Mindfulness Among Genetic Counselors Is Associated with Increased Empathy and Work Engagement and Decreased Burnout and Compassion Fatigue
Genetic counselors experience high rates of compassion fatigue and an elevated risk for burnout, both of which can negatively impact patient care and retention in the profession. In other healthcare professions, mindfulness training has been successfully used to address similar negative psychological sequelae and to bolster empathy, which is the foundation of our counseling work. We aimed to assess associations between mindfulness and key professional variables, including burnout, compassion fatigue, work engagement, and empathy. Data were collected via an anonymous, online survey that included validated measures of mindfulness and these key professional variables. The survey was completed by 441 genetic counselors involved in direct patient care. Half of the respondents (50.1%) reported engaging in yoga, meditation, and/or breathing exercises. Mindfulness was positively correlated with work engagement (r = 0.24, p < 0.001) and empathy (as measured through four subscales: perspective taking (r = 0.15, p = 0.002), empathic concern (r = 0.11, p = 0.03), fantasy (r = − 0.11, p = 0.03) and personal distress (r = − 0.15, p = 0.001)). Mindfulness was negatively correlated with compassion fatigue (r = − 0.48, p < 0.001) and burnout (r = − 0.50, p < 0.001). Given these findings, mindfulness training may be a valuable addition to graduate and continuing education for genetic counselors. The integration of mindfulness into the genetic counseling field will likely improve professional morale and well-being, while promoting workforce retention and bolstering the relational and counseling aspects of our clinical work.
KeywordsGenetic counselors Genetic counseling Mindfulness Burnout Compassion fatigue Retention Empathy Work engagement
This study was completed in partial fulfillment of the requirements for the first author’s Master of Science degree from the Stanford University. We are grateful to the genetic counselors who participated in this research.
Compliance with Ethical Standards
Conflict of Interest
Julia Silver, Colleen Caleshu, Kelly Ormond and Sylvie Casson-Parkin declare that they have no conflict of interest.
Human Studies and Informed Consent
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.
No animal or human studies were carried out by the authors for this article.
- Asuero, A.M., Queralto, J. M., Pujol-Ribera, E., Berenguera, A., Rodriguez-Blanco, T., & Epstein, R. M. (2014). Effectiveness of a mindfulness educationprogram in primary health care professionals: a pragmatic controlled trial. The Journal of Continuing Education in the Health Professions, 34(1), 4–12.CrossRefPubMedGoogle Scholar
- Caldwell, K. L. (2012). Mindfulness matters: practices for counselors and counselor education. American Counseling Association VISTAS project, 1, 1–9.Google Scholar
- 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; no 79. Hyattsville: National Center for Health Statistics.Google Scholar
- Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.Google Scholar
- Duchemin, A., Steinberg, B. A., Marks, D. R., Vanover, K., & Klatt, M. (2015). A Small Randomized Pilot Study of a Workplace Mindfulness-Based Intervention for Surgical Intensive Care Unit Personnel. Journal of Occupational and Environmental Medicine, 57(4), 393–399.CrossRefPubMedPubMedCentralGoogle Scholar
- Gehart, D. R., & McCollum, E. E. (2008). Teaching therapeutic presence: a mindfulness-based approach. In S. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 176–194). New York: Guilford.Google Scholar
- Gotink, R. A., Chu, P., Busschbach, J. J., Benson, H., Fricchione, G. L., & Hunink, M. G. (2015). Standardised Mindfulness-Based Interventions in Healthcare: An Overview of Systematic Reviews and Meta-Analyses of RCTs. Plos One, 10(4). https://doi.org/10.1371/journal.pone.0124344.CrossRefPubMedPubMedCentralGoogle Scholar
- Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: a randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76(6), 332–338.CrossRefPubMedGoogle Scholar
- Kabat-Zinn, J. (1994). Wherever you go there you are: mindfulness meditation in everyday life. New York: Hyperion.Google Scholar
- Kesbakhi, M. S., Rohani, C., Mohtashami, J., & Nasiri, M. (2017). Empathy from the perspective of oncology nurses. Journal of Compassionate Health Care., 4(7), 1–10.Google Scholar
- Kiosses, V. N., Karathanos, V. T., & Tatsioni, A. (2016). Empathy promoting interventions for health professionals: a systematic review of RCTs. Journal of Compassionate Health Care, 3(1).Google Scholar
- Kunie, K., Kawakami, N., Shimazu, A., Yonekura, Y., & Miyamoto, Y. (2017). The relationship between work engagement and psychological distress of hospital nurses and the perceived communication behaviors of their nurse managers: a cross-sectional survey. International Journal of Nursing Studies, 71, 115–124.CrossRefPubMedGoogle Scholar
- Lamothe, M., Rondeau, É., Malboeuf-Hurtubise, C., Duval, M., & Sultan, S. (2015). Outcomes of MBSR or MBSR-based interventions in health care providers: a systematic review with a focus on empathy and emotional competencies. Complementary Therapies in Medicine, 24, 19–28.CrossRefPubMedGoogle Scholar
- Lamothe, M., Mcduff, P., Pastore, Y. D., Duval, M., & Sultan, S. (2018). Developing professional caregivers’ empathy and emotional competencies through mindfulness-based stress reduction (MBSR): results of two proof-of-concept studies. BMJ Open, 8(1). https://doi.org/10.1136/bmjopen-2017-018421.CrossRefPubMedPubMedCentralGoogle Scholar
- National Society of Genetic Counselors (NSGC). (2016). Professional Status Survey. Retrieved May 13, 2016, from https://www.nsgc.org/p/cm/ld/fid=68.
- Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L. O., & Kuyken, W. (2017). Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants mindfulness practice and its association with outcomes. Behaviour Research and Therapy, 95, 29–41.CrossRefPubMedPubMedCentralGoogle Scholar
- Santorelli S.F., Kabat-Zinn J., Blacker M., Meleo-Meyer F., & Koerbel L. (eds) (2017) Mindfulness-Based Stress Reduction (MBSR) Authorized Curriculum Guide (http://www.umassmed.edu/cfm/training/mbsr-curriculum).
- Schaufeli, W. B., & Bakker, A. B. (2003). UWES Utrecht work engagement scale preliminary manual. Journal of Occupational Health Psychology, 58.Google Scholar
- Stahl, B., & Goldstein, E. (2010). A mindfulness-based stress reduction workbook. Oakland: New Harbinger.Google Scholar
- Stamm, B. (2010). The Concise ProQOL Manual. Pocatello, ID: ProQOL. Org, 78. Retrieved from http://proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdf
- Veach, P. M., LeRoy, B. S., & Bartels, D. M. (2003). Listening to clients: primary empathy skills. In Facilitating the genetic counseling process: a practice manual (pp. 51–53). New York: Springer-Verlag.Google Scholar
- Weil, J. (2000). Techniques of psychosocial genetic counseling. In Psychosocial genetic counseling (pp. 53–55). New York: Oxford University Press.Google Scholar