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Cited by 83Healthcare professionals’ stress and burnoutMindfulness and Compassion InterventionsStress and Burnout Research

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

Hathaisaard, Chayamai, Wannarit, Kamonporn, Pattanaseri, Keerati·2022·Asian Journal of Psychiatry
DOI 10.1016/j.ajp.2021.102997
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Abstract

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.

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Authors
Hathaisaard, C., Wannarit, K., & Pattanaseri, K.
Affiliations
Siriraj Hospital (TH)
Corresponding author
Pattanaseri, Keerati
ORCID
Venue
Asian Journal of Psychiatry
Publisher
Elsevier BV
Published
2022-03
Volume
69
Pages
102997
ISSN
1876-2018 (ISSN-L)
DOI
10.1016/j.ajp.2021.102997
OpenAlex
W4205132148
Cited by
82
References
21
Citations by year
2026: 14 · 2025: 27 · 2024: 17 · 2023: 20 · 2022: 4
FWCI
2.11
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Asian Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Keywords
mindfulness-based interventions, medical students, stress, burnout, student well-being, clinical rotations, stress reduction, burnout prevention
MeSH terms
Burnout, Psychological, Burnout, Professional, Humans, Research Design, Students, Medical, Mindfulness

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