BACKGROUND: Medical students experience a high burden of stress and suffer elevated rates of depression, burnout, and suicide compared to the general population, yet there is no consensus on how to address student wellness. PURPOSES: The purpose of this study was to determine whether an abridged mindfulness based stress reduction (MBSR) intervention can improve measures of wellness in a randomized sample of 1st-year medical students. METHODS:Fifty-eight participants were randomized to control or 8-week MBSR intervention and then invited to participate in the study. All participants were assessed using the Perceived Stress Scale (PSS), the Resilience Scale (RS), and Self-Compassion Scale (SCS) at 3 separate time points: baseline, at the conclusion of the study intervention (8 weeks), and at 6 months after the conclusion of the intervention. The intervention consisted of 75 minutes of weekly class time, suggested meditation at home, and a half-day retreat in the last week. RESULTS: The intervention group achieved significant increase on SCS scores both at the conclusion of the study (0.58, p=.002), 95% confidence interval (CI) [0.23, 0.92], and at 6 months (0.56, p=.001), 95% CI [0.25, 0.87]. PSS scores achieved significant reduction at the conclusion of the study (3.63, p=.03), 95% CI [0.37, 6.89], but not at 6 months poststudy (2.91, p=.08), 95% CI [-0.37, 6.19]. The study did not demonstrate a difference in RS after the intervention, though RS was significantly correlated with both SCS and PSS. CONCLUSIONS: An abridged MBSR intervention improves perceived stress and self-compassion in 1st-year medical students and may be a valuable curricular tool to enhance wellness and professional development.
RCT Entities:
BACKGROUND: Medical students experience a high burden of stress and suffer elevated rates of depression, burnout, and suicide compared to the general population, yet there is no consensus on how to address student wellness. PURPOSES: The purpose of this study was to determine whether an abridged mindfulness based stress reduction (MBSR) intervention can improve measures of wellness in a randomized sample of 1st-year medical students. METHODS: Fifty-eight participants were randomized to control or 8-week MBSR intervention and then invited to participate in the study. All participants were assessed using the Perceived Stress Scale (PSS), the Resilience Scale (RS), and Self-Compassion Scale (SCS) at 3 separate time points: baseline, at the conclusion of the study intervention (8 weeks), and at 6 months after the conclusion of the intervention. The intervention consisted of 75 minutes of weekly class time, suggested meditation at home, and a half-day retreat in the last week. RESULTS: The intervention group achieved significant increase on SCS scores both at the conclusion of the study (0.58, p=.002), 95% confidence interval (CI) [0.23, 0.92], and at 6 months (0.56, p=.001), 95% CI [0.25, 0.87]. PSS scores achieved significant reduction at the conclusion of the study (3.63, p=.03), 95% CI [0.37, 6.89], but not at 6 months poststudy (2.91, p=.08), 95% CI [-0.37, 6.19]. The study did not demonstrate a difference in RS after the intervention, though RS was significantly correlated with both SCS and PSS. CONCLUSIONS: An abridged MBSR intervention improves perceived stress and self-compassion in 1st-year medical students and may be a valuable curricular tool to enhance wellness and professional development.
Authors: Ellen E Lee; Colin Depp; Barton W Palmer; Danielle Glorioso; Rebecca Daly; Jinyuan Liu; Xin M Tu; Ho-Cheol Kim; Peri Tarr; Yasunori Yamada; Dilip V Jeste Journal: Int Psychogeriatr Date: 2019-10 Impact factor: 3.878
Authors: Liselotte N Dyrbye; Tait D Shanafelt; Ling Werner; Amit Sood; Daniel Satele; Alexandra P Wolanskyj Journal: J Gen Intern Med Date: 2017-08-31 Impact factor: 5.128
Authors: Inge van Dijk; Maria H C T van Beek; Marieke Arts-de Jong; Peter L B J Lucassen; Chris van Weel; Anne E M Speckens Journal: Front Psychol Date: 2022-03-31
Authors: Ellen E Lee; Katherine J Bangen; Julie A Avanzino; BaiChun Hou; Marina Ramsey; Graham Eglit; Jinyuan Liu; Xin M Tu; Martin Paulus; Dilip V Jeste Journal: JAMA Psychiatry Date: 2020-09-01 Impact factor: 25.911