Does mindfulness-, acceptance-, and value-based intervention alleviate burnout?—A person-centered approach.
Open accessAbstract
This study investigated individual differences in changes in burnout symptoms during a brief mindfulness-, acceptance-, and value-based (MAV) intervention.It also studied whether the changes in burnout were simultaneous with the changes in mindfulness skills.The role of practices and learning experiences in these changes were investigated.The participants were employees of various occupations (n = 105, 80% women, mean age = 48 years).Latent profile analysis was used to investigate the associations between burnout and mindfulness skills during the intervention and a four-month follow-up period.Six distinct profiles were found that differed in levels and changes of both burnout and mindfulness skills.Burnout was reduced and mindfulness skills increased with large effect sizes in three of the profiles (47.4% of the participants).Two profiles (31.1%) presented smaller changes in burnout but had significant increases in mindfulness skills.One profile (11.5%) did not benefit from the intervention.The obtained profiles were compared on practice quantity and frequency, practice continuation, and learning experiences.There were no differences between the profiles in the practice quantity or frequency during the intervention.However, the profiles with the most beneficial changes showed higher learning during the intervention and continued to practice more often after the intervention.These findings show that there are considerable differences in the responses to a brief MAV intervention.The investigated intervention turned out to be effective in alleviating burnout symptoms, even when the initial burnout was high.Attention should be devoted to enhancing learning and practice continuation to improve intervention outcomes.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Interventions that train psychological flexibility skills are effective in reducing work-related stress and burnout severity and improving well-being.
“Interventions that train individuals to develop and strengthen their psychological flexibility skills are effective in reducing work-related stress and burnout severity [36,41,54-57] and improving well-being [36,41,43].”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [57]
The Conclusions (page unavailable) say the mindfulness-, acceptance-, and value-based intervention could alleviate burnout, while the Profiles of Burnout and Mindfulness Skills section reports reductions for some participants but not others. The paper supports a qualified claim about burnout reduction; it does not report reductions in work-related stress or improvements in well-being as outcomes of this intervention. (LLM, conf=0.86)
Experimental — accuracy not yet measuredGeneralized deployment of interventions found effective at group level is likely to result in some individuals not receiving the type or amount of training they need and others receiving more than necessary.
“Generalized deployment of interventions found to be effective at the group level is likely to result in some individuals not receiving the type or amount of training they need and others receiving more than necessary [57,70].”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [57]
The Discussion (page unavailable) reports differing responses to the same intervention and suggests that some participants might have benefited from longer intervention or more support. It does not establish that generalized deployment of group-effective interventions is likely to leave some people with the wrong type of training or give others more training than necessary. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1080/10705510701575396 · Cited by 11,415 · see citing works
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
Mindfulness-based interventions in context: Past, present, and future
Kabat-Zinn, J. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bpg016 · Cited by 8,615 · see citing works
Mindfulness-based interventions in context: Past, present, and future.
Kabat-Zinn, J. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy/bpg016 · Cited by 8,612 · see citing works
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863 · see citing works
Using Self-Report Assessment Methods to Explore Facets of Mindfulness
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006) · Assessment · doi:10.1177/1073191105283504 · Cited by 7,511 · see citing works
Group-Based Modeling of Development
NAGIN, D. (2005) · doi:10.4159/9780674041318 · Cited by 4,164 · see citing works
Muthén, B., & Muthén, L. K. (2000) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2000.tb02070.x · Cited by 3,161 · see citing works
Morris, S. B., & DeShon, R. P. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.105 · Cited by 2,502 · see citing works
Hayes, S. C. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80013-3 · Cited by 2,493 · see citing works
An entropy criterion for assessing the number of clusters in a mixture model
Celeux, G., & Soromenho, G. (1996) · Journal of Classification · doi:10.1007/bf01246098 · Cited by 2,448 · see citing works
Carmody, J., & Baer, R. A. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-007-9130-7 · Cited by 1,823 · see citing works
Vermunt, J. K., & Magidson, J. (2002) · Cambridge University Press eBooks · doi:10.1017/cbo9780511499531.004 · Cited by 1,815 · see citing works
Things I have learned (so far).
