ORCID Profile
0000-0001-5677-1662
Current Organisations
Parc Sanitari Sant Joan de Déu
,
Zaragoza University
,
University of Oxford
,
Universidad Nacional de Educación a Distancia
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Publications
Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS)
Publisher: Springer Science and Business Media LLC
Date: 2014
Coping with Stress and Types of Burnout: Explanatory Power of Different Coping Strategies
Publisher: Public Library of Science (PLoS)
Date: 13-02-2014
Mindfulness may both moderate and mediate the effect of physical fitness on cardiovascular responses to stress: a speculative hypothesis
Publisher: Frontiers Media SA
Date: 25-03-2014
A factor confirmation and convergent validity of the “areas of worklife scale” (AWS) to Spanish translation
Publisher: Springer Science and Business Media LLC
Date: 2013
Mindfulness, Resilience, and Burnout Subtypes in Primary Care Physicians: The Possible Mediating Role of Positive and Negative Affect
Publisher: Frontiers Media SA
Date: 17-12-2015
Feasibility and Effectiveness of a Mindfulness-Based Program Vs. Relaxation in the Treatment of Burnout in Brazilian Primary Care Providers: a Mixed-Methods Pragmatic Controlled Study
Publisher: Springer Science and Business Media LLC
Date: 04-08-2020
Reassessment of the Psychometric Characteristics and Factor Structure of the ‘Perceived Stress Questionnaire’ (PSQ): Analysis in a Sample of Dental Students
Publisher: Public Library of Science (PLoS)
Date: 23-01-2014
Self-Criticism: A Measure of Uncompassionate Behaviors Toward the Self, Based on the Negative Components of the Self-Compassion Scale
Publisher: Frontiers Media SA
Date: 30-08-2016
Impact of a Blended Web-Based Mindfulness Programme for General Practitioners: a Pilot Study
Publisher: Springer Science and Business Media LLC
Date: 15-06-2017
Mindfulness as a complementary intervention in the treatment of overweight and obesity in primary health care: study protocol for a randomised controlled trial
Publisher: Springer Science and Business Media LLC
Date: 11-05-2018
Zen meditation, Length of Telomeres, and the Role of Experiential Avoidance and Compassion
Publisher: Springer Science and Business Media LLC
Date: 22-02-2016
Examining the factor structure of the Self-Compassion Scale in 20 diverse samples: Support for use of a total score and six subscale scores.
Publisher: American Psychological Association (APA)
Date: 2019
DOI: 10.1037/PAS0000629
Abstract: This study examined the factor structure of the Self-Compassion Scale (SCS) using secondary data drawn from 20 s les (N = 11,685)-7 English and 13 non-English-including 10 community, 6 student, 1 mixed community/student, 1 meditator, and 2 clinical s les. Self-compassion is theorized to represent a system with 6 constituent components: self-kindness, common humanity, mindfulness and reduced self-judgment, isolation and overidentification. There has been controversy as to whether a total score on the SCS or if separate scores representing compassionate versus uncompassionate self-responding should be used. The current study examined the factor structure of the SCS using confirmatory factor analyses (CFA) and Exploratory Structural Equation Modeling (ESEM) to examine 5 distinct models: 1-factor, 2-factor correlated, 6-factor correlated, single-bifactor (1 general self-compassion factor and 6 group factors), and 2-bifactor models (2 correlated general factors each with 3 group factors representing compassionate or uncompassionate self-responding). Results indicated that a 1- and 2-factor solution to the SCS had inadequate fit in every s le examined using both CFA and ESEM, whereas fit was excellent using ESEM for the 6-factor correlated, single-bifactor and correlated 2-bifactor models. However, factor loadings for the correlated 2-bifactor models indicated that 2 separate factors were not well specified. A general factor explained 95% of the reliable item variance in the single-bifactor model. Results support use of the SCS to examine 6 subscale scores (representing the constituent components of self-compassion) or a total score (representing overall self-compassion), but not separate scores representing compassionate and uncompassionate self-responding. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian “Acceptance and Action Questionnaire” (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychologi
Publisher: MDPI AG
Date: 23-12-2022
Abstract: Background: A sizeable proportion of Brazilian Primary Care (PC) providers suffer from common mental disorders, such as anxiety and depression. In an effort to cope with job-related distress, PC workers are likely to implement maladaptive strategies such as experiential avoidance (EA). The Acceptance and Action Questionnaire (AAQ-II) is a widely used instrument that evaluates EA but has shown questionable internal consistency in specific populations. This study assesses the psychometric properties of the AAQ-II among Brazilian PC providers, evaluates its convergence and ergence with self-criticism and mindfulness skills, and explores its criterion validity on anxiety and depressive symptoms. Methods: A cross-sectional design was conducted in Brazilian PC services, and the s le included 407 PC workers. The measures evaluated EA, self-criticism, mindfulness, depression, and anxiety. Results: The one-factor model of the AAQ-II replicated the original version structure. The AAQ-II presented good internal consistency among Brazilian PC providers. A multiple regression model demonstrated higher relationships with self-criticism than mindfulness skills. The criterion validity of the AAQ-II on anxiety and depression was stronger in the context of more severe symptoms. Conclusions: The AAQ-II is an appropriate questionnaire to measure the lack of psychological flexibility among Brazilian PC workers in the sense of EA.
