ABSTRACTProblem: Medical students face rigorous and stressful work environments, resulting in high rates of psychological distress. However, there has been a dearth of empirical work aimed at modifying risk factors for psychopathology among this at-risk group. Distress tolerance, defined as the ability to withstand emotional distress, is one factor that may be important in promoting psychological well-being in medical students. Thus, the aim of the current mixed-methods study was (a) to describe changes in facets of distress tolerance (i.e., emotional tolerance, absorption, appraisal, regulation) for medical students who completed a mind–body skills training group, and a no-intervention control group of students; (b) to examine the relationship between changes in psychological variables and changes in distress tolerance; and (c) to report students' perceptions of the mind–body group, with an emphasis on how the group may have affected personal and professional functioning due to improvements in distress tolerance. Intervention: The mind–body program was an 11-week, 2-hour skills training group that focused on introducing, practicing, and processing mind–body skills such as biofeedback, guided imagery, relaxation, several forms of meditation (e.g., mindfulness), breathing exercises, and autogenic training. Context: Participants were 52 first- and second-year medical students (62.7% female, Mage = 23.45, SD = 1.51) who participated in a mind–body group or a no-intervention control group and completed self-report measures before and after the 11-week period. Outcome: Students in the mind–body group showed a modest improvement in all distress tolerance subscales over time (ΔM = .42–.53, p = .01–.03, d = .44–.53), whereas the control group showed less consistent changes across most subscales (ΔM = .11–.42, p = .10–.65, d = .01–.42). Students in the mind–body group qualitatively reported an improved ability to tolerate affective distress. Overall, improvements in psychological symptoms were associated with improvements in distress tolerance in the mind–body group but not in the control group. Lessons Learned: These preliminary findings provide support for the notion that improving distress tolerance through mind–body skills training might serve to protect medical students from becoming functionally impaired by psychological distress. Thus, implementing mind–body skills training into medical school education may help to improve the psychological well-being of medical students. Future studies utilizing more methodologically rigorous designs are warranted.
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