Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study

Abstract Pressures and responsibilities of medical school put a strain on medical student's personal wellbeing, leading among all to high rates of anxiety, emotional discomfort and stress. In this work we evaluated the effectiveness of a comprehensive Mindfulness-Based Intervention (MBI) in red...

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Main Authors: Teresa Fazia, Francesco Bubbico, Andrea Nova, Chiara Buizza, Herald Cela, Davide Iozzi, Beril Calgan, Federica Maggi, Valentina Floris, Irene Sutti, Salvatore Bruno, Alberto Ghilardi, Luisa Bernardinelli
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-35483-z
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author Teresa Fazia
Francesco Bubbico
Andrea Nova
Chiara Buizza
Herald Cela
Davide Iozzi
Beril Calgan
Federica Maggi
Valentina Floris
Irene Sutti
Salvatore Bruno
Alberto Ghilardi
Luisa Bernardinelli
author_facet Teresa Fazia
Francesco Bubbico
Andrea Nova
Chiara Buizza
Herald Cela
Davide Iozzi
Beril Calgan
Federica Maggi
Valentina Floris
Irene Sutti
Salvatore Bruno
Alberto Ghilardi
Luisa Bernardinelli
author_sort Teresa Fazia
collection DOAJ
description Abstract Pressures and responsibilities of medical school put a strain on medical student's personal wellbeing, leading among all to high rates of anxiety, emotional discomfort and stress. In this work we evaluated the effectiveness of a comprehensive Mindfulness-Based Intervention (MBI) in reducing this load. The intervention comprised 10 twice-a-week Integral Meditation classes, dietary advice, and brief yoga sessions. We performed a randomized trial on two cohort of medical students from Italian universities: 239 in cohort 1 (106 treated and 133 controls), and 123 in cohort 2 (68 treated and 55 control) for a total sample of 362 students. Nine questionnaires for evaluating the effectiveness of our intervention on stress (PSS), state anxiety (STAIX-1), well-being (WEMWBS), mind-wandering (MW-S), overall distress (PANAS), emotion regulation (DERS), resilience (RS-14), and attentional control (ACS-C and ACS-D) were collected both pre and post intervention. Linear mixed effect models were run on the whole sample showing that, after multiple testing correction, our intervention was effective in reducing perceived stress (β = − 2.57 [− 4.02; − 1.12], p = 0.004), improving mental well-being (β = 2.82 [1.02; 4.63], p = 0.008) and emotional regulation (β = − 8.24 [− 12.98; − 3.51], p = 0.004), resilience (β = 3.79 [1.32; 6.26], p = 0.008), reducing the tendency to wander with the mind (β = − 0.70 [− 0.99; − 0.39], p = 0.0001), ameliorating the ability to maintain attention (AC-S (β = − 0.23 [− 0.44; − 0.02], p = 0.04) and AC-D (β = − 0.19 [− 0.36; − 0.01], p = 0.04)), and the overall distress (β = 1.84 [0.45; 3.23], p = 0.02).
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spelling doaj.art-c49c789b6e29425cb5ee1d3dc07702732023-05-28T11:16:00ZengNature PortfolioScientific Reports2045-23222023-05-0113111310.1038/s41598-023-35483-zImproving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized studyTeresa Fazia0Francesco Bubbico1Andrea Nova2Chiara Buizza3Herald Cela4Davide Iozzi5Beril Calgan6Federica Maggi7Valentina Floris8Irene Sutti9Salvatore Bruno10Alberto Ghilardi11Luisa Bernardinelli12Department of Brain and Behavioral Sciences, University of PaviaDepartment of Brain and Behavioral Sciences, University of PaviaDepartment of Brain and Behavioral Sciences, University of PaviaDepartment of Clinical and Experimental Sciences, University of BresciaUniversity of GrazDepartment of Brain and Behavioral Sciences, University of PaviaDepartment of Brain and Behavioral Sciences, University of PaviaDepartment of Brain and Behavioral Sciences, University of PaviaDepartment of Brain and Behavioral Sciences, University of PaviaDepartment of Brain and Behavioral Sciences, University of PaviaIstituto di PsicosintesiDepartment of Clinical and Experimental Sciences, University of BresciaDepartment of Brain and Behavioral Sciences, University of PaviaAbstract Pressures and responsibilities of medical school put a strain on medical student's personal wellbeing, leading among all to high rates of anxiety, emotional discomfort and stress. In this work we evaluated the effectiveness of a comprehensive Mindfulness-Based Intervention (MBI) in reducing this load. The intervention comprised 10 twice-a-week Integral Meditation classes, dietary advice, and brief yoga sessions. We performed a randomized trial on two cohort of medical students from Italian universities: 239 in cohort 1 (106 treated and 133 controls), and 123 in cohort 2 (68 treated and 55 control) for a total sample of 362 students. Nine questionnaires for evaluating the effectiveness of our intervention on stress (PSS), state anxiety (STAIX-1), well-being (WEMWBS), mind-wandering (MW-S), overall distress (PANAS), emotion regulation (DERS), resilience (RS-14), and attentional control (ACS-C and ACS-D) were collected both pre and post intervention. Linear mixed effect models were run on the whole sample showing that, after multiple testing correction, our intervention was effective in reducing perceived stress (β = − 2.57 [− 4.02; − 1.12], p = 0.004), improving mental well-being (β = 2.82 [1.02; 4.63], p = 0.008) and emotional regulation (β = − 8.24 [− 12.98; − 3.51], p = 0.004), resilience (β = 3.79 [1.32; 6.26], p = 0.008), reducing the tendency to wander with the mind (β = − 0.70 [− 0.99; − 0.39], p = 0.0001), ameliorating the ability to maintain attention (AC-S (β = − 0.23 [− 0.44; − 0.02], p = 0.04) and AC-D (β = − 0.19 [− 0.36; − 0.01], p = 0.04)), and the overall distress (β = 1.84 [0.45; 3.23], p = 0.02).https://doi.org/10.1038/s41598-023-35483-z
spellingShingle Teresa Fazia
Francesco Bubbico
Andrea Nova
Chiara Buizza
Herald Cela
Davide Iozzi
Beril Calgan
Federica Maggi
Valentina Floris
Irene Sutti
Salvatore Bruno
Alberto Ghilardi
Luisa Bernardinelli
Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study
Scientific Reports
title Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study
title_full Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study
title_fullStr Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study
title_full_unstemmed Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study
title_short Improving stress management, anxiety, and mental well-being in medical students through an online Mindfulness-Based Intervention: a randomized study
title_sort improving stress management anxiety and mental well being in medical students through an online mindfulness based intervention a randomized study
url https://doi.org/10.1038/s41598-023-35483-z
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