دورية أكاديمية
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Effectiveness of training programs based on mindfulness in reducing psychological distress and promoting well-being in medical students: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of training programs based on mindfulness in reducing psychological distress and promoting well-being in medical students: a systematic review and meta-analysis.
المؤلفون: da Silva CCG; Programa de Pós-Graduação em Ciências da Saúde, Coordenação de Cursos Pós-Graduação Stricto Sensu, Escola Superior de Ciências da Saúde (ESCS), Setor Médico Hospitalar Norte, Conjunto A, Bloco 01, Edifício Fepecs - Asa Norte, Brasília, DF, 70710-907, Brazil. klaw.bsb@gmail.com.; Coordenação de Pesquisa e Comunicação Científica, Escola Superior de Ciências da Saúde (ESCS), Setor Médico Hospitalar Norte, Conjunto A, Bloco 01, Edifício Fepecs - Asa Norte, Brasília, DF, 70710-907, Brazil. klaw.bsb@gmail.com., Bolognani CV; Coordenação de Pesquisa e Comunicação Científica, Escola Superior de Ciências da Saúde (ESCS), Setor Médico Hospitalar Norte, Conjunto A, Bloco 01, Edifício Fepecs - Asa Norte, Brasília, DF, 70710-907, Brazil., Amorim FF; Programa de Pós-Graduação em Ciências da Saúde, Coordenação de Cursos Pós-Graduação Stricto Sensu, Escola Superior de Ciências da Saúde (ESCS), Setor Médico Hospitalar Norte, Conjunto A, Bloco 01, Edifício Fepecs - Asa Norte, Brasília, DF, 70710-907, Brazil., Imoto AM; Programa de Pós-Graduação em Ciências da Saúde, Coordenação de Cursos Pós-Graduação Stricto Sensu, Escola Superior de Ciências da Saúde (ESCS), Setor Médico Hospitalar Norte, Conjunto A, Bloco 01, Edifício Fepecs - Asa Norte, Brasília, DF, 70710-907, Brazil.
المصدر: Systematic reviews [Syst Rev] 2023 May 05; Vol. 12 (1), pp. 79. Date of Electronic Publication: 2023 May 05.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101580575 Publication Model: Electronic Cited Medium: Internet ISSN: 2046-4053 (Electronic) Linking ISSN: 20464053 NLM ISO Abbreviation: Syst Rev Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central
مواضيع طبية MeSH: Mindfulness*/methods , Students, Medical*, Humans ; Stress, Psychological/prevention & control ; Depression ; Anxiety
مستخلص: Background: Medical schools have used mindfulness meditation as a strategy to assist students in stress management. This study aimed to seek evidence regarding the effectiveness of mindfulness-based training programs in reducing psychological distress and promoting the well-being of medical students.
Methods: We conducted a systematic review and meta-analysis. Cochrane Library, Embase, PubMed/MEDLINE, PsycINFO/PsycNet, LILACS/BVS, ERIC (ProQuest), Web of Science, OpenGrey, and Google Scholar were searched for randomized clinical trials published until March 2022, without time or language restrictions. Two authors independently screened the articles, extracted data using a standardized extraction form, and assessed the methodological quality of the included studies using the Cochrane's Risk of Bias 2 (ROB 2) tool and the quality of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool.
Results: Of the 848 articles retrieved, 8 met the inclusion criteria. Mindfulness-based training improved the outcomes: mindfulness (small post-intervention effect: SMD = 0.29; 95% CI: 0.03 to 0.54; p = 0.03; I 2  = 46%; high evidence quality, and small effect at follow-up: SMD = 0.37; 95% CI: 0.04 to 0.70; p = 0.03; I 2  = 53%; low evidence quality), psychological well-being/health (there was no statistically significant difference between the groups in the post-intervention effect: SMD =  - 0.27; 95% CI: - 0.67 to 0.13; p = 0.18; I 2  = 76%; moderate evidence quality, and a significant difference at follow-up: SMD =  - 0.73; 95% CI: - 1.23 to - 0.23; p = 0.004; I 2  = 61%; low evidence quality), and stress (small post-intervention effect: SMD =  - 0.29; CI of 95%: - 0.56 to - 0.02; p = 0.04; I 2  = 57%; moderate evidence quality, and moderate effect at follow-up: SMD =  - 0.45, 95% CI: - 0.67 to - 0.22, p = 0.0001, I 2  = 0%, moderate evidence quality). The quality of evidence for the anxiety, depression, and resilience outcomes is low and for the empathy outcome, very low.
Conclusion: The results indicate that the students who participated in the mindfulness training perceived improvements in the stress and psychological distress symptoms and improved health perception and psychological well-being. However, the significant heterogeneity among studies should be considered when interpreting these findings.
Systematic Review Registration: PROSPERO CRD42020153169.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Medical education; Medical students; Mental health; Meta-analysis; Mindfulness; Mindfulness-based stress reduction; Psychological health; Stress management; Systematic review; Undergraduate medical students
تواريخ الأحداث: Date Created: 20230505 Date Completed: 20230508 Latest Revision: 20230531
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10160720
DOI: 10.1186/s13643-023-02244-y
PMID: 37147732
قاعدة البيانات: MEDLINE
الوصف
تدمد:2046-4053
DOI:10.1186/s13643-023-02244-y