Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial
Open accessAbstract
Longitudinal research investigating the enduring impact of mindfulness training is scarce. This study investigates the six-year effects of a seven-week mindfulness-based course, by studying intervention effects in the trajectory of dispositional mindfulness and coping skills, and the association between those change trajectories and subjective well-being at six-year follow-up. 288 Norwegian medical and psychology students participated in a randomized controlled trial. 144 received a 15-hour mindfulness course over seven weeks in the second or third semester with booster sessions twice yearly, while the rest continued their normal study curricula. Outcomes were subjective well-being, and dispositional mindfulness and coping assessed using the Five Facet Mindfulness Questionnaire and the Ways of Coping Checklist. Analyses were performed for the intention-to-treat sample, using latent growth curve models. At six-year follow-up, students receiving mindfulness training reported increased well-being. Furthermore, they reported greater increases in the trajectory of dispositional mindfulness and problem-focused coping along with greater decreases in the trajectory of avoidance-focused coping. Increases in problem-focused coping predicted increases in well-being. These effects were found despite relatively low levels of adherence to formal mindfulness practice. The findings demonstrate the viability of mindfulness training in the promotion of well-being and adaptive coping, which could contribute to the quality of care given, and to the resilience and persistence of health care professionals. TRIAL REGISTRATION: Clinicaltrials.gov NCT00892138.
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A systematic review of randomized controlled trials using the MBSR program (N=1,942) indicated a general decay of effects after 1 to 2 years, except for one study which included refresher sessions.
“Furthermore, a systematic review of randomized controlled trials using the MBSR program (N=1,942; de Vibe et al., 2018) indicated a general decay of effects after 1 to 2 years, except for one study which included refresher sessions.”
From Mindfulness-based programs sustainably increase mental health: The role of cognitive fusion and mindfulness practice (2024) · cites this paper as de Vibe et al., 2018
The Participants and procedures section identifies this as a single randomized trial of 288 medical and psychology students, not a systematic review of trials involving 1,942 participants. The Discussion reports effects on well-being six years after the intervention; the paper does not present the claimed review finding about general decay after one to two years. (LLM, conf=0.90)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredTo date, only a few published articles have reported long-term follow-up studies lasting more than two years in the general population, and these were based on student samples.
“To date, only a few published articles have reported long-term follow-up studies lasting more than two years in the general population, and these were based on student samples (see de Vibe et al., 2018; Solhaug et al., 2019).”
From Mindfulness-based programs sustainably increase mental health: The role of cognitive fusion and mindfulness practice (2024) · cites this paper as de Vibe et al., 2018
The Introduction says that little is known about mindfulness-intervention effects beyond one year in non-clinical populations, and describes a four-year follow-up of the authors’ student trial. The Discussion reports this trial’s six-year follow-up in medical and psychology students. These passages support the scarcity of long-term research and a student-sample example, but do not establish that the few published studies lasting more than two years were all based on student samples. (LLM, conf=0.82)
Experimental — accuracy not yet measuredA meta-analysis (de Vibe et al., 2018) indicated a general decay of effects after 1 to 2 years, except for one study which included refresher sessions.
“de Vibe et al., 2018) indicated a general decay of effects after 1 to 2 years, except for one study which included refresher sessions.”
From Mindfulness-based programs sustainably increase mental health: The role of cognitive fusion and mindfulness practice (2024) · cites this paper as de Vibe et al., 2018
The Discussion reports six-year benefits from this randomized trial, which offered booster sessions. But the paper is not a meta-analysis and does not report a general decay of effects after one to two years. The Descriptive analyses also say booster-session attendance did not predict outcomes. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThese results are in line with prior studies measuring the effects of mindfulness-based programs on mindfulness, anxiety, well-being, and cognitive fusion in non-clinical populations.
“These results are in line with the findings of prior studies measuring the effects of mindfulness-based programs on mindfulness, anxiety, well-being, and cognitive fusion in non-clinical populations (see de Vibe et al., 2018; Golden et al., 2020; Querstret et al., 2020; Ștefan et al., 2018; Tanay et al., 2012).”