Cohen, J. (1990) · American Psychologist · doi:10.1037/0003-066x.45.12.1304 · Cited by 1,781 · see citing works
Mindfulness-based stress reduction for healthy individuals: A meta-analysis
Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2015.03.009 · Cited by 1,617 · see citing works
Person-Centered and Variable-Centered Approaches to Longitudinal Data
Laursen, B. P., & Hoff, E. (2006) · Merrill-palmer Quarterly · doi:10.1353/mpq.2006.0029 · Cited by 958 · see citing works
Kiken, L. G., Garland, E. L., Bluth, K., Palsson, O. S., & Gaylord, S. A. (2015) · Personality and Individual Differences · doi:10.1016/j.paid.2014.12.044 · Cited by 717 · see citing works
Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007) · Behavior Modification · doi:10.1177/0145445507302202 · Cited by 687 · see citing works
Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.03.010 · Cited by 517 · see citing works
Acceptance and Values-Based Action in Chronic Pain: A Study of Treatment Effectiveness and Process
Vowles, K. E., & McCracken, L. M. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.3.397 · Cited by 500 · see citing works
Mindfulness-Based Eating Awareness Training (MB-EAT) for Binge Eating: A Randomized Clinical Trial
Kristeller, J., Wolever, R. Q., & Sheets, V. (2014) · Mindfulness · doi:10.1007/s12671-012-0179-1 · Cited by 469 · see citing works
Distinguishing Between Latent Classes and Continuous Factors: Resolution by Maximum Likelihood?
Lubke, G. H., & Neale, M. C. (2006) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr4104_4 · Cited by 467 · see citing works
Interventions to Reduce the Consequences of Stress in Physicians: A Review and Meta-Analysis
Regehr, C., Glancy, D., Pitts, A., & LeBlanc, V. R. (2014) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000130 · Cited by 310 · see citing works
Virgili, M. (2015) · Mindfulness · doi:10.1007/s12671-013-0264-0 · Cited by 273 · see citing works
Brinkborg, H., Michanek, J., Hesser, H., & Berglund, G. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.03.009 · Cited by 235 · see citing works
Vettese, L. C., Toneatto, T., Stea, J. N., Nguyen, L., & Wang, J. J. (2009) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.23.3.198 · Cited by 207 · see citing works
Lloyd, J., Bond, F. W., & Flaxman, P. E. (2013) · Work & Stress · doi:10.1080/02678373.2013.782157 · Cited by 175 · see citing works
The person-oriented approach to burnout: A systematic review
Mäkikangas, A., & Kinnunen, U. M. (2015) · Burnout Research · doi:10.1016/j.burn.2015.12.002 · Cited by 168 · see citing works
Self-citationCrane, C., Crane, R. S., Eames, C., Fennell, M. J. V., Silverton, S., Williams, J. M. G., & Barnhofer, T. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.08.015 · Cited by 163 · see citing works
Forman, E. M., Chapman, J. E., Herbert, J. D., Goetter, E. M., Yuen, E. K., & Moitra, E. (2012) · Behavior Therapy · doi:10.1016/j.beth.2011.07.004 · Cited by 151 · see citing works
Vilardaga, R., Luoma, J. B., Hayes, S. C., Pistorello, J., Levin, M. E., Hildebrandt, M. J., Kohlenberg, B., Roget, N. A., & Bond, F. (2011) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.11.015 · Cited by 142 · see citing works
Pearson, M. R., Lawless, A. K., Brown, D. B., & Bravo, A. J. (2015) · Personality and Individual Differences · doi:10.1016/j.paid.2014.11.009 · Cited by 140 · see citing works
Bravo, A. J., Boothe, L. G., & Pearson, M. R. (2015) · Mindfulness · doi:10.1007/s12671-015-0459-7 · Cited by 111 · see citing works
Perich, T., Manicavasagar, V. L., Mitchell, P. B., & Ball, J. R. B. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.03.006 · Cited by 102 · see citing works
Introduction: The Person-oriented approach: Roots and roads to the future
Bergman, L. R., & Lundh, L. (2015) · Journal for Person-Oriented Research · doi:10.17505/jpor.2015.01 · Cited by 102 · see citing works
Grow, J. C., Collins, S. E., Harrop, E. N., & Marlatt, G. A. (2015) · Addictive Behaviors · doi:10.1016/j.addbeh.2014.07.030 · Cited by 84 · see citing works
Understanding Linkages Among Mixture Models
Sterba, S. K. (2013) · Multivariate Behavioral Research · doi:10.1080/00273171.2013.827564 · Cited by 80 · see citing works
The secret ingredient in mindfulness interventions? A case for practice quality over quantity.
