Shapiro Periel, Lebeau Robert, Tobia Anthony
Robert Wood Johnson Medical School, 675 Hoes Lane West, Piscataway, NJ 08854 USA.
Med Sci Educ. 2019 Feb 19;29(2):439-451. doi: 10.1007/s40670-019-00708-2. eCollection 2019 Jun.
To explore the feasibility and impact of a brief mindfulness training for medical students and to learn about the perceptions, expectations, and problems associated with mindfulness practices in the context of medicine and medical education.
Forty-one medical students were randomized into either an introductory mindfulness class only or an introductory mindfulness class plus an 8-week mindfulness meditation course. Quantitative and qualitative data were collected from both groups after the introductory class and again after the full course. Qualitative data was subject to close iterative reading as part of a grounded-theory-guided content analysis, generating a list of codes which were then assigned to statements and arranged into overarching themes.
Mindfulness and awareness were negatively correlated with stress and depression. Students who took the full mindfulness course emerged with a greater familiarity with and willingness to utilize mindfulness modalities. There was no significant difference on wellness outcomes between the introductory-course-only group and the full-mindfulness-course group. Thematic analysis revealed student aspirations for a mindfulness alternative in medicine and medical education but also a recognition of the challenges inherent in applying such an alternative.
A mindfulness course for medical students is feasible and has potential as a wellness and educational initiative. Shorter duration mindfulness interventions may increase accessibility without significantly reducing benefit. Interpretation of overarching themes derived from the grounded theory analysis illuminates the subject of mindfulness for medical students from the perspective of students themselves.
探讨针对医学生的简短正念训练的可行性和影响,并了解在医学及医学教育背景下与正念练习相关的认知、期望和问题。
41名医学生被随机分为仅参加正念入门课程组或参加正念入门课程加为期8周的正念冥想课程组。在入门课程结束后以及整个课程结束后,从两组收集定量和定性数据。定性数据作为扎根理论指导的内容分析的一部分,进行密切的反复阅读,生成一份代码列表,然后将其分配给陈述并整理成总体主题。
正念和觉察与压力和抑郁呈负相关。参加完整正念课程的学生对正念方式有更高的熟悉度和使用意愿。仅参加入门课程组和参加完整正念课程组在健康结果方面没有显著差异。主题分析揭示了学生对医学及医学教育中正念替代方法的期望,但也认识到应用此类替代方法所固有的挑战。
为医学生开设的正念课程是可行的,并且作为一项促进健康和教育的举措具有潜力。较短时长的正念干预可能会提高可及性,而不会显著降低益处。从扎根理论分析得出的总体主题的解读,从学生自身的角度阐明了医学生正念这一主题。