The DOI matches its Crossref record; 47 of the 48 references it cites were found in a registry or an index.
Effects of Mindfulness-Based Stress Reduction on Medical and Premedical Students
Abstract
The inability to cope successfully with the enormous stress of medical education may lead to a cascade of consequences at both a personal and professional level. The present study examined the short-term effects of an 8-week meditation-based stress reduction intervention on premedical and medical students using a well-controlled statistical design. Findings indicate that participation in the intervention can effectively (1) reduce self-reported state and trait anxiety, (2) reduce reports of overall psychological distress including depression, (3) increase scores on overall empathy levels, and (4) increase scores on a measure of spiritual experiences assessed at termination of intervention. These results (5) replicated in the wait-list control group, (6) held across different experiments, and (7) were observed during the exam period. Future research should address potential long-term effects of mindfulness training for medical and premedical students.
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In the citing paper
“Overall, these studies found that MBSR reduces self-reported levels of anxiety (Shapiro, Schwartz, & Bonner, 1998; Anderson, Lau, Segal, & Bishop, 2007)”
From Effects of mindfulness on psychological health: A review of empirical studies (2011) · cites this paper as Shapiro, Schwartz, & Bonner, 1998
In the citing paper
“sense of spirituality (Astin, 1997; Shapiro et al., 1998)”
From Effects of mindfulness on psychological health: A review of empirical studies (2011) · cites this paper as Shapiro et al., 1998
In the citing paper
“empathy (Shapiro et al., 1998)”
From Effects of mindfulness on psychological health: A review of empirical studies (2011) · cites this paper as Shapiro et al., 1998
In the citing paper
“well-being (Shapiro et al., 1998; Ortner et al., 2007; Carmody and Baer, 2008)”
From Mindfulness Training Alters Emotional Memory Recall Compared to Active Controls: Support for an Emotional Information Processing Model of Mindfulness (2012) · cites this paper as Shapiro et al., 1998
In the citing paper
“empathy (Shapiro et al., 1998; Krasner et al., 2009)”
From Mindfulness Training Alters Emotional Memory Recall Compared to Active Controls: Support for an Emotional Information Processing Model of Mindfulness (2012) · cites this paper as Shapiro et al., 1998
In the citing paper
“Mindfulness-based interventions have been found to be beneficial for many forms of psychological distress, including anxiety (Kabat-Zinn et al., 1992), depression”
From Mechanisms of action in the inverse relationship between mindfulness and psychological distress (2008) · cites this paper as Shapiro et al., 1998
In the citing paper
“Research findings have shown decreased stress [13], anxiety [14], depression [15], fatigue, anger and.stress-related cortisol [16] after exposure to various stress-reduction mindfulness-based training programs in comparison to a control group.”
From Association of mindfulness to resilience, anxiety, and depressive symptoms after spinal cord injury-a correlational study (2020) · cites this paper as [16]
In the citing paper
“Crucially, the MBSR protocol appears to be effective in handling stressful events [59,60], e.g., it helps people to manage post-traumatic stress disorder (PTSD) symptoms [61] or cope with cancer [62,63,64].”
In the citing paper
“Other areas with initial evidence for the usefulness of mindfulness include eating disorders,24 obsessive-compulsive disorder,25 hypochondriasis,26 somatisation disorders (especially irritable bowel syndrome),27 autism-spectrum disorders (in adults)28 and attention-deficit hyperactivity disorder.29”
From Mindfulness in psychiatry - Where are we now? (2016) · cites this paper as [25]
In the citing paper
“Shapiro et al. (1998) found that greater meditation compliance led to decreased anxiety, which led to greater empathy.”
From A Systematic Review and Meta-analysis of the Effects of Meditation on Empathy, Compassion, and Prosocial Behaviors (2018) · cites this paper as Shapiro et al., 1998
Citations
Cites
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833
(1970) · Cited by 24,983
(1975) · Medical Entomology and Zoology · Cited by 7,245
Helplessness: On Depression, Development, and Death
Seligman, M. E. P. (1975) · CERN Document Server (European Organization for Nuclear Research) · Cited by 6,181
Unraveling the mystery of health: how people manage stress and stay well
Antonovsky, A. (1987) · SAGE Publications Ltd eBooks · doi:10.4135/9781446221129.n9 · Cited by 5,299
Selye, H. (1956) · Medical Entomology and Zoology · Cited by 5,224
(1962) · Medical Entomology and Zoology · Cited by 4,856
Rogers, C. R. (1961) · Cited by 4,342
Kabat-Zinn, J. (1982) · General Hospital Psychiatry · doi:10.1016/0163-8343(82)90026-3 · Cited by 4,255
Benson, H., Beary, J. F., & Carol, M. P. (1974) · Psychiatry · doi:10.1080/00332747.1974.11023785 · Cited by 2,467
EFFECT OF PSYCHOSOCIAL TREATMENT ON SURVIVAL OF PATIENTS WITH METASTATIC BREAST CANCER
Spiegel, D., Kraemer, H., Bloom, J., & Gottheil, E. (1989) · The Lancet · doi:10.1016/s0140-6736(89)91551-1 · Cited by 2,353
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.7.936 · Cited by 1,941
The clinical use of mindfulness meditation for the self-regulation of chronic pain
Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985) · Journal of Behavioral Medicine · doi:10.1007/bf00845519 · Cited by 1,745
The Role of Social Relations in Health Promotion
Berkman, L. F. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199505000-00006 · Cited by 1,233 · cited 2×
“The literature con® rms that both social support and disclosure enhance psychological and physical well-being (Pennebaker, KiecoltGlaser, and Glaser, 1988; Fawzy et al. 1993; Spiegel, Bloom, Kraemer, and Gottheil, 1989; Berkman, 1995).”