Effects of Mindfulness-Based Interventions on Salivary Cortisol in Healthy Adults: A Meta-Analytical Review
Publisher: Frontiers Media SA
Date: 19-10-2016
Psychometric Properties of the 15-Item Five Facet Mindfulness Questionnaire in a Large Sample of Spanish Pilgrims
Publisher: Springer Science and Business Media LLC
Date: 20-11-2020
Efficacy of 8- and 4-Session Mindfulness-Based Interventions in a Non-clinical Population: A Controlled Study
Publisher: Frontiers Media SA
Date: 08-08-2017
Decentering, Acceptance, and Non-Attachment: Challenging the Question “Is It Me?”
Publisher: Frontiers Media SA
Date: 18-11-2021
DOI: 10.3389/FPSYT.2021.659835
Abstract: Among mindfulness measures the three constructs acceptance, decentering, and non-attachment are psychometrically closely related, despite their apparent semantic differences. These three facets present robust psychometric features and can be considered core themes in most “third wave” clinical models. The aim of the present study was to explore the apparently different content domains (acceptance, decentering, and non-attachment) by administering various psychometric scales in a large s le of 608 volunteers. Resilience and depression were also assessed. Exploratory and confirmatory factor analyses performed in two randomly selected subs les showed a bifactor approximation. The explained common variance suggested a unidimensional nature for the general factor, with good psychometric properties, which we named “Delusion of Me” (DoM). This construct is also strongly correlated with resilience and depression, and appears to be a solid latent general construct closely related to the concept of “ego.” DoM emerges as a potentially transdiagnostic construct with influence on well-being and clinical indexes such as resilience and depression. Further studies should analyze the potential utility of this new construct at a therapeutic level.
Psychological Effects of a 1-Month Meditation Retreat on Experienced Meditators: The Role of Non-attachment
Publisher: Frontiers Media SA
Date: 12-12-2016
Attachment-based compassion therapy and adapted mindfulness-based stress reduction for the treatment of depressive, anxious and adjustment disorders in mental health settings: a randomised controlled
Publisher: BMJ
Date: 10-2019
DOI: 10.1136/BMJOPEN-2019-029909
Abstract: Depressive, anxiety and adjustment disorders are highly prevalent among mental health outpatients. The lack of funding for mental health problems produces inefficient results and a high burden of disease. New cost-effective group interventions aimed at treating these symptoms might be an appropriate solution to reduce the healthcare burden in mental health units. Mindfulness-based interventions (MBIs) have shown significant reductions in anxious, depressive and adjustment symptomatology. Recent research highlights the influence of compassion as a key mechanism of change. However, MBIs only address compassion implicitly, whereas compassion-based protocols consider it a core aspect of psychotherapy. In this randomised controlled trial, we hypothesise that the provision of attachment-based compassion therapy (ABCT), which is a compassion-based protocol, will be more effective than mindfulness-based stress reduction (MBSR), which is a conventional MBI programme, for the treatment of depressive, anxious and adaptive symptoms in patients in mental health settings. Approximately 90 patients suffering from depressive, anxious or adjustment disorders recruited from Spanish mental health settings will be randomised to receive 8 weekly 2 hours group sessions of ABCT, 8 weekly 2.5 hours group sessions of adapted MBSR (with no full-day silent retreat) or treatment as usual (TAU), with a 1:1:1 allocation rate. Patients in the ABCT and adapted MBSR groups will also receive TAU. The main outcome will be general affective distress measured by means of the ‘Depression Anxiety Stress Scales-21’ at post-test as primary endpoint. Other outcomes will be quality of life, mindfulness, self-compassion and the use of healthcare services. There will be a 6-month follow-up assessment. Intention-to-treat analysis will be conducted using linear mixed models. Per-protocol and secondary outcome analyses will be performed. A data monitoring committee comprising the trial manager, the ABCT and MBSR teachers and an independent clinical psychologist will monitor for possible negative side effects. Approval was obtained from the Ethics Committee of the General University Hospital of Castellón, Spain. The results will be submitted to peer-reviewed specialised journals, and brief reports will be sent to participants on request. NCT03425487