Goldberg, S. B., Re, A. C. D., Hoyt, W. T., & Davis, J. M. (2014) · Journal of Counseling Psychology · doi:10.1037/cou0000032 · Cited by 76 · see citing works
Latent growth mixture modeling : a simulation study
Tolvanen, A. J. (2007) · Jyväskylä University Digital Archive (University of Jyväskylä) · Cited by 72 · see citing works
Self-citationBreevaart, K., Bakker, A. B., Hetland, J., & Hetland, H. (2014) · Psychology Press eBooks · doi:10.4324/978131589416-6 · Cited by 66 · see citing works
Hätinen, M., Kinnunen, U. M., Mäkikangas, A., Kalimo, R., Tolvanen, A. J., & Pekkonen, M. (2009) · Anxiety Stress & Coping · doi:10.1080/10615800802567023 · Cited by 45 · see citing works
Self-citationHätinen, M., Mäkikangas, A., Kinnunen, U. M., & Pekkonen, M. (2013) · International Journal of Stress Management · doi:10.1037/a0034286 · Cited by 34 · see citing works
Self-citationAcceptance and Mindfulness at Work
(2013) · Routledge eBooks · doi:10.4324/9781315808383 · Cited by 22 · see citing works
Psyykkiset oireet ja mielenterveyden häiriöt
Suvisaari, J., Ahola, K., Kiviruusu, O. H., Korkeila, J. A., Lindfors, O., Mattila, A. K., Markkula, N., MARTTUNEN, M. J., Partonen, T., Peña, S., et al. (2012) · Cited by 7 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus user's guide (7th ed.). Los Angeles, CA: Muthén & Muthén.
- Puolakanaho, A., Tolvanen, A., Kinnunen, S. M., & Lappalainen, R. (2017). Mindfulness, Acceptance, and Value-based Skills Mediate Multiple Outcomes in Burnout Intervention: A Randomized Controlled Trial. In review.
Cited by
Sorted by citations
Puolakanaho, A., Lappalainen, R., Lappalainen, P., Muotka, J. S., Hirvonen, R., Eklund, K. M., Ahonen, T. P. S., & Kiuru, N. (2019) · Journal of Youth and Adolescence · doi:10.1007/s10964-018-0973-8 · Cited by 122 · see citing works
Self-citationKaggwa, M. M., Kajjimu, J., Sserunkuuma, J., Najjuka, S. M., Atim, L. M., Olum, R., Tagg, A., & Bongomin, F. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256402 · Cited by 113 · see citing works
Katajavuori, N., Vehkalahti, K., & Asikainen, H. (2023) · Current Psychology · doi:10.1007/s12144-021-01837-x · Cited by 50 · see citing works
“It has been shown that participants from different backgrounds can experience interventions differently (Kinnunen et al., 2019).”
