MAP train my brain: meditation combined with aerobic exercise reduces stress and rumination while enhancing quality of life in medical students.
Abstract
Medical students must commit a great deal of concentration and energy during their first 2 years of study, leaving minimal time for self-care. However, once they become physicians, they are in the position of instructing their patients to engage in self-care. Objectives: In this study, first- and second-year medical students participated in a combined mental and physical (MAP) training program with meditation and aerobic exercise that targeted brain health.* Design: Each weekly session began with 30 min of instructional training that emphasized the benefit of the program for brain and body health, followed by 30 min of silent meditation, and ending with 30 min of aerobic exercise. Participants monitored their heart rate to achieve 60%–80% of their personal maximum. Participants engaged in one additional session of MAP training each week on their own. Location and Subjects: First- and second-year medical students were recruited to be participants from the Robert Wood Johnson Medical School (RWJMS) in Piscataway, NJ. Outcome measures: Participants completed questionnaires of depressive symptoms, perceived stress, ruminative thoughts, and quality of life, before and after the training approximately 8–9 weeks apart. Results: After 8 weeks of training and in contrast to students who did not participate (n = 30), the medical students who completed at least 14 sessions out of 16 (n = 17) reported significantly fewer ruminations (−17%), including depressive (−16%) and brooding ruminations (−24%). Ruminations are repetitive thoughts that are typically negative in nature and associated with symptoms of depression. The medical students also reported greater quality of life at the end of training and less perceived stress. The majority (84%) would recommend these types of practices and this one in particular to their future patients. Conclusions: Previous studies have demonstrated that MAP training can reduce symptoms of depression as well as trauma-related cognitions, while increasing oxygen consumption and synchronized brain activity during cognitive control procedures. Overall, MAP training offers a time-efficient and evidence-based means of maintaining mental and physical wellness for students during medical school and into their future, as well as their patients alike.
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MAP Training combines meditation with aerobic exercise and has resulted in positive mental and physical health outcomes in clinical and subclinical populations.
“Mental and Physical (MAP) Training combines meditation with aerobic exercise and has resulted in positive mental and physical health outcomes in both clinical and subclinical populations.”
From Mental and physical training with meditation and aerobic exercise improved mental health and well-being in teachers during the COVID-19 pandemic (2022) · cites this paper as Lavadera et al., 2020
In clinical and subclinical populations, MAP Training has yielded positive effects on mental health with decreases in depression, rumination, and post-traumatic thoughts, along with an increase in quality of life.
“In clinical and subclinical populations, MAP Training has yielded positive effects on mental health with decreases in depression, rumination, and post-traumatic thoughts, along with an increase in quality of life (Shors et al., 2014, 2017, 2018; Alderman et al., 2016; Lavadera et al., 2020).”
From Mental and physical training with meditation and aerobic exercise improved mental health and well-being in teachers during the COVID-19 pandemic (2022) · cites this paper as Lavadera et al., 2020
Cites
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
The PHQ-8 as a measure of current depression in the general population
Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B. W., Berry, J. T., & Mokdad, A. H. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.06.026 · Cited by 5,121 · see citing works
Running increases cell proliferation and neurogenesis in the adult mouse dentate gyrus
van Praag, H., Kempermann, G., & Gage, F. H. (1999) · Nature Neuroscience · doi:10.1038/6368 · Cited by 3,880 · see citing works
Rumination reconsidered: a psychometric analysis.
