, G. W.(2010).Reconnecting to nursing through Reiki.Creative Nursing,16,171-176.
  51. Orsak, G.,Stevens, A. M.,Brufsky, A.,Kajumba, M.,Dougall, A. L.(2015).The effects of Reiki therapy and companionship on quality of life, mood, and symptom distress during chemotherapy.Journal of Evidence-Based Complementary & Alternative Medicine,20(1),20-27.
  52. Panagioti, M.,Panagopoulou, E.,Bower, P.,Lewith, G.,Kontopantelis, E.,Chew-Graham, C.,Dawson, S.,van Marwijk, H.,Geraghty, K.,Esmail, A.(2017).Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis.Jama Internal Medicine,177,195-205.
  53. Radziewicz, R. M.,Wright-Esber, S.,Zupancic, J.,Gargiulo, D.,Woodall, P.(2018).Safety of Reiki therapy for newborns at risk for neonatal abstinence syndrome.Holistic Nursing Practice,32,63-70.
  54. Richeson, N. E.,Spross, J. A.,Lutz, K.,Peng, C.(2010).Effects of Reiki on anxiety, depression, pain, and physiological factors in community-dwelling older adults.Research in Gerontological Nursing,3,187-199.
  55. Rosada, R. M.,Rubik, B.,Mainguy, B.,Plummer, J.,Mehl-Madrona, L.(2015).Reiki reduces burnout among community mental health clinicians.The Journal of Alternative and Complementary Medicine,21,489-495.
  56. Rosenbaum, M. S.,Van de Velde, J.(2016).The effects of yoga, massage, and Reiki on patient well-being at a cancer resource center.Clinical Journal of Oncology Nursing,20(3),E77-E81.
  57. Schaufeli, W. B.,Buunk, B. P.(2003).Burnout: An overview of 25 years of research and theorizing.The Handbook of Work and Health Psychology
  58. Schaufeli, W. B.,Leiter, M. P.,Maslach, C.(2009).Burnout: 35 years of research and practice.Career Development International,14,204-220.
  59. Shirom, A.(2003).Job-related burnout: A review.Handbook of occupational health psychology
  60. Shore, A. G.(2004).Long-term effects of energetic healing on symptoms of psychological depression and self-perceived stress.Alternative Therapies in Health & Medicine,10(3),42-48.
  61. Sutton, R. E.,Harper, E.(2009).Teachers' emotion regulation.International handbook of research on teachers and teaching
  62. Thomas, K.,Coleman, P.(2004).Use of complementary or alternative medicine in a general population in Great Britain. Results from the National Omnibus survey.Journal of Public Health,26,152-157.
  63. Thrane, S. E.,Cohen, S. M.(2014).Effect of Reiki therapy on pain and anxiety in adults: An in-depth literature review of randomized trials with effect size calculations.Pain Management Nursing,15,897-908.
  64. Thrane, S. E.,Maurer, S. H.,Ren, D.,Danford, C. A.,Cohen, S. M.(2017).Reiki therapy for symptom management in children receiving palliative care: A pilot study.American Journal of Hospice and Palliative Medicine,34,373-379.
  65. Thyer, B. A.,Pignotti, M. G.(2015).Science and pseudoscience in social work practice.Springer Publishing Company.
  66. Usui, M.,Petter, F. A.(1999).The original Reiki handbook of Dr. Mikao Usui.Lotus Press.
  67. vanderVaart, S.,Berger, H.,Tam, C.,Goh, Y. I.,Gijsen, V. M. G. J.,de Wildt, S. N.,Taddio, A.,Koren, G.(2011).The effect of distant Reiki on pain in women after elective Caesarean section: A double-blinded randomised controlled trial.BMJ Open,1(1),Article e000021.
  68. vanderVaart, S.,Gijsen, V. M. G. J.,de Wildt, S. N.,Koren, G.(2009).A systematic review of the therapeutic effects of Reiki.The Journal of Alternative and Complementary Medicine,15,1157-1169.
  69. Vasudev, S. S.,Shastri, S.(2016).Effect of distance Reiki on perceived stress among software professionals in Bangalore.The International Journal of Indian Psychology,3(4),136-142.
  70. Vitale, A.(2007).An integrative review of Reiki touch therapy research.Holistic Nursing Practice,21,167-179.
  71. Volpe, U.,Luciano, M.,Palumbo, C.,Sampogna, G.,Del Vecchio, V.,Fiorillo, A.(2014).Risk of burnout among early career mental health professionals.Journal of Psychiatric and Mental Health Nursing,21,774-781.
  72. Wang, G.,Mearns, J.,Yang, X.,Han, P.,Catanzaro, S. J.(2019).Measuring generalised expectancies for negative mood regulation in China: The Chinese language Negative Mood Regulation scale.International Journal of Psychology,54,223-231.
  73. Yu, W. M.(2013).Application of Reiki on depression in nursing: A literature review.European Psychiatry,28(Supplement 1),1.
  74. Zapf, D.,Seifert, C.,Schmutte, B.,Mertini, H.,Holz, M.(2001).Emotion work and job stressors and their effects on burnout.Psychology & Health,16,527-545.
  75. Zucchetti, G.,Candela, F.,Bottigelli, C.,Campione, G.,Parrinello, A.,Piu, P.,Vassallo, E.,Fagioli, F.(2019).The power of Reiki: Feasibility and efficacy of reducing pain in children with cancer undergoing hematopoietic stem cell transplantation.Journal of Pediatric Hematology/Oncology Nursing,36,361-368.
  76. 張懷陸, H.-L.,張曉雲, H.-Y.(2008)。輔助及另類醫學之全球流行趨勢。臺灣醫界,51(2),26-30。
  77. 荷田, T.(2006).靈氣轉化了我的生命.大康出版社=Dacombook Publisher.
  78. 謝忠勳, C.-H.(2012)。國立中正大學=National Chung Cheng University。
  79. 鍾燕宜, Y.-Y.,梁冀陶, C.-T.,許郁卿, Y.-C.(2014)。靈氣介入對睡眠品質、職場疲勞與自覺健康改善之成效。健康與照顧科學學刊,2(2),55-70。
  80. 蘇守謙, C.-T.(2000)。國立中央大學=National Central University。
被引用次数
  1. (2023)。大學生的社會情緒學習素養與其對嘲弄的正向感知之關係-以情緒調節策略為中介變項。教育心理學報,55(2),241-268。