BackgroundHayes, S. C., Hofmann, S. G., & Stanton, C. E. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.08.009 · Cited by 39 · see citing works
Job and life satisfaction among emergency physicians: A qualitative study
Kase, J., & Doolittle, B. R. (2023) · PLoS ONE · doi:10.1371/journal.pone.0279425 · Cited by 37 · see citing works
Kinnunen, S. M., Puolakanaho, A., Mäkikangas, A., Tolvanen, A., & Lappalainen, R. (2020) · International Journal of Stress Management · doi:10.1037/str0000132 · Cited by 23 · see citing works
Self-citationDitton, E., Knott, B., Hodyl, N., Horton, G., Oldmeadow, C., Walker, F. R., & Nilsson, M. (2023) · JMIR Mental Health · doi:10.2196/42566 · Cited by 22 · see citing works
Psychological Treatment of Exhaustion Due to Persistent Non-Traumatic Stress: A Scoping Review.
van de Leur, J. C., Jovicic, F., Åhslund, A., McCracken, L. M., & Buhrman, M. (2024) · International Journal of Behavioral Medicine · doi:10.1007/s12529-023-10185-y · Cited by 16 · see citing works
Keinonen, K., Puolakanaho, A., Lappalainen, P., Lappalainen, R., & Kiuru, N. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.08.002 · Cited by 14 · see citing works
Self-citationBayot, M., Brianda, M. E., Waillet, N. V. D. S., Mikolajczak, M., Shankland, R., & Roskam, I. (2024) · Children · doi:10.3390/children11020168 · Cited by 14 · see citing works
“For example, controlling for appreciation of mindfulness practices or personality traits related to mindfulness meditation practice [58,59] that increase dispositional mindfulness and self-compassion might reveal nuances in our findings.”
BackgroundCrowell, D., & Madigan, D. J. (2021) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2020.1869802 · Cited by 11 · see citing works
“tions were able to decrease the symptoms for burnout with the largest effects observed in individuals who practiced more often and showed higher learning during the intervention period (Kinnunen et al., 2019).”
BackgroundGibson, C., O’Connor, M., White, R., Baxi, S., & Halkett, G. K. B. (2020) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2020.101881 · Cited by 11 · see citing works
Ditton, E., Knott, B., Hodyl, N., Horton, G., Walker, F. R., & Nilsson, M. (2023) · JMIR Formative Research · doi:10.2196/43263 · Cited by 9 · see citing works
“sessment • Questions were adapted from Kinnunen et al [70] (items altered to suit learning objectives of this intervention).”
MethodInfluentialPracticing mindfulness in addressing the biodiversity crisis
Gerber, L. R., Reeves-Blurton, Z. A., Gueci, N., Iacona, G. D., Beaudette, J. A., & Pipe, T. B. (2023) · Conservation Science and Practice · doi:10.1111/csp2.12945 · Cited by 8 · see citing works
“…of depression (which are barometers of physical and psychological well-being), and also helps counteract burnout (Alexander et al., 2012; Chang et al., 2004; Gerhart et al., 2016; Hulsheger et al., 2013; Kabat-Zinn, 1991; Kinnunen et al., 2019; Sevinc et al., 2020; Strohmaier et al., 2020).”
BackgroundDitton, E., Knott, B., Hodyl, N. A., Horton, G. L., Walker, F. R., & Nilsson, M. (2022) · JMIR Research Protocols · doi:10.2196/32992 · Cited by 8 · see citing works
“This poses problems for static interventions that provide the same training for all individuals, as it means that some may not receive the type or amount of training they need, and others may receive more training than necessary [40,69].”
BackgroundInfluentialPunna, M., Lappalainen, R. I., Kettunen, T., Lappalainen, P., Muotka, J. S., Kaipainen, K., Villberg, J. J., & Kasila, K. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.04.007 · Cited by 9 · see citing works
Self-citationVega-Campos, M., Pérez-Pérez, M., & Sarabia‐Cobo, C. (2025) · SAGE Open · doi:10.1177/21582440251320192 · Cited by 5 · see citing works
“More recently, studies by Muuraiskangas et al. (2016), Hashemi et al. (2019), Kinnunen et al. (2019) and Macı´as et al. (2019) have extended the research to other types of companies, variables and geographical contexts.”
