Impact of Acceptance and Commitment Training on psychological flexibility and burnout in medical education
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Acceptance and commitment therapy (ACT) has been reported to be effective in reducing burnout and depression among a variety of healthcare professionals as well as medical students.
“Acceptance and commitment therapy (ACT), a psychotherapy that targets the facilitation of psychological flexibility, has been used and reported to be effective in reducing burnout and depression among a variety of healthcare professionals as well as medical students [23, 32–35].”
A recent study found that distressed medical students who completed ACT training as a requirement of their undergraduate medical curriculum demonstrated improved burnout outcomes, but this study did not include a control group.
“A recent study found that distressed medical students who completed ACT training as a requirement of their undergraduate medical curriculum demonstrated improved burnout outcomes, but this study did not include a control group [61].”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [61]
These findings support previous literature highlighting the potential benefits of training medical students in psychological flexibility skills.
“These findings support previous literature highlighting the potential benefits of training medical students in psychological flexibility skills [31,61,62]”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [61]
Cites
Fitting Linear Mixed-Effects Models Using <b>lme4</b>
Bates, D., Mächler, M., Bolker, B., & Walker, S. (2015) · Journal of Statistical Software · doi:10.18637/jss.v067.i01 · Cited by 86,835 · see citing works
Wickham, H., Averick, M., Bryan, J., Chang, W., McGowan, L., François, R., Grolemund, G., Hayes, A., Henry, L., Hester, J., et al. (2019) · Journal of Open Source Software · doi:10.21105/joss.01686 · Cited by 22,138 · see citing works
The measurement of experienced burnout
Maslach, C., & Jackson, S. E. (1981) · Journal of Organizational Behavior · doi:10.1002/job.4030020205 · Cited by 14,496 · see citing works
Mixed-Effects Models in Sand S-PLUS
Pinheiro, J. C., & Bates, D. M. (2000) · Statistics and Computing · doi:10.1007/978-1-4419-0318-1 · Cited by 11,187 · see citing works
emmeans: Estimated Marginal Means, aka Least-Squares Means
Lenth, R. V., & Piaskowski, J. (2017) · doi:10.32614/cran.package.emmeans · Cited by 8,611 · see citing works
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863 · see citing works
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · see citing works
Shanafelt, T. D., Boone, S., Tan, L., Dyrbye, L. N., Sotile, W., Satele, D., West, C. P., Sloan, J., & Oreskovich, M. R. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2012.3199 · Cited by 3,439 · see citing works
Dyrbye, L. N., West, C. P., Satele, D., Boone, S., Tan, L., Sloan, J., & Shanafelt, T. D. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000134 · Cited by 2,040 · see citing works
nlme : linear and nonlinear mixed effects models. R package version 3.1-98
Pinheiro, J. C. (2011) · Medical Entomology and Zoology · Cited by 1,971 · see citing works
Multilevel Analysis: Techniques and Applications
Robinson, T. J. (2003) · Journal of the American Statistical Association · doi:10.1198/jasa.2003.s281 · Cited by 1,039 · see citing works
Maina, I., Belton, T. D., Ginzberg, S. P., Singh, A., & Johnson, T. J. (2017) · Social Science & Medicine (1967) · doi:10.1016/j.socscimed.2017.05.009 · Cited by 716 · see citing works
Burnout in medical students: A systematic review
IsHak, W., Nikravesh, R., Lederer, S., Perry, R., Ogunyemi, D., & Bernstein, C. (2013) · The Clinical Teacher · doi:10.1111/tct.12014 · Cited by 715 · see citing works
Clinic, M., Dyrbye, L. N., Shanafelt, T. D., Clinic, M., Sinsky, C. A., American Medical Association, Cipriano, P. F., American Nurses Association, Bhatt, J., American Hospital Association, et al. (2017) · NAM Perspectives · doi:10.31478/201707b · Cited by 709 · see citing works
Burnout in medical students before residency: A systematic review and meta-analysis
Frajerman, A., Morvan, Y., Krebs, M.-O., Gorwood, P., & Chaumette, B. (2019) · European Psychiatry · doi:10.1016/j.eurpsy.2018.08.006 · Cited by 568 · see citing works
Prevalence of Alcohol Use Disorders Among American Surgeons
Oreskovich, M. R. (2012) · Archives of Surgery · doi:10.1001/archsurg.2011.1481 · Cited by 505 · see citing works
Distress Among Matriculating Medical Students Relative to the General Population
Brazeau, C. M. L. R., Shanafelt, T. D., Durning, S. J., Massie, F. S., Eacker, A. M., Moutier, C. Y., Satele, D., Sloan, J. A., & Dyrbye, L. N. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000482 · Cited by 421 · see citing works
