Central European Business Review 2024, 13(1):85-104 | DOI: 10.18267/j.cebr.362

Evaluation of the Effectiveness of Mental Health Intervention on Self-Compassion and Stigmatisation Attitudes among Leaders and Their Followers

Ivana Šípová1, Dorota Lofajová2, Martin Máčel ORCID...3, Karina Nielsen4, Siw Tone Innstrand ORCID...5
1 Charles University, Faculty of Arts, Department of Psychology, Prague, Czech Republic, ivana.sipova@ff.cuni.cz (corresponding author)
2 Charles University, Faculty of Arts, Department of Psychology, Prague, Czech Republic
3 Charles University, Faculty of Arts, Department of Psychology, Prague, Czech Republic
4 University of Sheffield, Sheffield University Management School, Sheffield, United Kingdom, k.m.nielsen@sheffield.ac.uk
5 Norwegian University of Science and Technology, Department of Psychology, Trondheim, Norway, siw.tone.innstrand@ntnu.no

Frequent alterations, unpredictable workloads, and blurred lines between professional and personal life all contribute to adverse effects on mental health. As a result, there is a growing need for managers to be attuned to their employees' emotional well-being and to cultivate the ability to openly, safely, and confidentially address mental health matters. Training in mental health awareness can equip managers with the skills to recognize early signs of common mental health conditions, engage in conversations about mental health, and actively promote well-being to prevent mental health challenges. The study aims to evaluate the effectiveness of mental health intervention on self-compassion and stigmatisation attitudes among leaders and their followers. The present study is a part of a large European research project. A pre-post research design was implemented in two Czech SMEs to investigate the effect of mental health awareness training on leaders and their followers. The research focuses on two dependent variables – self-compassion as a personal resource and stigmatisation as the attitude towards mental health. The moderating role of learning transfer and the opportunity to use the training was taken into account. For the leaders, the results indicate a statistically significant increase in self-compassion and a decrease in stigmatising attitudes toward mental health issues. There is no statistically significant moderating role of training transfer variables. For the followers, a statistically significant change was evident in decreased stigmatising attitudes. The results need to be interpreted in the context of organisational changes that both companies went through during the research project resulting in more stress, workload, and drop-outs.
Implications for the Central European audience: There is a need for knowledge on how to prevent well-being-related problems in a changing world with more remote work and more mental health issues. The present study adds to this need by exploring the effect of mental health awareness training on two organisational levels – leaders and their followers. The practical contribution of this research is to provide specific recommendations on how to stimulate mental health awareness for leaders through training interventions and thus promote employee well-being.

Keywords: mental health; effectiveness evaluation; training; process evaluation
JEL classification: I31, J24

Received: November 11, 2023; Revised: January 12, 2024; Accepted: January 24, 2024; Prepublished online: March 24, 2024; Published: March 29, 2024  Show citation

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Šípová, I., Lofajová, D., Máčel, M., Nielsen, K., & Tone Innstrand, S. (2024). Evaluation of the Effectiveness of Mental Health Intervention on Self-Compassion and Stigmatisation Attitudes among Leaders and Their Followers. Central European Business Review, 13(1), 85-104. doi: 10.18267/j.cebr.362
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    References

