Abstract
Entering medical students experience distress symptoms due to the demands of the intensive curriculum, adjustment to new environments and increased responsibilities. The purpose of this controlled, randomized study was to determine the effects of a structured wellness program on measures of anxiety, depression and frequency of acute illness in 449 first year medical students. The effects of eight sessions of stress management were compared to a wait list control group. High risk students were identified based on scores on psychological inventories and number of recent life events (WLE). Results showed that depression, anxiety scores and frequency of acute illness were higher in women than in men, and were higher in students with multiple life events. Significant decreases were observed in depression in the intervention group students when WLE was the covariate (p = .045). Further, the high risk group showed consistently lower depression scores after the intervention compared to high risk wait list controls (p = .003), and these changes were maintained at the end of school year. There were no significant changes in anxiety or frequency of acute illness. Wellness programs can be implemented in medical school and may be particularly useful for entering students with elevated psychological distress.
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References
Ball, S., & Bax, A. (2002). Self-care in medical education: Effectiveness of health- habits interventions for first-year medical students. Academic Medicine, 77(9), 911–917.
Beck, A. T., & Robert, A. S. (1993). Beck anxiety inventory manual. San Antonio: The Psychological Corporation Harcourt Brace & Company.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio: Psychological Corporation.
Brennan, J., McGrady, A., Lynch, D., & Whearty, K. (2010). Stress management intervention for first year medical students. Annals of Behavioral Science and Medical Education, 16, 15–19.
Carmody, D. P. (2005). Psychometric characteristics of the Beck depression inventory-II with college students of diverse ethnicity. International Journal of Psychiatry in Clinical Practice, 9(1), 22–28.
Compton, M. T., Carrera, M. S., & Frank, E. (2008). Stress and depressive symptoms/dysphoria among US medical students. The Journal of Nervous and Mental Disease, 196(12), 891–897.
Dahlin, M., Joneborg, N., & Runeson, B. (2005). Stress and depression among medical students: A cross-sectional study. Medical Education, 39, 594–604.
Davis, M., Eshelman, E. R., & McKay, M. (2008). The relaxation and stress reduction workbook (6th ed.). Oak Park: New Harbinger Publications, Inc.
Drolet, B. C., & Rodgers, S. (2010). A comprehensive medical student wellness program: Design and implementation at Vanderbilt school of medicine. Academic Medicine, 85, 103–110.
Dyrbye, L., Thomas, M., & Shanafelt, T. (2006). Systematic review of depression, anxiety and other indicators of psychological distress among US and Canadian medical students. Academic Medicine, 81, 354–373.
Goebert, D., Thompson, D., & Takeshita, J. (2009). Depressive symptoms in medical students and residents: A multischool study. Academic Medicine, 84, 236–241.
Hobson, C. J., Kamen, J., Szostek, J., Nethercut, C. M., Tiedman, J. W., & Wojnarowicz, S. (1998). Stressful life events: A revision and update of the social readjustment rating scale. International Journal of Stress Management, 5(1), 1–23.
Holmes, T., & Rahe, R. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213–218.
Levin, R. (1988). Beyond “the men of steel”: The origins and significance of house staff training stress. General Hospital Psychiatry, 10, 114–121.
McGrady, A., Brennan, J., & Lynch, D. (2009). Effects of wellness programs in family medicine. Applied Psychophysiology & Biofeedback, 34, 121–136.
Paro, H., Morales, N., deSilva, C., Pinto, R., Morales, R., Mendonca, T., et al. (2010). Health related quality of life of medical students. Medical Education, 44, 227–235.
Perlman, L. M., Cohen, J. L., Altiere, M. J., Brennan, J. A., Brown, S. R., Mainka, J. B., et al. (2010). A wellness group therapy program for psychiatric and comorbid medical conditions in a veterans affairs mental health clinic. Professional Psychology Research and Practice, 41, 120–127.
Rahe, R., Taylor, C., Tolles, R., Newhall, L., Veach, T., & Bryson, S. (2002). A novel stress and coping workplace program reduces illness and healthcare utilization. Psychosomatic Medicine, 64, 278–286.
Rosen, D., Mascaro, N., Arnau, R., Escamilla, M., Tai-Seale, M., Ficht, A., et al. (2010). Depression in medical students: Gene-environment interaction. Annals of Behavioral Science and Medical Education, 16, 8–14.
Shapiro, S., Schwartz, G., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581–599.
Williams, K., Kolar, M., Reger, B., & Pearson, J. (2001). Evaluation of a wellness-based mindfulness stress reduction intervention: A controlled trial. American Journal of Health Promotion, 15, 422–432.
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This research was supported through the generosity of The Lovell Foundation, Tuscon, Arizona.
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McGrady, A., Brennan, J., Lynch, D. et al. A Wellness Program for First Year Medical Students. Appl Psychophysiol Biofeedback 37, 253–260 (2012). https://doi.org/10.1007/s10484-012-9198-x
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DOI: https://doi.org/10.1007/s10484-012-9198-x