{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:11:26Z","timestamp":1753870286995,"version":"3.41.2"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007436","name":"Torben og Alice Frimodts Fond","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007436","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005275","name":"Region Hovedstaden","doi-asserted-by":"publisher","award":["A6837"],"award-info":[{"award-number":["A6837"]}],"id":[{"id":"10.13039\/501100005275","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Stress and Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Mindfulness\u2010based stress reduction (MBSR) is a 9\u2010session group\u2010treatment programme for managing stress. Research suggests variability in the outcomes of MBSR among participants. This prognostic (not causal) study develops a multivariable model that may support clinicians in forecasting expected MBSR outcomes. We used data of 763 patients collected from MBSR programs conducted between October 2015 and March 2022. Candidate prognostic factors at baseline included psychosocial work environment, sociodemographic, and clinical information. Multiple imputation was used to handle missing data (imputations\u00a0=\u00a0200). Important prognostic factors were backward selected in \u22655% of the imputed datasets. The final prediction model including the selected prognostic factors was evaluated using linear regression with a four\u2010fold internal cross\u2010validation procedure. Reductions in perceived stress from baseline to end of the MBSR programme were predicted by a lower General Severity Index (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a02.00, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01), higher baseline levels of stress (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.88, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01), and somewhat by having managerial responsibility in the latest job (vs. no; <jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22122.53, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.07). The remaining prognostic factors were weaker predictors, for example, gender and income. Internal validity of the final model was indicated by consistent results from four randomly folded subsamples. This study developed a prognostic model predicting changes in stress levels in relation to the MBSR programme. A reduction in stress level was particularly predicted by milder psychological symptoms and higher baseline levels of perceived stress. These predictions cannot be taken as evidence of causal associations. Forecasting of the illness course should be cautiously practiced using clinical judgement regarding individual patients.<\/jats:p>","DOI":"10.1002\/smi.3329","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T05:26:01Z","timestamp":1697693161000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Developing a prognostic model for stress reduction in patients with prolonged work\u2010related stress"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1884-3703","authenticated-orcid":false,"given":"Johan H\u00f8y","family":"Jensen","sequence":"first","affiliation":[{"name":"Department of Occupational and Environmental Medicine Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg  Copenhagen Denmark"},{"name":"Copenhagen Stress Research Center  Copenhagen Denmark"},{"name":"Department of Educational and Counselling Psychology McGill University  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reiner","family":"Rugulies","sequence":"additional","affiliation":[{"name":"Copenhagen Stress Research Center  Copenhagen Denmark"},{"name":"The National Research Centre for the Working Environment  Copenhagen Denmark"},{"name":"Section of Epidemiology Department of Public Health University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esben Meulengracht","family":"Flachs","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kajsa Ugelvig","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lone","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanna Hurwitz","family":"Eller","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg  Copenhagen Denmark"},{"name":"Copenhagen Stress Research Center  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bassam","family":"Khoury","sequence":"additional","affiliation":[{"name":"Department of Educational and Counselling Psychology McGill University  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b605"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2019.01.001"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10926\u2010008\u20109121\u20108"},{"key":"e_1_2_11_5_1","first-page":"31","volume-title":"The social psychology of health","author":"Cohen S.","year":"1988"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559\u20101816.2012.00900.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12671\u2010011\u20100079\u20109"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.3510"},{"key":"e_1_2_11_9_1","first-page":"665","volume-title":"Discovering Statistics using IBM SPSS Statistics","author":"Field A.","year":"2013"},{"volume-title":"Statistical methods for research workers","year":"1925","author":"Fisher R. 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