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Mindfulness training for stress management: a randomised controlled study of medical and psychology students

机译：压力管理正念训练：医学和心理学学生的随机对照研究

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Background Distress and burnout among medical and psychology professionals are commonly reported and have implications for the quality of patient care delivered. Already in the course of university studies, medicine and psychology students report mental distress and low life satisfaction. There is a need for interventions that promote better coping skills in students in order to prevent distress and future burnout. This study examines the effect of a seven-week Mindfulness-Based Stress Reduction (MBSR) programme on mental distress, study stress, burnout, subjective well-being, and mindfulness of medical and psychology students. Methods A total of 288 students (mean age =?23?years, 76% female) from the University of Oslo and the University of Troms? were randomly allocated to an intervention or control group. The control group continued with their standard university courses and received no intervention. Participants were evaluated using self-reported measures both before and after the intervention. These were: the ‘General Health Questionnaire, Maslach Burnout Inventory Student version, Perceived Medical School Stress, Subjective Well-being, and Five Facet Mindfulness Questionnaire’ and additional indices of compliance. Results Following the intervention, a moderate effect on mental distress (Hedges’g 0.65, CI =?.41, .88), and a small effect on both subjective well-being (Hedges’g 0.40, CI =?.27, .63) and the mindfulness facet ‘non-reacting’ (Hedges’g 0.33, CI =?.10, .56) were found in the intervention group compared with the control group. A higher level of programme attendance and reported mindfulness exercises predicted these changes. Significant effects were only found for female students who additionally reported reduced study stress and an increase in the mindfulness facet ‘non-judging’. Gender specific effects of participation in the MBSR programme have not previously been reported, and gender differences in the present study are discussed. Conclusion Female medical and psychology students experienced significant positive improvements in mental distress, study stress, subjective well-being and mindfulness after participating in the MBSR programme. Trial registration NCT00892138
机译：背景技术医学和心理学专业人士普遍感到困扰和倦怠，这对所提供的患者护理质量有影响。在大学学习期间，医学和心理学专业的学生都感到精神困扰和生活满意度低。需要采取干预措施，以提高学生的应对能力，以防止困扰和未来的倦怠。这项研究考察了为期七周的正念减压计划（MBSR）对医学和心理学专业学生的心理困扰，学习压力，倦怠，主观幸福感和正念的影响。方法奥斯陆大学和特罗姆斯大学共有288名学生（平均年龄= 23岁，女性76％）。被随机分配到干预组或对照组。对照组继续他们的标准大学课程，没有干预。干预前后均采用自我报告的方法对参与者进行评估。它们是：“一般健康调查表，Maslach倦怠量表学生版，对医学院的感知压力，主观幸福感和五方面正念调查表”以及其他合规指标。结果干预后，对精神困扰的影响中等（Hedges'g 0.65，CI = ?. 41，.88），对两种主观幸福感的影响均较小（Hedges'g 0.40，CI = ?. 27，。与对照组相比，干预组发现了正念面“未反应”（Hedges'g 0.33，CI =？0.10，.56）。较高的课程出勤率和报告的正念练习可以预测这些变化。仅对另外报告称减轻学习压力和提高正念面“非判断力”的女学生，发现了显着影响。先前尚未报道参与MBSR计划的性别特异效果，并讨论了本研究中的性别差异。结论参加MBSR计划后，女性医学和心理学专业的学生在精神困扰，学习压力，主观幸福感和正念方面取得了显着的积极改善。试用注册NCT00892138

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