Towards a conceptual framework of the working alliance in a blended low-intensity cognitive behavioural therapy intervention for depression in primary mental health care: a qualitative study
Publisher: BMJ
Date: 09-2020
DOI: 10.1136/BMJOPEN-2019-036299
Abstract: To examine and adapt a conceptual framework of the working alliance (WA) in the context of a low-intensity blended (psychological well-being practitioner (PWP) plus computerised program) cognitive behavioural therapy intervention (b-CBT) for depression. Patient involvement was enlisted to collaboratively shape the design of the project from the onset, before data collection. In-depth semi-structured interviews were carried out with participants who experienced b-CBT as part of the E-compared trial. A thematic analysis was conducted using a constant comparative method informed by grounded theory. Recruitment was carried out in four psychological primary care services across the UK. Nineteen trial participants with major depressive disorder who completed at least one computerised program and face-to-face session with a PWP in the b-CBT arm were recruited to the study. Qualitative interviews that were guided by WA theory and patient involvement, revealed four themes: (1) a healthcare provider (PWP and computerised program) with good interpersonal competencies for building a working relationship with the client (‘bond’) (2) collaborative efforts between the client and the provider to appropriately identify what the client hopes to achieve through therapy (‘goals’) (3) the selection of acceptable therapeutic activities that address client goals and the availability of responsive support (‘task’) and (4) the promotion of active engagement and autonomous problem solving (‘usability heuristics’). Participants described how the PWP and computerised program uniquely and collectively contributed to different WA needs. This study is the first to offer a preliminary conceptual framework of WA in b-CBT for depression, and how such demands can be addressed through blended PWP-computerised program delivery. These findings can be used to promote WA in technological design and clinical practice, thereby promoting engagement to b-CBT interventions and effective deployment of practitioner and program resources. ISRCTN12388725 .
The role of aggressions suffered by healthcare workers as predictors of burnout
Publisher: Wiley
Date: 17-09-2012
DOI: 10.1111/J.1365-2702.2012.04255.X
Abstract: To examine the prevalence of aggression against healthcare professionals and to determine the possible impact that violent episodes have on healthcare professionals in terms of loss of enthusiasm and involvement towards work. The objective was to analyse the percentage of occupational assault against professionals' aggression in different types of healthcare services, differentiating between physical and verbal aggression as a possible variable in detecting burnout in doctors and nursing professionals. Leiter and Maslach have explored a double process model of burnout not only based on exhaustion by overload, but also based on personal and organisational value conflicts (community, rewards or values). Moreover, Whittington has obtained conclusive results about the possible relationship between violence and burnout in mental health nurses. A retrospective study was performed in three hospitals and 22 primary care centres in Spain (n = 1·826). Through different questionnaires, we have explored the relationship between aggression suffered by healthcare workers and burnout. Eleven percent of respondents had been physically assaulted on at least one occasion, whilst 34·4% had suffered threats and intimidation on at least one occasion and 36·6% had been subjected to insults. Both forms of violence, physical and non-physical aggression, showed significant correlations with symptoms of burnout (emotional exhaustion, depersonalisation and inefficacy). The survey showed evidence of a double process: (1) by which excess workload helps predict burnout, and (2) by which a mismatch in the congruence of values, or interpersonal conflict, contributes in a meaningful way to each of the dimensions of burnout, adding overhead to the process of exhaustion-cynicism-lack of realisation. Relevance to clinical practice. Studies indicate that health professionals are some of the most exposed to disorders steaming from psychosocial risks and a high comorbidity: anxiety, depression, etc. There is a clear need for accurate instruments of evaluation to detect not only the burnout but also the areas that cause it. Professional exhaustion caused by aggression or other factors can reflect a deterioration in the healthcare relationship.
