Mindfulness-based stress reduction lowers psychological distress in medical students
Mindfulness-based stress reduction lowers psychological distress in medical students
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DOI：
10.1207/s15328015tlm1502_03
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发表时间：
2003-03-01
影响因子：
2.5
通讯作者：
Hojat, M
中科院分区：
文献类型：
--
作者：
Rosenzweig, S;Reibel, DK;Hojat, M
背景：医学生在整个训练过程中面临着重要的学术、社会心理和存在压力源。正念减压（MBSR）是一种旨在提高应对技能和减少情绪困扰的教育干预。目的：本研究的目的是在一项前瞻性、非随机、队列对照研究中检验正念减压疗法干预的有效性。方法：选取140名二年级学生参加为期10周的正念减压研讨会。对照组（n = 162）参加了补充医学教学研讨会。在干预前和干预后分别进行心境状态量表（POMS）。结果：MBSR组的基线总情绪障碍（TMD）高于对照组（38.7 +/- 33.3比28.0 +/- 31.2;p < 0.01）。尽管存在这种初始差异，但在干预期结束时，MBSR组的TMD得分明显较低（31.8 +/- 33.8比38.6 +/- 32.8;p < 0.05）。在紧张-焦虑、困惑-困惑、疲劳-惯性和活力-活动量表上也观察到显著的影响。结论：正念减压可能是医学生有效的压力管理干预。
Background: Medical students confront significant academic, psychosocial, and existential stressors throughout their training. Mindfulness-based stress reduction (MBSR) is an educational intervention designed to improve coping skills and reduce emotional distress.Purpose: The purpose of this study was to examine the effectiveness of the MBSR intervention in a prospective, nonrandomized, cohort-controlled study.Methods: Second-year students (n = 140) elected to participate in a 10-week MBSR seminar. Controls (n = 162) participated in a didactic seminar on complementary medicine. Profile of Mood States (POMS) was administered preintervention and postintervention.Results: Baseline total mood disturbance (TMD) was greater in the MBSR group compared with controls (38.7 +/- 33.3 vs. 28.0 +/- 31.2; p < .01). Despite this initial difference, the MBSR group scored significantly lower in TMD at the completion of the intervention period (31.8 +/- 33.8 vs. 38.6 +/- 32.8; p < .05). Significant effects were also observed on Tension-Anxiety, Confusion-Bewilderment, Fatigue-Inertia, and Vigor-Activity subscales.Conclusion: MBSR may be an effective stress management intervention for medical students.