Abstract

BackgroundDistress 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.MethodsA total of 288 students (mean age = 23 years, 76% female) from the University of Oslo and the University of Tromsø 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.ResultsFollowing 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.ConclusionFemale 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 registrationNCT00892138

Highlights

  • Distress and burnout among medical and psychology professionals are commonly reported and have implications for the quality of patient care delivered

  • A review of the distress experienced by medical students has emphasised the need for studies that contribute to a better understanding of how to promote well-being [9]

  • Our study aimed to evaluate the effects of a sevenweek Mindfulness-Based Stress Reduction (MBSR) programme in a student sample from two Norwegian universities

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Summary

Introduction

Distress and burnout among medical and psychology professionals are commonly reported and have implications for the quality of patient care delivered. Distress among medical and psychology professionals is associated with poorer patient care [1], a higher risk of future medical errors [2], as well as depression, anxiety and reduced life satisfaction [3,4,5] Whether such problems can be prevented through stress-reducing interventions for psychology and medical students has not yet been fully investigated, and there are noticeably few studies involving psychology students within this area of research. Medical and psychology students are typically resourceful high achievers who are able to cope with the challenges of professional study yet they commonly report mental distress and low levels of life satisfaction [6,7,8].

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