Burnout Subtypes and Absence of Self-Compassion in Primary Healthcare Professionals: A Cross-Sectional Study
Publisher: Public Library of Science (PLoS)
Date: 16-06-2016
‘Mindful eating’ for reducing emotional eating in patients with overweight or obesity in primary care settings: A randomized controlled trial
Publisher: Wiley
Date: 17-11-2022
DOI: 10.1002/ERV.2958
Abstract: The primary aim of this study was to analyse the efficacy of a ‘mindful eating’ programme for reducing emotional eating in patients with overweight or obesity. A cluster randomized controlled trial (reg. NCT03927534) was conducted with 76 participants with overweight/obesity who were assigned to ‘mindful eating’ (7 weeks) + treatment as usual (TAU), or to TAU alone. They were assessed at baseline, posttreatment and 12‐month follow‐up. The main outcome was ‘emotional eating’ (Dutch Eating Behaviour Questionnaire, DEBQ) other eating behaviours were also assessed along with psychological and physiological variables. ‘Mindful eating’ + TAU reduced emotional eating both at posttreatment ( B = −0.27 p = 0.006 d = 0.35) and follow‐up ( B = −0.53 p 0.001 d = 0.69) compared to the control group (TAU alone). ‘External eating’ (DEBQ) was also significantly improved by the intervention at both timepoints. Significant effects at follow‐up were observed for some secondary outcomes related to bulimic behaviours, mindful eating, mindfulness, and self‐compassion. Weight and other physiological parameters were not significantly affected by ‘mindful eating’ + TAU. These findings support the efficacy of the ‘mindful eating’ + TAU programme for reducing emotional and external eating, along with some other secondary measures, but no significant changes in weight reduction were observed.
Perceived Stress Latent Factors and the Burnout Subtypes: A Structural Model in Dental Students
Publisher: Public Library of Science (PLoS)
Date: 13-06-2014
Religiosity and Meditation Practice: Exploring Their Explanatory Power on Psychological Adjustment
Publisher: Frontiers Media SA
Date: 27-03-2019
Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals
Publisher: Springer Science and Business Media LLC
Date: 02-09-2015
The Efficacy of Mindfulness-Based Interventions in Primary Care: A Meta-Analytic Review
Publisher: Annals of Family Medicine
Date: 11-2015
DOI: 10.1370/AFM.1863
Effects of Mindfulness-Based Interventions on Biomarkers and Low-Grade Inflammation in Patients with Psychiatric Disorders: A Meta-Analytic Review
Publisher: MDPI AG
Date: 03-04-2020
DOI: 10.3390/IJMS21072484
Abstract: Mindfulness-Based Interventions (MBIs) present positive effects on mental health in erse populations. However, the detailed associations between MBIs and biomarkers in patients with psychiatric disorders remain poorly understood. The aim of this study was to examine the effects of MBIs on biomarkers in psychiatric illness used to summarise the effects of low-grade inflammation. A systematic review of PubMed, EMBASE, PsycINFO, and the Cochrane Library was conducted. Effect sizes (ESs) were determined by Hedges’ g and the number needed to treat (NNT). Heterogeneity was evaluated. A total of 10 trials with 998 participants were included. MBIs showed significant improvements in the event-related potential litudes in attention-deficit hyperactivity disorder, the methylation of serotonin transporter genes in post-traumatic stress disorder, the salivary levels of interleukin 6 (IL-6) and tumour necrosis factor alpha (TNF-α) in depression, and the blood levels of adrenocorticotropic hormone (ACTH), IL-6, and TNF-α in generalised anxiety disorder. MBIs showed low but significant effects on health status related to biomarkers of low-grade inflammation (g = −0.21 95% confidence interval (CI) –0.41 to −0.01 NNT = 8.47), with no heterogeneity (I2 = 0 95% CI 0 to 79). More trials are needed to establish the impact of MBIs on biomarkers in psychiatric illness.