    1. Aknin, L. B., De Neve, J. E., Dunn, E. W., Fancourt, D. E., Goldberg, E., Helliwell, J. F., Jones, S. P., Karam, E., Layard, R., Lyubomirsky, S., Rzepa, A., Saxena, S., Thornton, E. M., VanderWeele, T. J., Whillans, A. V., Zaki, J., Karadag, O., & Ben Amor, Y. (2022). Mental Health During the First Year of the COVID-19 Pandemic: A Review and Recommendations for Moving Forward. Perspectives on Psychological Science, 17(4), 915-936. https://doi.org/10.1177/17456916211029964. Go to original source...
    2. Bakker, A. B., & Demerouti, E. (2017). Job demands-resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273-285. https://doi.org/10.1037/ocp0000056. Go to original source...
    3. Baldwin, T. T., & Ford, J. K. (1988). Transfer of training: A review and directions for future research. Personnel Psychology, 41, 63-105. https://doi.org/10.1111/j.1744-6570.1988.tb00632.x. Go to original source...
    4. Chisholm, D., Sweeny, K., Sheehan, P., Rasmussen, B., Smit, F., Cuijpers, P., & Saxena, S. (2016). Scaling-up treatment of depression and anxiety: A global return on investment analysis. The Lancet Psychiatry, 3(5), 415-424. https://doi.org/10.1016/S2215-0366(16)30024-4. Go to original source...
    5. Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rüsch, N., Brown, J. S. L., & Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11-27. https://doi.org/10.1017/S0033291714000129. Go to original source...
    6. Corrigan, P. W., & Bink, A. B. (2016). The Stigma of Mental Illness. In Encyclopedia of Mental Health: Second Edition (pp. 230-234). Elsevier Inc. https://doi.org/10.1016/B978-0-12-397045-9.00170-1 Go to original source...
    7. da Silva, A. G., Miranda, D. M., Diaz, A. P., Teles, A. L. S., Malloy-Diniz, L. F., Palha, A. P., & Faillace, L. A. (2020). Mental health: Why it still matters in the midst of a pandemic. Brazilian Journal of Psychiatry, 42(3), 229-231. https://doi.org/10.1590/1516-4446-2020-0009. Go to original source...
    8. De Angelis, M., Giusino, D., Nielsen, K., Aboagye, E., Christensen, M., Innstrand, S. T., Mazzetti, G., van den Heuvel, M., Sijbom, R. B. L., Pelzer, V., Chiesa, R., & Pietrantoni, L. (2020). H-work project: Multilevel interventions to promote mental health in smes and public workplaces. International Journal of Environmental Research and Public Health, 17(21), 1-23. https://doi.org/10.3390/ijerph17218035. Go to original source...
    9. Dimoff, J. K., Kelloway, E. K., & Burnstein, M. D. (2016). Mental health awareness training (MHAT): The development and evaluation of an intervention for workplace leaders. International Journal of Stress Management, 23(2), 167-189. https://doi.org/10.1037/a0039479 Go to original source...
    10. Dimoff, J. K., & Kelloway, E. K. (2019). With a little help from my boss: The impact of workplace mental health training on leader behaviors and employee resource utilization. Journal of Occupational Health Psychology, 24(1), 4-19. https://doi.org/10.1037/ocp0000126. Go to original source...
    11. Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149. Go to original source...
    12. Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146. Go to original source...
    13. Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019). Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs. Mindfulness, 10(8), 1455-1473. https://doi.org/10.1007/s12671-019-01134-6. Go to original source...
    14. Finlay-Jones, A. L. (2017). The relevance of self-compassion as an intervention target in mood and anxiety disorders: A narrative review based on an emotion regulation framework. Clinical Psychologist, 21(2), 90-103. https://doi.org/10.1111/cp.12131. Go to original source...
    15. Fløvik, L., Knardahl, S., & Christensen, J. O. (2019). Organizational change and employee mental health: A prospective multilevel study of the associations between organizational changes and clinically relevant mental distress. Scandinavian Journal of Work, Environment and Health, 45(2), 134-145. https://doi.org/10.5271/sjweh.3777. Go to original source...
    16. Franke, F., Felfe, J., & Pundt, A. (2014). The impact of health-oriented leadership on follower health: Development and test of a new instrument measuring health-promoting leadership. Zeitschrift Fur Personalforschung, 28(1-2), 139-161. https://doi.org/10.1688/ZfP-2014-01-Franke. Go to original source...
    17. Gaebel, W., Zäske, H., & Baumann, A. E. (2006). The relationship between mental illness severity and stigma. Acta Psychiatrica Scandinavica, 113(s429), 41-45. https://doi.org/10.1111/j.1600-0447.2005.00716.x. Go to original source...
    18. Galanakis, M. J., Palaiologou, A., Patsi, G., Velegraki, I.-M., & Darviri, C. (2016). A Literature Review on the Connection between Stress and Self-Esteem. Psychology, 7(5), 687-694. https://doi.org/10.4236/psych.2016.75071. Go to original source...