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003) · Cognitive Therapy and Research · doi:10.1023/a:1023910315561 · Cited by 3,808 · see citing works
The Whoqol Group (1998) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00009-4 · Cited by 3,802 · see citing works
Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006) · Academic Medicine · doi:10.1097/00001888-200604000-00009 · Cited by 2,909 · see citing works
Attention regulation and monitoring in meditation
Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2008.01.005 · Cited by 2,659 · see citing works
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016) · JAMA · doi:10.1001/jama.2016.17324 · Cited by 2,479 · see citing works
Learning enhances adult neurogenesis in the hippocampal formation
Gould, E., Beylin, A., Tanapat, P., Reeves, A., & Shors, T. J. (1999) · Nature Neuroscience · doi:10.1038/6365 · Cited by 2,157 · see citing works
Neurogenesis in the adult is involved in the formation of trace memories
Shors, T. J., Miesegaes, G. R., Beylin, A. V., Zhao, M., Rydel, T. A., & Gould, E. (2001) · Nature · doi:10.1038/35066584 · Cited by 2,014 · see citing works
Effects of mindfulness-based stress reduction on medical and premedical students
Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998) · Journal of Behavioral Medicine · doi:10.1023/a:1018700829825 · Cited by 1,493 · see citing works
Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference
Farb, N. A. S., Segal, Z. V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., & Anderson, A. K. (2007) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsm030 · Cited by 1,307 · see citing works
A research approach to improving our quality of life.
Flanagan, J. C. (1978) · American Psychologist · doi:10.1037/0003-066x.33.2.138 · Cited by 755 · 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
Sood, A., Prasad, K., Schroeder, D., & Varkey, P. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1640-x · Cited by 410 · see citing works
Dyrbye, L. N., Power, D. V., Massie, F. S., Eacker, A. M., Harper, W. R., Thomas, M. R., Szydlo, D. W., Sloan, J. A., & Shanafelt, T. D. (2010) · Medical Education · doi:10.1111/j.1365-2923.2010.03754.x · Cited by 397 · see citing works
Quality of life of adults with chronic illness: A psychometric study
Burckhardt, C. S., Woods, S. L., Schultz, A. A., & Ziebarth, D. M. (1989) · Research in Nursing & Health · doi:10.1002/nur.4770120604 · Cited by 361 · see citing works
Richards, K. C., Campenni, C. E., & Muse‐Burke, J. L. (2010) · Journal of Mental Health Counseling · doi:10.17744/mehc.32.3.0n31v88304423806 · Cited by 319 · see citing works
Relationship among Medical Student Resilience, Educational Environment and Quality of Life
Tempski, P. Z., Santos, I. S., Mayer, F. B., Enns, S. C., Perotta, B., Paro, H. B. M. D. S., Gannam, S., Peleias, M., Garcia, V. L., Baldassin, S. P., et al. (2015) · PLoS ONE · doi:10.1371/journal.pone.0131535 · Cited by 272 · see citing works
Curlik, D. M., & Shors, T. J. (2012) · Neuropharmacology · doi:10.1016/j.neuropharm.2012.07.027 · Cited by 211 · see citing works
Sood, A., Sharma, V., Schroeder, D. R., & Gorman, B. (2014) · EXPLORE · doi:10.1016/j.explore.2014.08.002 · Cited by 162 · see citing works
U.S. medical students who engage in self-care report less stress and higher quality of life
Ayala, E. E., Winseman, J. S., Johnsen, R. D., & Mason, H. R. C. (2018) · BMC Medical Education · doi:10.1186/s12909-018-1296-x · Cited by 120 · see citing works
Dyrbye, L. N., Shanafelt, T. D., Werner, L., Sood, A., Satele, D., & Wolanskyj, A. P. (2017) · Journal of General Internal Medicine · doi:10.1007/s11606-017-4171-2 · Cited by 113 · see citing works
Slavin, S. J., & Chibnall, J. T. (2016) · Academic Medicine · doi:10.1097/acm.0000000000001226 · Cited by 109 · see citing works
Do sex differences in rumination explain sex differences in depression?
