Efikasnost programa obuke zasnovanih na svesnosti u smanjenju psihičkog stresa i unapređenju blagostanja kod studenata medicine: sistematski pregled i meta-analiza.
Systematic reviews
Sažetak istraživanja
Pozadina Medicinske škole su koristile meditaciju svjesnosti kao strategiju za pomoć studentima u upravljanju stresom. Ova studija imala je za cilj da traži dokaze o efikasnosti programa obuke zasnovanih na svesnosti u smanjenju psihičkog stresa i promociji dobrobiti studenata medicine.
Metode Proveli smo sistematski pregled i metaanalizu. Cochrane biblioteka, Embase, PubMed/MEDLINE, PsycINFO/PsycNet, LILACS/BVS, ERIC (ProQuest), Web of Science, OpenGrey i Google Scholar pretraženi su za randomizirana klinička ispitivanja objavljena do marta 2022., bez vremenskih ili jezičnih ograničenja. Dva autora su nezavisno pregledala članke, izvukla podatke koristeći standardizovani obrazac za ekstrakciju i procijenila metodološki kvalitet uključenih studija koristeći Cochraneov Risk of Bias 2 (ROB 2) alat i kvalitet dokaza pomoću alata Grading of Recommendations Assessment, Development, and Evaluation (GRADE).
Rezultati Od 848 preuzetih članaka, 8 je ispunilo kriterijume za uključivanje. Trening zasnovan na svesnosti poboljšao je ishode: svesnost (mali efekat nakon intervencije: SMD = 0,29; 95% CI: 0,03 do 0,54; p = 0,03; I 2 = 46%; visok kvalitet dokaza i mali efekat u praćenju: SMD = 0,34% CI: 0,04% CI: 0,04%; p 0,03; I 2 = 53% nizak kvalitet dokaza), psihičko blagostanje/zdravlje (nije bilo statistički značajne razlike između grupa u efektu nakon intervencije: SMD = - 0,27; 95% CI: - 0,67 do 0,13; p = 0,18; S 2 = razlika u stopi praćenja; 0,73 % CI: - 1,23 do - 0,23; p = 0,004; kvalitet i umereni efekat pri praćenju: SMD = - 0,45, 95% CI: - 0,67 do - 0,22, p = 0,0001, I 2 = 0%, umeren kvalitet dokaza). Kvalitet dokaza za ishode anksioznosti, depresije i otpornosti je nizak, a za ishod empatije vrlo nizak.
Zaključak Rezultati pokazuju da su učenici koji su učestvovali u treningu svesnosti uočili poboljšanja u simptomima stresa i psihičkog stresa i poboljšanu percepciju zdravlja i psihičkog blagostanja. Međutim, pri tumačenju ovih nalaza treba uzeti u obzir značajnu heterogenost među studijama. Registracija sistematskog pregleda PROSPERO CRD42020153169.
Prikaži originalni naslov i sažetak na engleskom
Effectiveness of training programs based on mindfulness in reducing psychological distress and promoting well-being in medical students: a systematic review and meta-analysis.
Background Medical schools have used mindfulness meditation as a strategy to assist students in stress management. This study aimed to seek evidence regarding the effectiveness of mindfulness-based training programs in reducing psychological distress and promoting the well-being of medical students.
Methods We conducted a systematic review and meta-analysis. Cochrane Library, Embase, PubMed/MEDLINE, PsycINFO/PsycNet, LILACS/BVS, ERIC (ProQuest), Web of Science, OpenGrey, and Google Scholar were searched for randomized clinical trials published until March 2022, without time or language restrictions. Two authors independently screened the articles, extracted data using a standardized extraction form, and assessed the methodological quality of the included studies using the Cochrane's Risk of Bias 2 (ROB 2) tool and the quality of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool.
Results Of the 848 articles retrieved, 8 met the inclusion criteria. Mindfulness-based training improved the outcomes: mindfulness (small post-intervention effect: SMD = 0.29; 95% CI: 0.03 to 0.54; p = 0.03; I 2 = 46%; high evidence quality, and small effect at follow-up: SMD = 0.37; 95% CI: 0.04 to 0.70; p = 0.03; I 2 = 53%; low evidence quality), psychological well-being/health (there was no statistically significant difference between the groups in the post-intervention effect: SMD = - 0.27; 95% CI: - 0.67 to 0.13; p = 0.18; I 2 = 76%; moderate evidence quality, and a significant difference at follow-up: SMD = - 0.73; 95% CI: - 1.23 to - 0.23; p = 0.004; I 2 = 61%; low evidence quality), and stress (small post-intervention effect: SMD = - 0.29; CI of 95%: - 0.56 to - 0.02; p = 0.04; I 2 = 57%; moderate evidence quality, and moderate effect at follow-up: SMD = - 0.45, 95% CI: - 0.67 to - 0.22, p = 0.0001, I 2 = 0%, moderate evidence quality). The quality of evidence for the anxiety, depression, and resilience outcomes is low and for the empathy outcome, very low.
Conclusion The results indicate that the students who participated in the mindfulness training perceived improvements in the stress and psychological distress symptoms and improved health perception and psychological well-being. However, the significant heterogeneity among studies should be considered when interpreting these findings. Systematic review registration PROSPERO CRD42020153169.
Izvorni podaci
- DOI
- 10.1186/s13643-023-02244-y
- PMID
- 37147732
- PMCID
- PMC10160720
- Provjereno
- 2026-07-26
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