From Mindfulness-based programs sustainably increase mental health: The role of cognitive fusion and mindfulness practice (2024) · cites this paper as de Vibe et al., 2018
The Discussion reports that the mindfulness intervention increased dispositional mindfulness and well-being in medical and psychology students, supporting those parts of the sentence in a non-clinical population. The paper does not report intervention effects on anxiety or cognitive fusion; its reported outcomes include coping instead. The supplied copy gives no page numbers for these passages. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMindful individuals are more resilient to life stress, decreasing the likelihood of developing physical ailments such as cardiovascular disease and impaired immune systems.
“Mindful individuals are more resilient to life stress (de Vibe et al., 2018), decreasing the likelihood of developing physical ailments such as cardiovascular disease and impaired immune systems (Murphy et al., 2012).”
From What is the mindful personality? Implications for physical and psychological health (2022) · cites this paper as de Vibe et al., 2018
Other research found increased subjective well-being up to six years post-intervention.
“and increased subjective well-being up to 6 years post-intervention (de Vibe et al., 2018).”
From Effects of a Mindfulness-Based Weight Loss Intervention on Long-term Psychological Well-being Among Adults with Obesity: Secondary Analyses from the Supporting Health by Integrating Nutrition and Exercise (SHINE) Trial (2022) · cites this paper as de Vibe et al., 2018
Certain studies have shown that even if individuals reported low frequency formal mindfulness practice, practicing mindfulness had a lasting beneficial effect on well-being and adaptability.
“However, certain studies have shown that even if individuals reported low frequency formal mindfulness practice, practicing mindfulness had a lasting beneficial effect on well-being and adaptability (De Vibe et al., 2018).”
From Mindfulness-based programs sustainably increase mental health: The role of cognitive fusion and mindfulness practice (2024) · cites this paper as De Vibe et al., 2018
Few research studies have measured the sustainability of these effects after several years, but those that did showed persistent effects on medical and psychology students' mindfulness, mental health, and coping abilities in non-clinical populations.
“Few research studies have measured the sustainability of these effects after several years, but these studies also showed that in non-clinical populations (e.g., students), follow-up measures between one month and six years showed persistent effects on medical and psychology students' mindfulness, mental health, and coping abilities (de Vibe et al., 2018; Solhaug et al., 2019).”
From Mindfulness-based programs sustainably increase mental health: The role of cognitive fusion and mindfulness practice (2024) · cites this paper as de Vibe et al., 2018
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Self-citation
- Authors
- de Vibe, M., Solhaug, I., Rosenvinge, J. H., Tyssen, R., Hanley, A., & Garland, E.
- Affiliations
- University Hospital of North Norway (NO)
- UiT The Arctic University of Norway (NO)
- University of Oslo (NO)
- University of Utah (US)
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2018-04-24
- Volume
- 13
- Issue
- 4
- Pages
- e0196053
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5916495
- OpenAlex
- W2802699102
- Cited by
- 192
- References
- 64
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 27 · 2023: 38 · 2022: 33 · 2021: 24 · 2020: 21 · 2019: 12 · 2018: 2
- FWCI
- 17.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- public-domain
- creativecommons.org/publicdomain/zero/1.0/ (vor)
- Locations
- PLoS ONE (publishedVersion, public-domain)
- Europe PMC (PubMed Central) (publishedVersion, public-domain)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Figshare (submittedVersion, cc-by)
- NORA - Norwegian Open Research Archives (submittedVersion, public-domain)
- Funders
- Norske Legeforening (NO) (08/4352)
- Norwegian Public Health Institute
- the Health Authority Region North, Norway
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- mindfulness-based interventions, trait mindfulness, coping, subjective well-being, problem-focused coping, booster sessions, medical students, psychology students, longitudinal follow-up, healthcare workers, resilience
- MeSH terms
- Treatment Adherence and Compliance, Adaptation, Psychological, Adult, Female, Humans, Longitudinal Studies, Male, Norway, Stress, Psychological, Students, Health Occupations, Students, Medical, Mindfulness
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