Shors, T. J., Millon, E. M., Chang, H. Y. M., Olson, R. L., & Alderman, B. L. (2017) · Journal of Neuroscience Research · doi:10.1002/jnr.23976 · Cited by 70 · see citing works
Self-citationShors, T. J., Olson, R. L., Bates, M. E., Selby, E. A., & Alderman, B. L. (2014) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2014.08.012 · Cited by 69 · see citing works
Self-citationA Wellness Program for First Year Medical Students
McGrady, A. V., Brennan, J. A., Lynch, D. J., & Whearty, K. (2012) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-012-9198-x · Cited by 68 · see citing works
Witt, K., Boland, A. K., Lamblin, M., McGorry, P. D., Veness, B. G., Cipriani, A., Hawton, K., Harvey, S. B., Christensen, H. M., & Robinson, J. (2019) · Evidence-Based Mental Health · doi:10.1136/ebmental-2019-300082 · Cited by 58 · see citing works
Shors, T. J., Chang, H. Y. M., & Millon, E. M. (2018) · Frontiers in Neuroscience · doi:10.3389/fnins.2018.00211 · Cited by 41 · see citing works
Self-citationGordon, J. S. (2014) · BMC Medical Education · doi:10.1186/1472-6920-14-198 · Cited by 40 · see citing works
Yiengprugsawan, V., Kelly, M. J., & Tawatsupa, B. (2014) · Springer eBooks · doi:10.1007/978-94-007-0753-5_3664 · Cited by 37 · see citing works
Perspectives on Healthcare Provider Well-Being: Looking Back, Moving Forward
Penwell-Waines, L., Ward, W. L., Kirkpatrick, H. A., Smith, P., & Abouljoud, M. S. (2018) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-018-9541-3 · Cited by 30 · see citing works
Sexual trauma and the female brain
Shors, T. J., & Millon, E. M. (2016) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2016.04.001 · Cited by 29 · see citing works
Shapiro, P., Lebeau, R. B., & Tobia, A. (2019) · Medical Science Educator · doi:10.1007/s40670-019-00708-2 · Cited by 22 · see citing works
Millon, E. M., Chang, H. Y. M., & Shors, T. J. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00311 · Cited by 20 · see citing works
Taking neurogenesis out of the lab and into the world with MAP Train My Brain™
Millon, E. M., & Shors, T. J. (2019) · Behavioural Brain Research · doi:10.1016/j.bbr.2019.112154 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
A systematic review of interventions embedded in curriculum to improve university student wellbeing
Upsher, R., Nobili, A., Hughes, G., & Byrom, N. (2022) · Educational Research Review · doi:10.1016/j.edurev.2022.100464 · Cited by 82 · see citing works
Ye, J., Jia, X., Zhang, J.-J., & Guo, K.-L. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.987537 · Cited by 62 · see citing works
Remskar, M., Western, M. J., Osborne, E. L., Maynard, O., & Ainsworth, B. (2023) · Mental health and physical activity · doi:10.1016/j.mhpa.2023.100575 · Cited by 59 · see citing works
Adult Hippocampal Neurogenesis and Affective Disorders: New Neurons for Psychic Well-Being
Gomes‐Leal, W. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.594448 · Cited by 43 · see citing works
Zeng, M., Chen, S., Zhou, X., Zhang, J., Chen, X., & Sun, J. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1000109 · Cited by 45 · see citing works
Enhancing self-care education amongst medical students: a systematic scoping review
Wan, D. W. J., Goh, L. S. H., Teo, M. Y. K., Loh, C. J. L., Yak, G. H. K., Lee, J., Ravindran, N., Rahman, N. D. A., Chiam, M., Ong, E. K., et al. (2024) · BMC Medical Education · doi:10.1186/s12909-023-04965-z · Cited by 50 · see citing works
Demmin, D. L., Silverstein, S. M., & Shors, T. J. (2022) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2022.847301 · Cited by 24 · see citing works
“populations, MAP Training has yielded positive effects on mental health with decreases in depression, rumination, and post-traumatic thoughts, along with an increase in quality of life (Shors et al., 2014, 2017, 2018; Alderman et al., 2016; Lavadera et al., 2020).”
