Resilience interventions in physicians: A systematic review and meta-analysis
Abstract
The aim of this review was to evaluate the effectiveness of interventions in promoting resilience among physicians. Previous reviews concerning resilience did not assess effectiveness in a systematic way using meta-analytic methods. PubMed, PsycINFO, and Cochrane Register of Controlled Trials were searched from inception to January 31, 2020. Randomized clinical trials, non-randomized clinical trials, and repeated-measures studies of intervention designs targeting at resilience in physicians were included. Eleven studies were included in the review (n = 580 physicians). Research findings suggest that interventions for resilience in physicians were associated with small but significant benefits. Subgroup analyses suggested small but significantly improved effects for emotional-supportive-coping interventions (Hedges's g = 0.242; 95% CI, 0.082-0.402, p = .003) compared with mindfulness-meditation-relaxation interventions (Hedges's g = 0.208; 95% CI, 0.131-0.285, p = .000). Interventions that were delivered for more than a week indicated higher effect (Hedges's g = 0.262; 95% CI, 0.169-0.355, p = .000) compared with interventions delivered for up to a week (Hedges's g = 0.172; 95% CI, -0.010 to 0.355, p = .064). Results were not influenced by the risk of bias ratings. Findings suggest that physicians can benefit in their personal levels of resilience from attending an intervention specifically designed for that reason for more than a week. Moreover, policy-makers should view current results as a significant source of redesigning healthcare systems and promoting attendance of resilience interventions by physicians. Future research should address the need for more higher-quality studies and improved study designs.
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Angelopoulou et al. included eleven studies on mindfulness and emotional-supportive coping, showing small but significant positive effects on resilience of physicians.
“Another systematic review by Angelopoulou et al. included eleven studies on mindfulness techniques and emotional-supportive coping, showing small but significant positive effects on the resilience of physicians (21).”
From Digital resilience interventions for healthcare workers: a systematic review (2025) · cites this paper as [21]
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Digital training for building resilience: systematic review, meta-analysis, and meta-regression
Ang, W. H. D., Chew, H. S. J., Dong, J., Yi, H., Mahendren, R., & Lau, Y. (2022) · Stress and Health · doi:10.1002/smi.3154 · Cited by 83 · see citing works
“Although face‐to‐ face resilience training is favourable (Ang et al., 2022; Angelopoulou & Panagopoulou, 2021; Dray et al., 2017; Joyce et al., 2018), whether these benefits persist in a digital platform remains unclear.”
BackgroundHenshall, C., Ostinelli, E., Harvey, J., Davey, Z., Aghanenu, B., Cipriani, A., & Attenburrow, M.-J. (2022) · JMIR Medical Education · doi:10.2196/34230 · Cited by 30 · see citing works
Digital resilience interventions for healthcare workers: a systematic review
Larsson, M., Ho, D. M., Kirschner, M., Seifritz, E., & Manoliu, A. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1519670 · Cited by 14 · see citing works
- Authors
- Angelopoulou, P., & Panagopoulou, E.
- Affiliations
- Aristotle University of Thessaloniki (GR)
- Corresponding author
- Angelopoulou, Paraskevi
- Venue
- Applied Psychology: Health and Well-Being
- Publisher
- Wiley
- Published
- 2021-05-21
- Volume
- 14
- Issue
- 1
- Pages
- 3-25
- ISSN
- 1758-0846 (ISSN-L)
- 1758-0854
- OpenAlex
- W3163118671
- Cited by
- 34
- References
- 65
- Citations by year
- 2026: 3 · 2025: 15 · 2024: 2 · 2023: 8 · 2022: 4 · 2021: 2
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Applied Psychology Health and Well-Being (publishedVersion)
- PubMed (publishedVersion)
- Funders
- State Scholarships Foundation (MIS‐5000432)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- resilience, physicians, resilience interventions, mindfulness meditation, relaxation intervention, intervention duration, physician well-being, healthcare workforce
- MeSH terms
- Humans, Physicians, Meditation
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