de Vibe, M., Solhaug, I., Tyssen, R., Friborg, O., Rosenvinge, J. H., Sørlie, T., & Bjørndal, A. (2013) · BMC Medical Education · doi:10.1186/1472-6920-13-107 · Cited by 398 · see citing works
Dyrbye, L. N., Eacker, A. M., Durning, S. J., Brazeau, C. M. L. R., Moutier, C. Y., Massie, F. S., Satele, D., Sloan, J. A., & Shanafelt, T. D. (2015) · Academic Medicine · doi:10.1097/acm.0000000000000655 · Cited by 349 · see citing works
Association of Physician Burnout With Suicidal Ideation and Medical Errors
Menon, N. K., Shanafelt, T. D., Sinsky, C. A., Linzer, M., Carlasare, L., Brady, K. J. S., Stillman, M. J., & Trockel, M. T. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.28780 · Cited by 340 · see citing works
Barnes-Holmes, D., Barnes-Holmes, Y., Stewart, I., & Boles, S. (2010) · The Psychological Record · doi:10.1007/bf03395726 · Cited by 297 · see citing works
Professional burnout among medical students: Systematic literature review and meta-analysis
Erschens, R., Keifenheim, K. E., Herrmann-Werner, A., Loda, T., Schwille-Kiuntke, J., Bugaj, T. J., Nikendei, C., Huhn, D., Zipfel, S., & Junne, F. (2019) · Medical Teacher · doi:10.1080/0142159x.2018.1457213 · Cited by 287 · see citing works
Reed, D. A., Shanafelt, T. D., Satele, D. W., Power, D. V., Eacker, A., Harper, W., Moutier, C., Durning, S., Massie, F. S., Thomas, M. R., et al. (2011) · Academic Medicine · doi:10.1097/acm.0b013e3182305d81 · Cited by 252 · see citing works
Yaghmour, N. A., Brigham, T. P., Richter, T., Miller, R. S., Philibert, I., Baldwin, D. C., & Nasca, T. J. (2017) · Academic Medicine · doi:10.1097/acm.0000000000001736 · Cited by 243 · see citing works
Daya, Z., & Hearn, J. H. (2018) · Medical Teacher · doi:10.1080/0142159x.2017.1394999 · Cited by 224 · see citing works
Physician burnout: a global crisis
Lancet, T. (2019) · The Lancet · doi:10.1016/s0140-6736(19)31573-9 · Cited by 201 · see citing works
Daks, J. S., Peltz, J. S., & Rogge, R. D. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.08.003 · Cited by 197 · see citing works
Moutier, C., Norcross, W., Jong, P., Norman, M., Kirby, B., McGuire, T., & Zisook, S. (2012) · Academic Medicine · doi:10.1097/acm.0b013e31824451ad · Cited by 194 · see citing works
Barbosa, P., Raymond, G., Zlotnick, C., Wilk, J., Toomey, R., III, & Mitchell, J., III (2013) · Education for Health · doi:10.4103/1357-6283.112794 · Cited by 173 · see citing works
Efficacy of Burnout Interventions in the Medical Education Pipeline
Williams, D. M., Tricomi, G., Gupta, J., & Janise, A. (2014) · Academic Psychiatry · doi:10.1007/s40596-014-0197-5 · Cited by 155 · see citing works
Association of Racial Bias With Burnout Among Resident Physicians
Dyrbye, L., Herrin, J., West, C., Wittlin, N., Dovidio, J., Hardeman, R., Burke, S., Phelan, S. M., Onyeador, I., Cunningham, B. A., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.7457 · Cited by 140 · see citing works
Shapiro, D., Duquette, C. E., Abbott, L. M., Babineau, T. J., Pearl, A. M., & Haidet, P. (2018) · The American Journal of Medicine · doi:10.1016/j.amjmed.2018.11.028 · Cited by 121 · see citing works
Power, P. M., Barnes‐Holmes, Y., Barnes‐Holmes, Y., & Stewart, I. (2009) · The Psychological Record · doi:10.1007/bf03395684 · Cited by 84 · see citing works
Barnes-Holmes, D., Barnes-Holmes, Y., Luciano, C., & McEnteggart, C. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.08.001 · Cited by 84 · see citing works
Kanter, J. W., Rosen, D. C., Manbeck, K., Branstetter, H., Kuczynski, A. M., Corey, M. D., Maitland, D. W. M., & Williams, M. T. (2020) · BMC Medical Education · doi:10.1186/s12909-020-02004-9 · Cited by 72 · see citing works
Self-development groups reduce medical school stress: a controlled intervention study
Holm, M., Tyssen, R., Stordal, K. I., & Haver, B. (2010) · BMC Medical Education · doi:10.1186/1472-6920-10-23 · Cited by 71 · see citing works
Furniture for Quantitative Scientists
Tyson, S. B., & Brignone, E. (2017) · The R Journal · doi:10.32614/rj-2017-037 · Cited by 70 · see citing works
Ospina-Kammerer, V., & Figley, C. R. (2003) · PubMed · Cited by 68 · see citing works
Burnout in Premedical Undergraduate Students
Fang, D. Z., Young, C., Golshan, S., Moutier, C., & Zisook, S. (2012) · Academic Psychiatry · doi:10.1176/appi.ap.10080125 · Cited by 67 · see citing works
Prudenzi, A., Graham, C. D., Clancy, F., Hill, D., O'Driscoll, R., Day, F., & O'Connor, D. B. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.07.084 · Cited by 64 · see citing works