    19. Gayed, A., Tan, L., LaMontagne, A. D., Milner, A., Deady, M., Milligan-Saville, J. S., Madan, I., Calvo, R. A., Christensen, H., Mykletun, A., Glozier, N., & Harvey, S. B. (2019). A comparison of face-to-face and online training in improving managers' confidence to support the mental health of workers. Internet Interventions, 18. https://doi.org/10.1016/j.invent.2019.100258. Go to original source...
    20. Gist, M. E., Schwoerer, C., & Rosen, B. (1989). Effects of Alternative Training Methods on Self-Efficacy and Performance in Computer Software Training. Journal of Applied Psychology, 74(6), 884-891. https://doi.org/10.1037/0021-9010.74.6.884. Go to original source...
    21. Giusino, D., De Angelis, M., Mazzetti, G., Faiulo, I. R., Innstrand, S. T., Christensen, M., & Nielsen, K. (2022). Mentally Healthy Healthcare: Main Findings and Lessons Learned From a Needs Assessment Exercise at Multiple Workplace Levels. In C. Bowers, D. Beidel, M. Marks, K. Horan, & J. Cannon-Bowers (Eds.), Mental Health and Wellness in Healthcare Workers: Identifying Risks, Prevention, and Treatment (pp. 143-171). IGI Global. https://doi.org/10.4018/978-1-7998-8813-0.ch008. Go to original source...
    22. Glazer, S. (2011). A new vision for the journal [Editorial]. International Journal of Stress Management, 18(1), 1-4. https://doi.org/10.1037/a0022307. Go to original source...
    23. Goldstein, I. L., & Musicante, G. R. (1986). The applicability of a training transfer model to issues concerning rater training. In E. A. Locke (Ed.), Generalizing from laboratory to field settings (pp. 83-98). New Lexington Press.
    24. Harvey, S. B., Joyce, M. S., Tan, L., Johnson, A., Nguyen, H., Modini, M. M., & Groth, M. (2014). Developing a mentally healthy workplace: A review of the literature: A report for the National Mental Health Commission and the Mentally Healthy Workplace Alliance. https://www.mentalhealthcommission.gov.au.
    25. Innstrand, S. T., Christensen, M., Grødal, K., & Vedlong, H. (2020). Needs analyses report including action plan for implementation: Group 1.
    26. Kagstrom, A., Alexova, A., Tuskova, E., Csajbók, Z., Schomerus, G., Formanek, T., Mladá, K., Winkler, P., & Cermakova, P. (2019). The treatment gap for mental disorders and associated factors in the Czech Republic. European Psychiatry, 59, 37-43. https://doi.org/10.1016/j.eurpsy.2019.04.003. Go to original source...
    27. Kaluza, A. J., Weber, F., van Dick, R., & Junker, N. M. (2021). When and how health-oriented leadership relates to employee well-being-The role of expectations, self-care, and LMX. Journal of Applied Social Psychology, 51(4), 404-424. https://doi.org/10.1111/jasp.12744 Go to original source...
    28. Kelloway, E. K., & Barling, J. (2010). Leadership development as an intervention in occupational health psychology. Work & Stress, 24(3), 260-279. https://doi.org/10.1080/02678373.2010.518441. Go to original source...
    29. Kelloway, E., Sivanathan, N., Francis, L., & Barling, J. (2005). Poor Leadership. Handbook Of Work Stress, 89-112. https://doi.org/10.4135/9781412975995.n5 Go to original source...
    30. Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. In Bulletin of the World Health Organization, 82(11), 858-866.
    31. Lecours, A., St-Hilaire, F., & Daneau, P. (2022). Fostering mental health at work: the butterfly effect of management behaviors. International Journal of Human Resource Management, 33(13), 2744-2766. https://doi.org/10.1080/09585192.2021.1886151. Go to original source...
    32. Lilius, J. M., Worline, M. C., Maitlis, S., Kanov, J., Dutton, J. E., & Frost, P. (2008). The contours and consequences of compassion at work. Journal of Organizational Behavior, 29(2), 193-218. https://doi.org/10.1002/job.508. Go to original source...
    33. Milligan-Saville, J. S., Tan, L., Gayed, A., Barnes, C., Madan, I., Dobson, M., Bryant, R. A., Christensen, H., Mykletun, A., & Harvey, S. B. (2017). Workplace mental health training for managers and its effect on sick leave in employees: a cluster randomised controlled trial. The Lancet Psychiatry, 4(11), 850-858. https://doi.org/10.1016/S2215-0366(17)30372-3. Go to original source...
    34. Moore, G., Audrey, S., Barker, M., Bond, L., Bonell, C., Cooper, C., Hardeman, W., Moore, L., O'Cathain, A., Tinati, T., Wight, D., & Baird, J. (2014). Process evaluation in complex public health intervention studies: The need for guidance. Journal of Epidemiology and Community Health, 68(2), 101-102. https://doi.org/10.1136/jech-2013-202869. Go to original source...
    35. Neff, K. D. (2010). Self-Compassion: An Alternative Conceptualization of a HealthyAttitudeToward Oneself. Self And Identity, 2(2), 85-101. https://doi.org/https://doi.org/10.1080/15298860309032 Go to original source...
    36. Neff, K. D., & Dahm, K. A. (2015). Self-Compassion: What It Is, What It Does, and How It Relates to Mindfulness. Handbook of Mindfulness and Self-Regulation, 121-137. https://doi.org/10.1007/978-1-4939-2263-5_10 Go to original source...