BackgroundReduction of Postoperative Pain by Encouragement and Instruction of Patients
Egbert, L. D., Battit, G. E., Welch, C. E., & Bartlett, M. K. (1964) · New England Journal of Medicine · doi:10.1056/nejm196404162701606 · Cited by 1,147
Disclosure of traumas and immune function: Health implications for psychotherapy.
Pennebaker, J. W., Kiecolt‐Glaser, J. K., & Glaser, R. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.56.2.239 · Cited by 1,041
Fawzy, F. I. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820210015002 · Cited by 1,030
Disclosure of traumas and immune function: Health implications for psychotherapy.
Pennebaker, J. W., Kiecolt‐Glaser, J. K., & Glaser, R. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.2.239 · Cited by 846
Stress Reduction through Mindfulness Meditation
Astin, J. A. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000289116 · Cited by 626
Religion and health: Is there an association, is it valid, and is it causal?
Levin, J. S. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90109-0 · Cited by 581
Placebo Theory, Research , and Mechanisms
WHITE, L. E., Tursky, B., & SCHWARTZ, G. E. R. (1985) · Guilford Press eBooks · Cited by 485
Self-citationHealth Outcomes and a New Index of Spiritual Experience
Kass, J. D., Friedman, R., Leserman, J., Zuttermeister, P. C., & Benson, H. (1991) · Journal for the Scientific Study of Religion · doi:10.2307/1387214 · Cited by 473
Perceived self-efficacy and pain control: opioid and nonopioid mechanisms
Bandura, A., O'Leary, A., Taylor, C. B., Gauthier, J., & Gossard, D. (1987) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.53.3.563 · Cited by 403
Jemmott, J. B., Borysenko, M., Chapman, R., Borysenko, J. Z., McClelland, D. L., Meyer, D., & Benson, H. (1983) · The Lancet · doi:10.1016/s0140-6736(83)92354-1 · Cited by 359
Jr. Shapiro Deane, H., Schwartz, C. E., & Astin, J. A. (1996) · American Psychologist · doi:10.1037//0003-066x.51.12.1213 · Cited by 344
Review of Spiritual Health: Definition, Role, and Intervention Strategies in Health Promotion
Hawks, S. R., Hull, M. L., Thalman, R. L., & Richins, P. (1995) · American Journal of Health Promotion · doi:10.4278/0890-1171-9.5.371 · Cited by 198
Construct validity of an empathy instrument
Monica, E. L. L. (1981) · Research in Nursing & Health · doi:10.1002/nur.4770040406 · Cited by 184
Compliance with an outpatient stress reduction program: rates and predictors of program completion
Kabat-Zinn, J., & Chapman-Waldrop, A. (1988) · Journal of Behavioral Medicine · doi:10.1007/bf00844934 · Cited by 169
Motivational factors in health and disease.
McClelland, D. C. (1989) · American Psychologist · doi:10.1037//0003-066x.44.4.675 · Cited by 166
Overview: clinical and physiological comparison of meditation with other self-control strategies
Shapiro, D. H. (1982) · American Journal of Psychiatry · doi:10.1176/ajp.139.3.267 · Cited by 165
Zen Meditation and the Development of Empathy in Counselors
Lesh, T. V. (1970) · Journal of Humanistic Psychology · doi:10.1177/002216787001000105 · Cited by 150
Psychological preparation for invasive medical and dental procedures
Anderson, K. O., & Masur, F. T. (1983) · Journal of Behavioral Medicine · doi:10.1007/bf00845274 · Cited by 135
Motivational factors in health and disease.
McClelland, D. C. (1989) · American Psychologist · doi:10.1037/0003-066x.44.4.675 · Cited by 129
Russek, L. G., & Schwartz, G. (1997) · Journal of behavioral medicine · doi:10.1023/a:1025525428213 · Cited by 124
Self-citationRichings, J., Khara, G. S., & McDowell, M. (1986) · The British Journal of Psychiatry · doi:10.1192/bjp.149.4.475 · Cited by 76
The patient-physician relationship: compliance revisited.
