Cited by 508Mindfulness and Compassion InterventionsHealthcare professionals’ stress and burnoutStudent Stress and Coping

Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students

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Rosenzweig, Steven, Reibel, Diane K., Greeson, Jeffrey M., Brainard, George C., Hojat, Mohammadreza·2003·Teaching and Learning in Medicine

Abstract

BACKGROUND: Medical students confront significant academic, psychosocial, and existential stressors throughout their training. Mindfulness-based stress reduction (MBSR) is an educational intervention designed to improve coping skills and reduce emotional distress. PURPOSE: The purpose of this study was to examine the effectiveness of the MBSR intervention in a prospective, nonrandomized, cohort-controlled study. METHODS: Second-year students (n = 140) elected to participate in a 10-week MBSR seminar. Controls (n = 162) participated in a didactic seminar on complementary medicine. Profile of Mood States (POMS) was administered preintervention and postintervention. RESULTS: Baseline total mood disturbance (TMD) was greater in the MBSR group compared with controls (38.7 +/- 33.3 vs. 28.0 +/- 31.2; p < .01). Despite this initial difference, the MBSR group scored significantly lower in TMD at the completion of the intervention period (31.8 +/- 33.8 vs. 38.6 +/- 32.8; p < .05). Significant effects were also observed on Tension-Anxiety, Confusion-Bewilderment, Fatigue-Inertia, and Vigor-Activity subscales. CONCLUSION: MBSR may be an effective stress management intervention for medical students.

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  • Mindfulness-based stress reduction (MBSR) has been shown to reduce cortisol levels, enhance emotional regulation, and improve pain perception.

    “For instance, mindfulness-based stress reduction (MBSR) has been shown to reduce cortisol levels, enhance emotional regulation, and improve pain perception [63].”

    From The Role of Cortisol in Chronic Stress, Neurodegenerative Diseases, and Psychological Disorders (2023) · cites this paper as [63]

    The Conclusions (page unavailable) report that MBSR has been shown to reduce bodily pain, which supports the pain portion of the claim. The Results report improved mood states in medical students, but the paper does not establish enhanced emotional regulation or report reduced cortisol levels; it used the Profile of Mood States as its only outcome measure. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Mindfulness-based stress-reduction training programs have been shown to decrease depression compared to control.

    “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.”
  • Other areas with initial evidence for the usefulness of mindfulness include eating disorders, obsessive-compulsive disorder, hypochondriasis, somatisation disorders (especially irritable bowel syndrome), autism-spectrum disorders (in adults) and attention-deficit hyperactivity disorder.

    “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 [24]

    Citation 28 is attached to the claim about autism-spectrum disorders in adults. The Methods and Conclusions describe mindfulness-based stress reduction in medical students, but our copy does not address its usefulness for autistic adults (searched: autism-spectrum disorders, autistic adults, and Asperger). (LLM, conf=0.76)

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Authors
Rosenzweig, S., Reibel, D. K., Greeson, J. M., Brainard, G. C., & Hojat, M.
Affiliations
Thomas Jefferson University (US)
Venue
Teaching and Learning in Medicine
Published
2003-04
Volume
15
Issue
2
Pages
88-92
ISSN
  • 1040-1334 (ISSN-L)
  • 1532-8015
OpenAlex
W1979454969
Cited by
507
References
23
Citations by year
2026: 5 · 2025: 12 · 2024: 14 · 2023: 23 · 2022: 16 · 2021: 40 · 2020: 28 · 2019: 44 · 2018: 26 · 2017: 28 · 2016: 29 · 2015: 35 · 2014: 28 · 2013: 32 · 2012: 24
FWCI
6.53
Type
journal article
Language
en
Open access
Locations
  • Teaching and Learning in Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • The Medicine Forum (submittedVersion)
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 › Developmental and Educational Psychology › Student Stress and Coping
Keywords
mindfulness-based stress reduction, medical students, psychological distress, stress management, mood disturbance, coping strategies, complementary therapy, Profile of Mood States, medical education
MeSH terms
Adaptation, Psychological, Adult, Analysis of Variance, Humans, Prospective Studies, Relaxation Therapy, Stress, Psychological, Students, Medical, Treatment Outcome

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