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

Objective: Stress and burnout are serious problems that impair the well-being and academic performance of medical students. Published systematic reviews and meta-analyses on interventions to reduce the stress experienced by medical students did not conclude which interventions are the most effective...

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Main Author: Hathaisaard C.
Other Authors: Mahidol University
Format: Article
Published: 2023
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/86093
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spelling th-mahidol.860932023-06-19T00:54:45Z Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis Hathaisaard C. Mahidol University Medicine Objective: Stress and burnout are serious problems that impair the well-being and academic performance of medical students. Published systematic reviews and meta-analyses on interventions to reduce the stress experienced by medical students did not conclude which interventions are the most effective due to the heterogeneity of the studies. To enhance the hierarchy of evidence, our study selected only randomized controlled studies. The aims were to obtain more reliable outcomes and to precisely summarize the specific interventions which effectively reduce the stress levels and burnout of medical students. Methods: We performed a systematic review and meta-analysis according to PRISMA guidelines. Medical databases (Embase, Ovid, and CINAHL) were searched for relevant randomized controlled studies published up to December 2019. Two treatment timepoints (postintervention, and the 6-month follow-up) were chosen. Stress measure outcomes were the main outcomes. A random effects model was used. An intention-to-treat analysis was conducted. Results: Six high-quality studies were found. They compared the efficacies of mindfulness-based interventions and clerkship as usual (N = 689). The stress measurement scores of each mindfulness-based intervention at postintervention were significantly better than those of the control groups, with medium effect size and low heterogeneity (95% CI 0.07–0.51; p = 0.01; I-squared index = 45%). At the 6-month follow-up, the mindfulness groups had significantly better results than the control groups, with medium effect size and negligible heterogeneity (95% CI 0.06–0.55; p = 0.02; I-squared index = 0%). Discussion: The results indicate that mindfulness-based interventions are effective in reducing subjective stress in medical students at both the short- and long-term intervention timepoints. 2023-06-18T17:54:44Z 2023-06-18T17:54:44Z 2022-03-01 Article Asian Journal of Psychiatry Vol.69 (2022) 10.1016/j.ajp.2021.102997 18762026 18762018 34995839 2-s2.0-85122254148 https://repository.li.mahidol.ac.th/handle/123456789/86093 SCOPUS
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Medicine
spellingShingle Medicine
Hathaisaard C.
Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis
description Objective: Stress and burnout are serious problems that impair the well-being and academic performance of medical students. Published systematic reviews and meta-analyses on interventions to reduce the stress experienced by medical students did not conclude which interventions are the most effective due to the heterogeneity of the studies. To enhance the hierarchy of evidence, our study selected only randomized controlled studies. The aims were to obtain more reliable outcomes and to precisely summarize the specific interventions which effectively reduce the stress levels and burnout of medical students. Methods: We performed a systematic review and meta-analysis according to PRISMA guidelines. Medical databases (Embase, Ovid, and CINAHL) were searched for relevant randomized controlled studies published up to December 2019. Two treatment timepoints (postintervention, and the 6-month follow-up) were chosen. Stress measure outcomes were the main outcomes. A random effects model was used. An intention-to-treat analysis was conducted. Results: Six high-quality studies were found. They compared the efficacies of mindfulness-based interventions and clerkship as usual (N = 689). The stress measurement scores of each mindfulness-based intervention at postintervention were significantly better than those of the control groups, with medium effect size and low heterogeneity (95% CI 0.07–0.51; p = 0.01; I-squared index = 45%). At the 6-month follow-up, the mindfulness groups had significantly better results than the control groups, with medium effect size and negligible heterogeneity (95% CI 0.06–0.55; p = 0.02; I-squared index = 0%). Discussion: The results indicate that mindfulness-based interventions are effective in reducing subjective stress in medical students at both the short- and long-term intervention timepoints.
author2 Mahidol University
author_facet Mahidol University
Hathaisaard C.
format Article
author Hathaisaard C.
author_sort Hathaisaard C.
title Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis
title_short Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis
title_full Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis
title_fullStr Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis
title_full_unstemmed Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis
title_sort mindfulness-based interventions reducing and preventing stress and burnout in medical students: a systematic review and meta-analysis
publishDate 2023
url https://repository.li.mahidol.ac.th/handle/123456789/86093
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