Kämper, E., Katajavuori, N., & Asikainen, H. (2025) · Journal of University Teaching and Learning Practice · doi:10.53761/pgsppe36 · Cited by 5 · see citing works
“This study offers valuable insights for the research community into students’ experiences of how components based on psychological flexibility sub-processes support well-being, highlighting how individuals benefit differently from such interventions (Kinnunen et al., 2019).”
Sasaki, N., Imamura, K., Nishi, D., Watanabe, K., Sekiya, Y., Tsuno, K., Kobayashi, Y., & Kawakami, N. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-042167 · Cited by 5 · see citing works
Räihä, K., Asikainen, H., & Katajavuori, N. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100845 · Cited by 3 · see citing works
The Effect of Mindfulness Training on Core Self-Evaluation and Academic Burnout
Zhu, M., Talib, M. A., Yao, X., Xiang, Y., Feng, X., & Geng, Q. (2024) · doi:10.53555/kuey.v30i5.1836 · Cited by 3 · see citing works
MEANWELL: Meaningful work as a source of well-being : Research and development project description
Markkula, S., Konsti, S., & Rantanen, J. (2024) · JYU Reports · doi:10.17011/jyureports/2024/40 · Cited by 2 · see citing works
Merkityksellisestä työstä hyvinvointia organisaatioille: MEANWELL-hankkeen loppuraportti
Rantanen, J., Markkula, S., Konsti, S., Kiuru, N. H., Mauno, S., & Feldt, T. (2024) · JYU Reports · doi:10.17011/jyureports/2024/41 · Cited by 1 · see citing works
Dealing with the issue of student stress: Is mindfulness a solution?
Isham, A. E. (2019) · PsyPag Quarterly · doi:10.53841/bpspag.2019.1.112.19 · Cited by 1 · see citing works
HOT-pohjaiset verkko- ja mobiili-interventiot nuorten koulutyön tukena
Puolakanaho, A., Kiuru, N. H., & Lappalainen, P. (2025) · Psykologia · doi:10.62443/psykologia.v54i1.69742 · Cited by 1 · see citing works
Self-citationBayot, M., Brianda, M. E., Waillet, N. V. D. S., Mikolajczak, M., Shankland, R., & Roskam, I. (2023) · SSRN Electronic Journal · doi:10.2139/ssrn.4495095 · Cited by 1 · see citing works
La Terapia de Aceptación y Compromiso (ACT) en tres víctimas del conflicto armado en Colombia
Pacheco, A. M. V., & de Valderrama, B. P. B. (2021) · Universitas Psychologica · doi:10.11144/javeriana.upsy19.tacv
The Impact of Coaching on Burnout and Physician Well‐Being in Academic Otolaryngology: A Pilot Study
Norouzi, A., Johnson, K., Xu, M. J., Bonilla, C., Ishman, S. L., Murr, A. H., Chang, J. L., & Durr, M. L. (2026) · The Laryngoscope · doi:10.1002/lary.70906
- Authors
- Kinnunen, S. M., Puolakanaho, A., Tolvanen, A., Mäkikangas, A., & Lappalainen, R.
- Venue
- International Journal of Stress Management
- Published
- 2019-02
- Volume
- 26
- Issue
- 1
- Pages
- 89-101
- ISSN
- 1072-5245 (ISSN-L)
- 1573-3424
- OpenAlex
- W2801181534
- Cited by
- 28
- References
- 44
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 1 · 2021: 7 · 2020: 2 · 2019: 2 · 2018: 1
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- green
- urn.fi
- Locations
- International Journal of Stress Management (publishedVersion)
- Jyväskylä University Digital Archive (University of Jyväskylä) (submittedVersion)
- Tampere University Institutional Repository (Tampere University) (submittedVersion)
- Funders
- Finnish Social Insurance Institution
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Social Sciences › Psychology › Social Psychology › Workaholism, burnout, and well-being
- Keywords
- burnout, mindfulness, acceptance and commitment therapy, person-centered approach, individual differences, latent profiles, mindfulness skills, learning experience, brief intervention, occupational stress, workers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review