BackgroundResultDoes physical activity-based intervention decrease repetitive negative thinking? A systematic review
Wang, S., Lu, M., Dong, X., & Xu, Y. (2025) · PLoS ONE · doi:10.1371/journal.pone.0319806 · Cited by 28 · see citing works
Dance and yoga reduced functional abdominal pain in young girls: A randomized controlled trial
Högström, S., Philipson, A., Ekstav, L., Eriksson, M. H., Fagerberg, U. L., Falk, E., Möller, M., Sandberg, E., Särnblad, S., & Duberg, A. (2021) · European Journal of Pain · doi:10.1002/ejp.1862 · Cited by 19 · see citing works
Remskar, M., Western, M. J., Maynard, O., & Ainsworth, B. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.984232 · Cited by 15 · see citing works
Kikkawa, M., Shimura, A., Nakajima, K., Morishita, C., Honyashiki, M., Tamada, Y., Higashi, S., Ichiki, M., Inoue, T., & Masuya, J. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20075319 · Cited by 13 · see citing works
Millon, E. M., Lehrer, P. M., & Shors, T. J. (2022) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-021-09530-2 · Cited by 11 · see citing works
Qigong as a non pharmaceutical therapy for sleep disturbance
Feng, F., Tang, H. T., Ding, G. A., Mischoulon, D., & Yeung, A. (2024) · Brain Behavior and Immunity Integrative · doi:10.1016/j.bbii.2024.100073 · Cited by 9 · see citing works
Philipson, A., Särnblad, S., Ekstav, L., Eriksson, M. H., Fagerberg, U. L., Möller, M., Mörelius, E., & Duberg, A. (2020) · JMIR Research Protocols · doi:10.2196/19748 · Cited by 7 · see citing works
Li, H., Upreti, T., Do, V., Dance, E., Lewis, M., Jacobson, R. A., & Goldberg, A. M. (2023) · Medical Teacher · doi:10.1080/0142159x.2023.2231625 · Cited by 7 · see citing works
Proietti, S. S., Chiavarini, M., Iorio, F., Buratta, L., Pocetta, G., Carestia, R., Gobbetti, C., Lupi, C., Cosenza, A., Sorci, G., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1372660 · Cited by 9 · see citing works
Guo, K., Chen, S., Hui, Z., Guo, F., Xiang, J., & Li, D. (2025) · Scientific Reports · doi:10.1038/s41598-025-09202-9 · Cited by 5 · see citing works
Mahon, A., Holt, C., Hibbert, M., Jago, R., Tinner, L., & Kidger, J. (2025) · Discover Public Health · doi:10.1186/s12982-025-00933-8 · Cited by 6 · see citing works
Breneman, C. B., Pollin, K. U., Chun, T. J., Crock, L., Jachimowicz, W., McCullers, R. A., Brewster, R. C., Alaoui, A., Belouali, A., Roy, M. J., et al. (2025) · Pilot and Feasibility Studies · doi:10.1186/s40814-025-01628-2 · Cited by 3 · see citing works
DALBAŞI, R. İ., & Kısa, C. (2015) · Aydın insan ve toplum dergisi · doi:10.17932/iau.ait.2015.012/ait_v08i1001 · Cited by 3 · see citing works
Horvath, A. J., Shegufta, F. A., Chairilsyah, M. R., Wikanta, K. G., Waidyatillake, N. T., & Reid, K. (2026) · BMC Medical Education · doi:10.1186/s12909-025-08460-5 · Cited by 4 · see citing works
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Maharjan, S., & Pandey, A. (2021) · Journal of Nepal Medical Association · doi:10.31729/jnma.6363 · Cited by 2 · see citing works
Breneman, C. B., Samuel, I. B. H., Hamedi, A., Chun, T. J., Jachimowicz, W., Pollin, K. U., McCullers, R. A., Crock, L., Brewster, R. C., Alaoui, A., et al. (2022) · Lecture notes in computer science · doi:10.1007/978-3-031-05457-0_2 · Cited by 2 · see citing works
Vollbehr, N. K., Hoenders, R. H. J., Bartels‐Velthuis, A. A., de Jong, P. J., & Ostafin, B. D. (2023) · Journal of Experimental Psychopathology · doi:10.1177/20438087231183777 · Cited by 1 · see citing works
Hassles during the First Year of Medical School: Can a Student Wellness Program Make a Difference?
