Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis

Hathaisaard, Chayamai; Wannarit, Kamonporn; Pattanaseri, Keerati

doi:10.1016/j.ajp.2021.102997

Cited by 39 publications

(29 citation statements)

References 20 publications

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“…Studies of interventions aimed at preventing or reducing burnout in university students have observed positive results from cognitive interventions related to stressors, irrational beliefs, or negative thoughts [ 12 , 13 ], from regular aerobic exercise (to alleviate emotional exhaustion) [ 14 ]; from the use of simulated patients and peer group discussions to comment on clinical cases that are especially sensitive, interesting, or shocking to develop empathy [ 7 , 15 , 16 , 17 ]; and from mindfulness-based interventions [ 18 , 19 , 20 ]. On the other hand, the role of nurse educators should be emphasized, as they can intervene to help nursing students to cope with burnout [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Evolution and Treatment of Academic Burnout in Nursing Students: A Systematic Review

et al. 2023

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Aim: To analyse the scientific literature related to the evolution of burnout syndrome during nursing studies and the interventions for the treatment or prevention of this syndrome in nursing students. Methods: A systematic review of the PubMed, Scopus, and CINAHL databases was performed in August 2022 using the search phrase “burnout AND nursing students” to extract experimental and longitudinal studies. Results: Eleven relevant studies were obtained for analysis. Four were experimental, and seven were cohort studies. According to these studies, the interventions reduced burnout overall, but on occasion, the burnout scores for some aspects increased, as did the prevalence. Psychological and work environment-related variables were the most important factors predicting burnout. Conclusion: Burnout (i.e., emotional exhaustion and depersonalisation) tends to increase during nursing studies. Related factors include personality, coping strategies, life satisfaction, and the work environment. Interventions such as progressive muscle relaxation, behavioural therapy, and recreational music may alleviate burnout.

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Section: Introductionmentioning

confidence: 99%

Evolution and Treatment of Academic Burnout in Nursing Students: A Systematic Review

et al. 2023

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“…A Belgian study investigating both professionals and service users pointed out that the associative stigma of mental health care providers was related to more self-stigma and dissatisfaction of the clients, besides the increased symptoms of burnout and the less job satisfaction of mental health professionals [18]. Therefore, as prevention, mental healthcare workers should be provided with supportive opportunities such as skill-based interventions [19], intensive social contact intervention with persons with lived experience of mental illness [20], unconscious bias informed education [21], and mindfulness based interventions to reduce the stress [22]. The Balint group is a patient-centered approach that deepens the understanding of the doctor-patient relationship and improves communication skills, which is protective against burnout syndrome [23].…”

Section: Introductionmentioning

confidence: 99%

Stigma towards mental illness and help-seeking behaviors among adult and child psychiatrists in Hungary: A cross-sectional study

Őri

Szocsics²,

Molnár³

et al. 2022

PLoS ONE

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Objective Stigma towards people with mental health problems is a growing issue across the world, to which healthcare providers might contribute. The aim of the present study was to explore psychiatrists’ attitudes towards their patients and link them to psychosocial and professional factors. Methods An online questionnaire was used to approach the in- and outpatient psychiatric services across Hungary. A total of 211 trainees and specialists in adult and child psychiatry participated in our study. Their overall stigmatizing attitudes were measured, with focus on attitude, disclosure and help-seeking, and social distance dimensions by using the self-report Opening Minds Stigma Scale for Health Care Providers (OMS-HC). Multiple linear regression analyses were performed to elucidate the dimensions of stigma and its association with sociodemographic, professional and personal traits. Results Stigmatizing attitudes of close colleagues towards patients were statistically significant predictors of higher scores on the attitude [B = 0.235 (0.168–0.858), p = 0.004], the disclosure and help-seeking subscales [B = 0.169 (0.038–0.908), p = 0.033], and the total score of the OMS-HC [B = 0.191 (0.188–1.843), p = 0.016]. Psychiatrists who had already sought help for their own problems had lower scores on the disclosure and help-seeking subscale [B = 0.202 (0.248–1.925), p = 0.011]. The overall stigmatizing attitude was predicted by the openness to participate in case discussion, supervision or Balint groups [B = 0.166 (0.178–5.886), p = 0.037] besides the more favorable attitudes of their psychiatrist colleagues [B = 0.191 (0.188–1.843), p = 0.016]. Conclusions The favorable attitudes of psychiatrists are associated with their own experiences with any kind of psychiatric condition, previous help-seeking behavior and the opportunity to work together with fellow psychiatrists, whose attitudes are less stigmatizing. The perception of fellow colleagues’ attitudes towards patients and the openness to case discussion, supervision and Balint groups were the main two factors that affected the overall attitudes towards patients; therefore, these should be considered when tailoring anti-stigma interventions for psychiatrists.

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“…Mindfulness-based interventions (MBI) are proven effective for burnout and stress reduction in medical personnel [ 11 , 12 ]. Mindfulness is defined as the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally to the moment by moment unfolding of experience [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Feasibility of the Minimal Therapist-Guided Four-Week Online Audio-Based Mindfulness Program ‘Mindful Senses’ for Burnout and Stress Reduction in Medical Personnel: A Randomized Controlled Trial

2022

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Previous online mindfulness-based interventions for burnout and stress reduction in medical personnel had limited effect size and high dropout rate, so we developed a new online mindfulness program ‘Mindful Senses (MS)’ with aims to increase effect size and lower dropout rate. To test its efficacy and feasibility, ninety medical personnel with moderate or high levels of burnout and stress from across Thailand were recruited and randomly allocated into Group A and Group B equally. Group A read psychological self-help articles (PSA) and attended MS program through smartphone application during weeks 1–4. Group B read PSA during weeks 1–4 and attended MS program during weeks 9–12. Burnout, stress, anxiety, depression, mindfulness, and quality of life were measured at baseline, week 4, and week 8 for both groups, and at weeks 12 and 16 for Group B. Group x time interaction was analyzed by repeated-measures ANOVA. The results showed that, compared to PSA only, MS + PSA had statistically significant improvement of burnout, stress, anxiety, depression, mindfulness, and quality of life with moderate-to-very large effect sizes at week 4 (d = 1.33, 1.42, 1.04, 1.14, 0.70, and 1.03, respectively) and moderate-to-large effect sizes at week 8 (d = 0.84, 0.98, 0.73, 0.73, 0.66, and 0.94, respectively). The dropout rate was 4.4%. In conclusion, the MS program has potential to be an alternative intervention for medical personnel suffering from burnout and stress.

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Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis

Cited by 39 publications

References 20 publications

Evolution and Treatment of Academic Burnout in Nursing Students: A Systematic Review

Evolution and Treatment of Academic Burnout in Nursing Students: A Systematic Review

Stigma towards mental illness and help-seeking behaviors among adult and child psychiatrists in Hungary: A cross-sectional study

Efficacy and Feasibility of the Minimal Therapist-Guided Four-Week Online Audio-Based Mindfulness Program ‘Mindful Senses’ for Burnout and Stress Reduction in Medical Personnel: A Randomized Controlled Trial

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