    37. Nielsen, K., De Angelis, M., Innstrand, S. T., & Mazzetti, G. (2023). Quantitative process measures in interventions to improve employees' mental health: A systematic literature review and the IPEF framework. Work and Stress, 37(1), 1-26. https://doi.org/10.1080/02678373.2022.2080775. Go to original source...
    38. Reizer, A. (2019). Bringing self-kindness into the workplace: Exploring the mediating role of self-compassion in the associations between attachment and organizational outcomes. Frontiers in Psychology, 10, 1148. https://doi.org/10.3389/fpsyg.2019.01148. Go to original source...
    39. Retzinger, S. M. (1989). A Theory of Mental Illness: Integrating Social and Emotional Aspects. Psychiatry, 52(3), 325-335. https://doi.org/10.1080/00332747.1989.11024454. Go to original source...
    40. Rüsch, N., Angermeyer, M. C., & Corrigan, P.W. (2005). Das Stigma psychischer Erkrankung: Konzepte, Formen und Folgen. Psychiatrische Praxis, 32(5), 221-232. https://doi.org/10.1055/s-2004-834566. Go to original source...
    41. Schaufeli, W. B., & Taris, T. W. (2013). A Critical Review of the Job Demands-Resources Model: Implications for Improving Work and Health. Bridging Occupational, Organizational And Public Health, 1(1), 43-68. https://doi.org/https://doi.org/10.1007/978-94-007-5640-3_4 Go to original source...
    42. Schomerus, G., & Angermeyer, M. C. (2021). Blind spots in stigma research? Broadening our perspective on mental illness stigma by exploring "what matters most" in modern Western societies. Epidemiology and Psychiatric Sciences, 30, e26. https://doi.org/10.1017/S2045796021000111. Go to original source...
    43. Skakon, J., Nielsen, K., Borg, V., & Guzman, J. (2010). Are leaders' well-being, behaviours and style associated with the affective well-being of their employees? A systematic review of three decades of research. Work and Stress, 24(2), 107-139. https://doi.org/10.1080/02678373.2010.495262. Go to original source...
    44. Smith, R. A., Zhu, X., & Fink, E. L. (2019). Understanding the Effects of Stigma Messages: Danger Appraisal and Message Judgments. Health Communication, 34(4), 424-436. https://doi.org/10.1080/10410236.2017.1405487. Go to original source...
    45. Stutts, L. A., Leary, M. R., Zeveney, A. S., & Hufnagle, A. S. (2018). A longitudinal analysis of the relationship between self-compassion and the psychological effects of perceived stress. Self and Identity, 17(6), 609-626. https://doi.org/10.1080/15298868.2017.1422537. Go to original source...
    46. Szeto, A. C. H., Luong, D., & Dobson, K. S. (2013). Does labeling matter? An examination of attitudes and perceptions of labels for mental disorders. Social Psychiatry and Psychiatric Epidemiology, 48(4), 659-671. https://doi.org/10.1007/s00127-012-0532-7. Go to original source...
    47. Szeto, A., Dobson, K. S., & Knaak, S. (2019). The Road to Mental Readiness for First Responders: A Meta-Analysis of Program Outcomes. Canadian Journal of Psychiatry, 64(1_suppl), 18-29. https://doi.org/10.1177/0706743719842562. Go to original source...
    48. Team, R. C. (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna. https://www.R-project.org.
    49. The jamovi project (2022). Jamovi (Version 2.3) [Computer Software]. https://www.jamovi.org
    50. Thornicroft, G., Rose, D., Kassam, A., & Sartorius, N. (2007). Stigma: Ignorance, prejudice or discrimination?. British Journal of Psychiatry, 190(3), 192-193. https://doi.org/10.1192/bjp.bp.106.025791 Go to original source...
    51. Tsutsumi, A. (2011). Development of an Evidence-based Guideline for Supervisor Training in Promoting Mental Health: Literature Review. Journal of occupational health, 53(1), 1-9. https://doi.org/10.1539/joh.r10002. Go to original source...
    52. Weston, D., Hudson, C., Carroll, D., Coomber, S., & Amlôt, R. (2019). Evaluating a pilot mental health awareness for managers' training course. Occupational Medicine, 69(4), 251-257. https://doi.org/10.1093/occmed/kqz061. Go to original source...
    53. World Health Organization. (2022). The WHO guidelines on mental health at work. https://www.who.int/publications/i/item/9789240053052
    54. Winkler, P., Janoušková, M., Kožený, J., Pasz, J., Mladá, K., Alexová, A., Tušková, E., & Evans-Lacko, S. (2017). Short video interventions to reduce mental health stigma: a multi-centre randomised controlled trial in nursing high schools. Social Psychiatry And Psychiatric Epidemiology, 52(2), 1549-1557. https://doi.org/https://doi.org/10.1007/s00127-017-1449-y Go to original source...
    55. Winkler, P., Formánek, T., Mladá, K., & Evans Lacko, S. (2021). Development of public stigma toward people with mental health problems in Czechia 2013-2019. European Psychiatry, 64(1), e52. https://doi.org/10.1192/j.eurpsy.2021.2226. Go to original source...

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