A Wellness Program for First Year Medical Students

McGrady, Angele; Brennan, Julie; Lynch, Denis J.; Whearty, Kary

doi:10.1007/s10484-012-9198-x

Cited by 56 publications

(56 citation statements)

References 19 publications

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“…In terms of anxiety scores at the final follow-up assessment, there was no evidence of a significant treatment effect of a multicomponent stress management programme in one RCT (SMD 0.31, 95% CI −0.03 to 0.66; one study; figure 4). 28 There was, however, some suggestion of an increase in anxiety scores at final follow-up assessment in two non-RCTs of guided meditation and psychoeducation respectively (SMD 0.51, 95% CI 0.10 to 0.91; two studies; I 2 : 0.0%; figure 4). The test for subgroup differences by study design was, as a consequence, significant (χ 2 =7.53, p=0.02).…”

Section: Resultsmentioning

confidence: 97%

Effectiveness of universal programmes for the prevention of suicidal ideation, behaviour and mental ill health in medical students: a systematic review and meta-analysis

Witt

Boland

Lamblin

et al. 2019

Evid Based Mental Health

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QuestionA growing body of work suggests that medical students may be particularly at risk of mental ill health, suicidal ideation and behaviour, resulting in recent calls to develop interventions to prevent these outcomes. However, few reviews have synthesised the current evidence base regarding the effectiveness of these interventions and provided guidance to improve future intervention efforts.Study selection and analysisThe authors conducted a systematic review to identify studies of any design reporting the effectiveness of any universal intervention to address these outcomes in medical students. Embase, MEDLINE and PsycINFO databases were searched from their respective start dates until 1 December 2017.FindingsData from 39 studies were included. Most investigated the effectiveness of relatively brief interventions designed to reduce stress; most commonly using mindfulness-based or guided meditation approaches. Only one implemented an intervention specifically designed to address suicidal ideation; none investigated the effectiveness of an intervention specifically designed to address suicidal behaviour. Five investigated the effects of curriculum-level changes. Overall, there was limited evidence of an effect for these programmes at both the postintervention and longest follow-up assessment on depression, anxiety and stress.ConclusionsRelatively brief, individually focused, mindfulness-based interventions may be effective in reducing levels of anxiety, depression and stress in medical students in the short term. Effects on suicidal ideation and behaviour, however, remain to be determined. There has been a significant lack of attention on organisational-level stressors associated with medical education and training.

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Section: Resultsmentioning

confidence: 97%

Effectiveness of universal programmes for the prevention of suicidal ideation, behaviour and mental ill health in medical students: a systematic review and meta-analysis

Witt

Boland

Lamblin

et al. 2019

Evid Based Mental Health

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“…In contrast to other studies [20, 23, 50, 51], we decided on a conservative approach by conducting a per-protocol analysis, correcting for multiple testing and interpreting the interaction effect of the repeated measures MANCOVA as an evidence of the effectiveness of the trainings. Since stress prevention programs seem to affect the experience of distress and mental health of medical students in other countries positively, the question is how the results of our study can be explained.…”

Section: Discussionmentioning

confidence: 99%

Coping with stress in medical students: results of a randomized controlled trial using a mindfulness-based stress prevention training (MediMind) in Germany

Kuhlmann

Huß

Bürger³

et al. 2016

BMC Med Educ

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BackgroundHigh prevalence rates of psychological distress in medical training and later professional life indicate a need for prevention. Different types of intervention were shown to have good effects, but little is known about the relative efficacy of different types of stress management interventions, and methodological limitations have been reported. In order to overcome some of these limitations, the present study aimed at evaluating the effect of a specifically developed mindfulness-based stress prevention training for medical students (MediMind) on measures of distress, coping and psychological morbidity.MethodsWe report on a prospective randomized controlled trial with three study conditions: experimental treatment (MediMind), standard treatment (Autogenic Training) and a control group without treatment. The sample consisted of medical or dental students in the second or eighth semester. They completed self-report questionnaires at baseline, after the training and at one year follow-up. Distress (Trier Inventory for the Assessment of Chronic Stress, TICS) was assessed as the primary outcome and coping (Brief COPE) as a co-primary outcome. Effects on the psychological morbidity (Brief Symptom Inventory, BSI) as a secondary outcome were expected one year after the trainings.ResultsInitially, N = 183 students were randomly allocated to the study groups. At one year follow-up N = 80 could be included into the per-protocol analysis: MediMind (n =31), Autogenic Training (n = 32) and control group (n = 17). A selective drop-out for students who suffered more often from psychological symptoms was detected (p = .020). MANCOVA’s on TICS and Brief COPE revealed no significant interaction effects. On the BSI, a significant overall interaction effect became apparent (p = .002, η2partial = .382), but post hoc analyses were not significant. Means of the Global Severity Index (BSI) indicated that MediMind may contribute to a decrease in psychological morbidity.ConclusionDue to the high and selective dropout rates, the results cannot be generalized and further research is necessary. Since the participation rate of the trainings was high, a need for further prevention programs is indicated. The study gives important suggestions on further implementation and evaluation of stress prevention in medical schools.Trial registrationThis trial is recorded at German Clinical Trials Register under the number DRKS00005354 (08.11.2013).

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“…Isto na tentativa de ajudá-los a superar os problemas mais comuns enfrentados na graduação, além de auxiliá-los a desenvolver algumas aptidões importantes no enfrentamento do estresse, principalmente daqueles que acabaram de adentrar no ambiente universitário [14][15][16][17][18][19][20] .…”

Section: Introductionunclassified