Psychometric properties of the engaged living scale (ELS) Spanish version in a large sample of Spanish pilgrims
Publisher: Elsevier BV
Date: 04-2023
Frenetic, under-Challenged, and Worn-out Burnout Subtypes among Brazilian Primary Care Personnel: Validation of the Brazilian “Burnout Clinical Subtype Questionnaire” (BCSQ-36/BCSQ-12)
Publisher: MDPI AG
Date: 08-02-2020
Abstract: Primary healthcare personnel show high levels of burnout. A new model of burnout has been developed to distinguish three subtypes: frenetic, under-challenged, and worn-out, which are characterized as overwhelmed, under-stimulated, and disengaged at work, respectively. The aim of this study was to assess the psychometric properties of the long/short Brazilian versions of the “Burnout Clinical Subtypes Questionnaire” (BCSQ-36/BCSQ-12) among Brazilian primary healthcare staff and its possible associations with other psychological health-related outcomes. An online cross-sectional study conducted among 407 Brazilian primary healthcare personnel was developed. Participants answered a Brazil-specific survey including the BCSQ-36/BCSQ-12, “Maslach Burnout Inventory-General Survey”, “Utrecht Work Engagement Scale”, “Hospital Anxiety/Depression Scale”, “Positive-Negative Affect Schedule”, and a Visual Analogue Scale of guilt at work. The bifactor was the model with the best fit to the data using the BCSQ-36, which allowed a general factor for each subtype. The three-correlated factors model fit better to the BCSQ-12. Internal consistence was appropriate, and the convergence between the long-short versions was high. The pattern of relationships between the burnout subtypes and the psychological outcomes suggested a progressive deterioration from the frenetic to the under-challenged and worn-out. In sum, the Brazilian BCSQ-36/BCSQ-12 showed appropriate psychometrics to be used in primary healthcare personnel.
Subtipos de burnout e implicaciones clínicas: Una propuesta teórica basada en abordajes terapéuticos específicos
Publisher: UNED - Universidad Nacional de Educacion a Distancia
Date: 28-12-2016
Effects of mindfulness-based interventions on biomarkers in healthy and cancer populations: a systematic review
Publisher: Springer Science and Business Media LLC
Date: 23-02-2017
Dismantling, optimising, and personalising internet cognitive behavioural therapy for depression: a systematic review and component network meta-analysis using individual participant data
Publisher: Elsevier BV
Date: 06-2021
Estresse percebido em profissionais da Estratégia Saúde da Família
Publisher: FapUNIFESP (SciELO)
Date: 06-2017
DOI: 10.1590/1980-5497201700020009
Abstract: RESUMO: Objetivo: Avaliar o estresse percebido (EP) de profissionais da Estratégia de Saúde da Família (ESF) e a associação com características das equipes. Também foi investigada a ocorrência de associação entre EP e morbidade autorreferida. Métodos: Trata-se de estudo transversal com 450 trabalhadores de 60 equipes em 12 Unidades Básicas de Saúde (UBS), em uma região de São Paulo. As diferenças entre o escore total da Escala de Estresse Percebido e suas associações com as características in iduais e das equipes foram avaliadas por meio de modelos múltiplos de regressão linear. Resultados: Observaram-se níveis mais elevados de EP naqueles com tempo de trabalho igual ou superior a um ano na mesma equipe, nas categorias de médicos, enfermeiros e agentes comunitários de saúde, gênero feminino, em não praticantes de credos religiosos, e em profissionais de UBS com equipes incompletas (ausência do médico). Menor estresse percebido foi encontrado em viúvos. Observou-se que in íduos com níveis mais elevados de EP têm mais chance de relatar problemas crônicos de saúde. Conclusão: Conclui-se que a percepção de estresse na população estudada está associada a fatores in iduais, profissionais, e à composição das equipes nas unidades básicas de saúde.
Related Organisations
University Of Oxford
Location: United Kingdom of Great Britain and Northern Ireland
Related Funding Activities
No related grants have been discovered for Jesús Montero-Marín.