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      Determining the feasibility and effectiveness of brief online mindfulness training for rural medical students: a pilot study

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          Abstract

          Background

          We sought to determine the feasibility and effectiveness of a mindfulness training program, delivered online to medical students at a Rural Clinical School.

          Methods

          An 8-week online training program was delivered to penultimate-year medical students at an Australian Rural Clinical School during 2016. Using a mixed methods approach, we measured the frequency and duration of participants’ mindfulness meditation practice, and assessed changes in their perceived stress, self-compassion and compassion levels, as well as personal and professional attitudes and behaviours.

          Results

          Forty-seven participants were recruited to the study. 50% of participants were practising mindfulness meditation at least weekly by the end of the 8-week program, and 32% reported practising at least weekly 4 months following completion of the intervention. There was a statistically significant reduction in participants’ perceived stress levels and a significant increase in self-compassion at 4-month follow-up. Participants reported insights about the personal and professional impact of mindfulness meditation training as well as barriers to practice.

          Conclusions

          The results provide preliminary evidence that online training in mindfulness meditation can be associated with reduced stress and increased self-compassion in rural medical students. More rigorous research is required to establish concrete measures of feasibility of a mindfulness meditation program.

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          Most cited references33

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          Self-Compassion: An Alternative Conceptualization of a Healthy Attitude Toward Oneself

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            Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program.

            Relationships were investigated between home practice of mindfulness meditation exercises and levels of mindfulness, medical and psychological symptoms, perceived stress, and psychological well-being in a sample of 174 adults in a clinical Mindfulness-Based Stress Reduction (MBSR) program. This is an 8- session group program for individuals dealing with stress-related problems, illness, anxiety, and chronic pain. Participants completed measures of mindfulness, perceived stress, symptoms, and well-being at pre- and post-MBSR, and monitored their home practice time throughout the intervention. Results showed increases in mindfulness and well-being, and decreases in stress and symptoms, from pre- to post-MBSR. Time spent engaging in home practice of formal meditation exercises (body scan, yoga, sitting meditation) was significantly related to extent of improvement in most facets of mindfulness and several measures of symptoms and well-being. Increases in mindfulness were found to mediate the relationships between formal mindfulness practice and improvements in psychological functioning, suggesting that the practice of mindfulness meditation leads to increases in mindfulness, which in turn leads to symptom reduction and improved well-being.
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              Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students.

              To systematically review articles reporting on depression, anxiety, and burnout among U.S. and Canadian medical students. Medline and PubMed were searched to identify peer-reviewed English-language studies published between January 1980 and May 2005 reporting on depression, anxiety, and burnout among U.S. and Canadian medical students. Searches used combinations of the Medical Subject Heading terms medical student and depression, depressive disorder major, depressive disorder, professional burnout, mental health, depersonalization, distress, anxiety, or emotional exhaustion. Reference lists of retrieved articles were inspected to identify relevant additional articles. Demographic information, instruments used, prevalence data on student distress, and statistically significant associations were abstracted. The search identified 40 articles on medical student psychological distress (i.e., depression, anxiety, burnout, and related mental health problems) that met the authors' criteria. No studies of burnout among medical students were identified. The studies suggest a high prevalence of depression and anxiety among medical students, with levels of overall psychological distress consistently higher than in the general population and age-matched peers by the later years of training. Overall, the studies suggest psychological distress may be higher among female students. Limited data were available regarding the causes of student distress and its impact on academic performance, dropout rates, and professional development. Medical school is a time of significant psychological distress for physicians-in-training. Currently available information is insufficient to draw firm conclusions on the causes and consequences of student distress. Large, prospective, multicenter studies are needed to identify personal and training-related features that influence depression, anxiety, and burnout among students and explore relationships between distress and competency.
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                Author and article information

                Contributors
                sarah.j.moore@rcswa.edu.au
                ritabarbour@bigpond.com
                hanh.ngo@rcswa.edu.au
                c.sinclair@unsw.edu.au
                richard.chambers@monash.edu
                kirsten.auret@rcswa.edu.au
                craig.hassed@monash.edu
                denese.playford@rcswa.edu.au
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                6 April 2020
                6 April 2020
                2020
                : 20
                : 104
                Affiliations
                [1 ]GRID grid.1012.2, ISNI 0000 0004 1936 7910, Rural Clinical School of WA, , University of Western Australia, ; Busselton, Australia
                [2 ]GRID grid.1012.2, ISNI 0000 0004 1936 7910, Rural Clinical School of WA, , University of Western Australia, ; Perth, Australia
                [3 ]GRID grid.1005.4, ISNI 0000 0004 4902 0432, Centre of Excellence in Population Ageing Research, , University of New South Wales, ; Sydney, Australia
                [4 ]GRID grid.1002.3, ISNI 0000 0004 1936 7857, Monash University, ; Melbourne, Australia
                [5 ]GRID grid.1012.2, ISNI 0000 0004 1936 7910, Rural Clinical School of WA, , University of Western Australia, ; Albany, Australia
                [6 ]GRID grid.1002.3, ISNI 0000 0004 1936 7857, Department of General Practice, , Monash University, ; Melbourne, Australia
                Article
                2015
                10.1186/s12909-020-02015-6
                7137339
                32252750
                5057bb76-ab88-4e76-aadc-d71cd6f74a57
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 22 August 2019
                : 23 March 2020
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100001040, Val Lishman Health Research Foundation;
                Award ID: NA
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2020

                Education
                online mindfulness training,stress management,rural medical education,self-compassion

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