Johnson, J. C., Smith, C. K., & Degenhardt, B. F. (2024) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2403057 · Cited by 1 · see citing works
Mental Well-Being in Medical Formal Training: What COVID-19 Pandemic Also Revealed
Ramos-Valle, D., Vázquez-Raposo, A. S., Ramos-Dichi, D. G., Dichi-Romero, M. D. L. Á., Cortes, L. R. G., Delgado, M. E. L., Camargo, D. A. P., & Ceniceros, V. I. U. (2022) · Journal of Medical - Clinical Research & Reviews · doi:10.33425/2639-944x.1300 · Cited by 1 · see citing works
Mert, U. S. T. A., ŞAFAK, M., YILDIZ, Z., & Başkurt, Z. (2024) · Ergoterapi ve Rehabilitasyon Dergisi · doi:10.30720/ered.1308585 · Cited by 1 · see citing works
Guillaumée, T., Antoine Lutz, A., Duclos, A., Rimmelé, T., Barret, N., Berland, A., Gilles Rode, A., Lilot, M., & Schlatter, S. (2024) · Research Square · doi:10.21203/rs.3.rs-4486967/v1 · Cited by 1 · see citing works
Ramos-Valle, D., Martínez, M. G. S., & Muñoz-Reyna, P. A. (2023) · Investigación en Educación Médica · doi:10.22201/fm.20075057e.2023.47.23514
Karabay, D., Tanık, F., Keskin, M., Öztürk, O., Kurt, M., & Kaya, D. Ö. (2023) · Ahi Evran Medical Journal · doi:10.46332/aemj.1221714
Martínez, R. P., & Sevilla, A. E. C. (2024) · MENTOR revista de investigación educativa y deportiva · doi:10.56200/mried.v3i7.6773
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Hodes, G. E. (2025) · The Transmitter · doi:10.53053/gijw4741
Wei, X., Li, H., Jia, Y., Qu, D., Chen, S., Huang, L., Chen, S., Bu, H., LeMoult, J., Zieff, G. H., et al. (2025) · Research on Social Work Practice · doi:10.1177/10497315251316844
Meeks, K., Penela, O., Mudireddy, G. K., Brieck, Z. J., Lian, B. E., & Hodge, R. H. (2025) · Research Square · doi:10.21203/rs.3.rs-6595275/v1
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Gulati, K., Bhargav, H., Telles, S., & Hankey, A. (2025) · Springer eBooks · doi:10.1007/978-981-96-8039-9_3
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Atıcı, M. (2025) · International Journal Of Eurasia Social Sciences · doi:10.70736/ijoess.1750
Brawley, R. R., Springer, D., Volz, M., Bharathan, A., DALY, K. D., & Zhu, X. (2025) · American Journal of Lifestyle Medicine · doi:10.1177/15598276251405206
- Authors
- Lavadera, P., Millon, E. M., & Shors, T. J.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Corresponding author
- Shors, Tracey J.
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2020-05-01
- Volume
- 26
- Issue
- 5
- Pages
- 418-423
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- OpenAlex
- W3017127152
- Cited by
- 41
- References
- 36
- Citations by year
- 2026: 1 · 2025: 10 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 5 · 2020: 1 · 2015: 2
- FWCI
- 2.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Alternative and Complementary 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
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- meditation, aerobic exercise, medical students, perceived stress, rumination, depressive symptoms, quality of life, self-care, brain health, heart rate monitoring, brooding
- MeSH terms
- Rumination, Cognitive, Adult, Combined Modality Therapy, Female, Humans, Male, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Students, Medical, Exercise, Meditation, Young Adult
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