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...
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Nature Portfolio
2023-05-01
|
Series: | Scientific Reports |
Online Access: | https://doi.org/10.1038/s41598-023-35483-z |
_version_ | 1827939931910045696 |
---|---|
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). |
first_indexed | 2024-03-13T09:03:02Z |
format | Article |
id | doaj.art-c49c789b6e29425cb5ee1d3dc0770273 |
institution | Directory Open Access Journal |
issn | 2045-2322 |
language | English |
last_indexed | 2024-03-13T09:03:02Z |
publishDate | 2023-05-01 |
publisher | Nature Portfolio |
record_format | Article |
series | Scientific Reports |
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 |
work_keys_str_mv | AT teresafazia improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT francescobubbico improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT andreanova improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT chiarabuizza improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT heraldcela improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT davideiozzi improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT berilcalgan improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT federicamaggi improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT valentinafloris improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT irenesutti improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT salvatorebruno improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT albertoghilardi improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy AT luisabernardinelli improvingstressmanagementanxietyandmentalwellbeinginmedicalstudentsthroughanonlinemindfulnessbasedinterventionarandomizedstudy |