Sbarbaro, J. A. (1990) · PubMed · Cited by 57
The Inherent, Powerful Therapeutic Value of a Good Physician-Patient Relationship
Smith, T. C., & Thompson, T. L. (1993) · Psychosomatics · doi:10.1016/s0033-3182(93)71908-8 · Cited by 49
Psychobiology of health: A new synthesis.
SCHWARTZ, G. E. R. (2004) · American Psychological Association eBooks · doi:10.1037/10082-004 · Cited by 46
Self-citationPSYCHIATRIC SYNDROMES, ANXIETY SYMPTOMS AND RESPONSES TO STRESS IN MEDICAL STUDENTS
Pitts, F. N., Winokur, G., & Stewart, M. A. (1961) · American Journal of Psychiatry · doi:10.1176/ajp.118.4.333 · Cited by 45
Psychophysiologic reactions to stress.
McCabe, P. M., & Schneiderman, N. (1985) · Cited by 33
Professionals in Medical Settings:
Lee, C. S. Y. (1987) · Journal of Organizational Behavior Management · doi:10.1300/j075v08n02_12 · Cited by 19
Kass, J. D. (1991) · The Caregiver Journal · doi:10.1080/1077842x.1991.10781636 · Cited by 16
The effect of physician impairment on the family.
Kv, G., Bettinardi–Angres, K., & Gd, T. (1990) · PubMed · Cited by 11
Np, J., Pj, M., & Jc, T. (1990) · PubMed · Cited by 10
Professionals in Medical Settings: The Research Evidence in the 1980s
Balick, L. R., & Herd, J. A. (2014) · Routledge eBooks · doi:10.4324/9781315791548-11 · Cited by 2
(1984) · Medical Entomology and Zoology
Research works printed but not linked: 6
- Derogatis, L. (1977). The SCL-90-R: Administration, Scoring and Procedures Manual 1, Clinical Psychometric Research, Baltimore.
- Kabat-Zinn, J. (1993). Mindfulness meditation: Health benefits of an ancient Buddhist practice. In Goleman and Gurin (Eds.), Mind / Body Medicine, Consumer Reports Books, New York, pp. 259–275.
- Kabat-Zinn, J. (1996). Mindfulness meditation: What it is, what it isn't, and its role in health care and medicine. In Haruki, Ishii, Y., and Suzuki, M. (Eds.), Comparative and Psychological Study on Meditation, Eburon, Netherlands, pp. 161–170.
- SAS Institute (1985). SAS User's Guide: Statistics, Version 5, SAS Institute, Cary, North Carolina.
- Shapiro, S. L., and Schwartz, G. E. (in press). The role of intention in self-regulation: Toward intentional systemic mindfulness. In Boekaerts, M., Pintrich, P. R., and Zeidner, M. (Eds.), Handbook of Self-Regulation, Academic Press, New York.
- Williams, R. B., Jr., Barefoot, J. C., and Shekelle, R. B. (1985). The health consequences of hostility. In Chesney, M. A., and Rosenman, R. H. (Eds.), Anger and Hostility in Cardiovascular and Behavioral Disorders, Hemisphere/McGraw-Hill, New York, pp. 173–185.
Cited by
Sorted by citations
The benefits of being present: Mindfulness and its role in psychological well-being
Brown, K. W., & Ryan, R. M. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.84.4.822 · Cited by 13,448
Mindfulness: A proposed operational definition.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., et al. (2004) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bph077 · Cited by 7,234
Self-citationMindfulness training as a clinical intervention: a conceptual and empirical review
Baer, R. A. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bpg015 · Cited by 4,577
Mindfulness-based stress reduction and health benefits
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00573-7 · Cited by 3,958
Jennings, P. A., & Greenberg, M. T. (2009) · Review of Educational Research · doi:10.3102/0034654308325693 · Cited by 3,686
Metadata
- Authors
- Shapiro, S. L., Schwartz, G. E., & Bonner, G.
- Affiliations
- University of Arizona (US)
- ORCID
- Schwartz, Gary E.
- Venue
- Journal of Behavioral Medicine
- Published
- 1998-12
- Volume
- 21
- Issue
- 6
- Pages
- 581-599
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2146593346
- Cited by
- 1,493
- References
- 48
- Citations by year
- 2026: 16 · 2025: 28 · 2024: 39 · 2023: 46 · 2022: 60 · 2021: 71 · 2020: 71 · 2019: 101 · 2018: 71 · 2017: 97 · 2016: 86 · 2015: 91 · 2014: 87 · 2013: 91 · 2012: 87
- FWCI
- 8.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (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 › Health › Religion, Spirituality, and Psychology
- Keywords
- mindfulness-based stress reduction, medical students, premedical students, medical education stress, meditation, anxiety, depression, psychological distress, empathy, spiritual experience, exam stress
- MeSH terms
- Adaptation, Psychological, Adult, Demography, Education, Medical, Female, Humans, Male, Models, Psychological, Physician-Patient Relations, Psychological Tests, Spiritualism, Stress, Psychological, Students, Medical, Program Evaluation, Multivariate Analysis, Meditation
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