Walsh, A. L., Lehmann, S. W., Zabinski, J. S., Truskey, M. P., Purvis, T. E., Gould, N. F., Stagno, S. J., & Chisolm, M. S. (2019) · Academic Psychiatry · doi:10.1007/s40596-019-01023-z · Cited by 59 · see citing works
Measuring psychological flexibility in medical students and residents: a psychometric analysis
Palladino, C. L., Ange, B., Richardson, D. S., Casillas, R., Decker, M., Gillies, R. A., House, A., Rollock, M., Salazar, W. H., Waller, J. L., et al. (2013) · Medical Education Online · doi:10.3402/meo.v18i0.20932 · Cited by 51 · see citing works
Burnout and depression in medical students: Relations with avoidance and disengagement
Kroska, E. B., Calarge, C., O’Hara, M. W., Deumic, E., & Dindo, L. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.08.003 · Cited by 41 · see citing works
Cultivating person-centered medicine in future physicians
Garneau, K., Hutchinson, T. A., Zhao, Q., & Dobkin, P. L. (2013) · European Journal for Person Centered Healthcare · doi:10.5750/ejpch.v1i2.688 · Cited by 39 · see citing works
How contextual behavioral scientists measure and report about behavior: A review of JCBS
Newsome, D., Newsome, K., Fuller, T. C., & Meyer, S. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.11.005 · Cited by 37 · see citing works
A deeper look at implicit weight bias in medical students
Baker, T. K., Smith, G. S., Jacobs, N., Houmanfar, R. A., Tolles, R. L., Kuhls, D. A., & Piasecki, M. M. (2016) · Advances in Health Sciences Education · doi:10.1007/s10459-016-9718-1 · Cited by 36 · see citing works
Self-citationAnbro, S. J., Szarko, A. J., Houmanfar, R. A., Maraccini, A. M., Crosswell, L. H., Harris, F. C., Rebaleati, M., & Starmer, L. (2020) · Journal of Organizational Behavior Management · doi:10.1080/01608061.2020.1746474 · Cited by 34 · see citing works
Self-citationCultural Change in a Medical School: A Data-Driven Management of Entropy
Baker, T., Schwenk, T. L., Piasecki, M. M., Smith, G. S., Reimer, D., Jacobs, N., Shonkwiler, G., Hagen, J., & Houmanfar, R. A. (2015) · Journal of Organizational Behavior Management · doi:10.1080/01608061.2015.1035826 · Cited by 22 · see citing works
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Kemper, K. J., Larrimore, D., Dozier, J., & Woods, C. R. (2006) · Complementary health practice review · doi:10.1177/1533210106288291 · Cited by 16 · see citing works
Positive mental health and burnout in first to fourth year medical students
Morgan, T. L., McFadden, T., Fortier, M., Tomasone, J. R., & Sweet, S. N. (2020) · Health Education Journal · doi:10.1177/0017896920944206 · Cited by 14 · see citing works
Ghezzi, E. L., Houmanfar, R. A., & Crosswell, L. H. (2020) · The Psychological Record · doi:10.1007/s40732-020-00400-7 · Cited by 11 · see citing works
Self-citationMaraccini, A. M., Houmanfar, R. A., Kemmelmeier, M., Piasecki, M. M., & Slonim, A. D. (2018) · Journal of Interprofessional Education & Practice · doi:10.1016/j.xjep.2018.06.003 · Cited by 10 · see citing works
Self-citationAssessment of medical student burnout: toward an implicit measure to address current issues
Smith, G. S., Houmanfar, R. A., Jacobs, N. N., Froehlich, M., Szarko, A. J., Smith, B. M., Kemmelmeier, M., Baker, T. K., Piasecki, M., & Schwenk, T. L. (2022) · Advances in Health Sciences Education · doi:10.1007/s10459-021-10089-0 · Cited by 9 · see citing works
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Watanabe, T., & Akechi, T. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04811-y · Cited by 21 · see citing works
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Ditton, E., Knott, B., Hodyl, N., Horton, G., Walker, F. R., & Nilsson, M. (2023) · JMIR Formative Research · doi:10.2196/43263 · Cited by 9 · see citing works
- Authors
- Szarko, A. J., Houmanfar, R. A., Smith, G. S., Jacobs, N. N., Smith, B. M., Assemi, K., Piasecki, M., & Baker, T. K.
- Affiliations
- University of Nevada, Reno (US)
- Western Michigan University (US)
- Corresponding author
- Szarko, Alison J.
- Venue
- Journal of Contextual Behavioral Science
- Publisher
- Elsevier BV
- Published
- 2022-01
- Volume
- 23
- Pages
- 190-199
- ISSN
- 2212-1447 (ISSN-L)
- OpenAlex
- W4211246794
- Cited by
- 31
- References
- 53
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 12 · 2023: 7 · 2022: 2
- FWCI
- 5.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Contextual Behavioral Science (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- acceptance and commitment training, psychological flexibility, burnout, medical students, burnout management, positivity bias, negativity bias, Acceptance and Action Questionnaire-II, Implicit Relational Assessment Procedure, medical curriculum, student distress
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