Chen Allen K, Kumar Anagha, Haramati Aviad
Georgetown University School of Medicine, Washington, DC, USA;
Medstar Health Research Institute, Georgetown University Medical Center, Washington, DC, USA.
Med Educ Online. 2016 Jun 27;21:31196. doi: 10.3402/meo.v21.31196. eCollection 2016.
Empathy among medical practitioners has been shown to affect patient care and outcomes. Factors such as stress and depression are known to have a negative impact on medical student empathy. Approaches such as mindfulness, meditation, and other mind-body techniques can enhance empathy and reverse burnout symptoms. In the present study, we evaluated impact of Mind Body Medicine (MBM) course on perceived stress and empathy on first-year medical students.
Thirteen first-year medical students in total self-selected into MBM (experimental) and seven non-MBM (control) groups completed a prospective, pre- and post-test analysis, using the Jefferson Scale of Physician Empathy - Students (JSPE-S), Perceived Stress Scale (PSS), and Personal Health Questionnaire (PHQ) to evaluate empathy, stress, and depression, respectively.
Our results showed an increase in stress, as well as a decrease in empathy, in both MBM and non-MBM groups throughout the course of the study.
Our study demonstrated that the inverse relationship increased stress and decreased empathy among first-year medical students and participation in the MBM course did not attenuate the changes. However, a statistically significant rise in the depression score in the non-MBM group was not observed in the MBM group.
已有研究表明，医生的同理心会影响患者护理及治疗结果。众所周知，压力和抑郁等因素会对医学生的同理心产生负面影响。正念、冥想及其他身心调节技巧等方法可以增强同理心并缓解职业倦怠症状。在本研究中，我们评估了身心医学（MBM）课程对一年级医学生感知压力和同理心的影响。
共有13名一年级医学生自行选择进入MBM（实验组），另有7名未参加MBM的学生（对照组）完成了一项前瞻性的前后测试分析，分别使用杰斐逊医生同理心量表 - 学生版（JSPE-S）、感知压力量表（PSS）和个人健康问卷（PHQ）来评估同理心、压力和抑郁情况。
我们的研究结果显示，在整个研究过程中，MBM组和非MBM组的压力均有所增加，同理心均有所下降。
我们的研究表明，一年级医学生中压力增加与同理心下降呈负相关，且参加MBM课程并未减弱这种变化。然而，MBM组未观察到非MBM组出现的抑郁评分有统计学意义的升高。
