A compassion-based program to reduce psychological distress in medical students: A pilot randomized clinical trial

Objectives Physicians and medical students are subject to higher levels of psychological distress than the general population. These challenges have a negative impact in medical practice, leading to uncompassionate care. This pilot study aims to examine the feasibility of Compassion Cultivation Trai...

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Detalles Bibliográficos
Autores: Rojas, Blanca, Catalán, Elena, Díez, Gustavo, Roca Morales, Pablo
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Villanueva (UV)
Repositorio:DIGI-UV. Repositorio Digital de la Universidad Villanueva
OAI Identifier:oai:digiuv.villanueva.edu:20.500.12766/442
Acceso en línea:https://hdl.handle.net/20.500.12766/442
Access Level:acceso abierto
Palabra clave:Personalidad, Evaluación y Tratamientos Psicológicos
Emotions
Psychological stress
Mental health and psychiatry
Anxiety
Depression
COVID 19
Physicians
Clinical psychology
Descripción
Sumario:Objectives Physicians and medical students are subject to higher levels of psychological distress than the general population. These challenges have a negative impact in medical practice, leading to uncompassionate care. This pilot study aims to examine the feasibility of Compassion Cultivation Training (CCT) to reduce psychological distress and improve the well-being of medical students. We hypothesize that the CCT program, as compared to a waitlist control group, will reduce psychological distress (i.e., stress, anxiety, and depression) and burnout symptoms, while improving compassion, empathy, mindfulness, resilience, psychological well-being, and emotion-regulation strategies after the intervention. Furthermore, we hypothesize that these improvements will be maintained at a two-month follow-up. Methods Medical students were randomly assigned to an 8-week CCT or a Waitlist control group (WL). They completed self-report assessments at pre-intervention, post-intervention, and a 2-month follow-up. The outcomes measured were compassion, empathy, mindfulness, well-being, resilience, emotional regulation, psychological distress, burnout, and COVID-19 concern. Mixed-effects models and Reliable Change Index were computed. Results Compared with WL, CCT showed significant improvements in self-compassion, mindfulness, and emotion regulation, as well as a significant decrease in stress, anxiety, and emotional exhaustion component of burnout. Furthermore, some of these effects persisted at follow-up. No adverse effects of meditation practices were found. Conclusions CCT enhanced compassion skills while reducing psychological distress in medical students, this being critical to preserving the mental health of physicians while promoting compassionate care for patients. The need for institutions to include this type of training is also discussed.