Mitigating medical student stress and anxiety: Should schools mandate participation in wellness intervention programs?

References

• Aherne D, Farrant K, Hickey L, Hickey E, Mcgrath L, Mcgrath D. 2016. Mindfulness based stress reduction for medical students: optimising student satisfaction and engagement. BMC Med Edu. 16(1):209.
   PubMed Web of Science ®Google Scholar
• Ayala EE, Omorodion AM, Nmecha D, Winseman JS, Mason HRC. 2017. What do medical students do for self-care? A student-centered approach to well-being. Teach Learn Med. 29(3):237–246.
   PubMed Web of Science ®Google Scholar
• Aylett E, Small N, Bower P. 2018. Exercise in the treatment of clinical anxiety in general practice - a systematic review and meta-analysis. BMC Health Serv Res. 18(1):559.
   PubMed Web of Science ®Google Scholar
• Ball S, Bax A. 2002. Self-care in medical education: effectiveness of health-habits interventions for first-year medical students. Acad Med. 77(9):911–917.
   PubMed Web of Science ®Google Scholar
• Bhimani NT, Kulkarni NB, Kowale A, Salvi S. 2011. Effect of pranayama on stress and cardiovascular autonomic function. Indian J Physiol Pharmacol. 55(4):370–377.
   PubMedGoogle Scholar
• Bond AR, Mason HF, Lemaster CM, Shaw SE, Mullin CS, Holick EA, Saper RB. 2013. Embodied health: the effects of a mind-body course for medical students. Med Educ Online. 18:1–8.
   PubMed Web of Science ®Google Scholar
• Brennan J, McGrady A, Lynch DJ, Schaefer P, Whearty K. 2016. A stress management program for higher risk medical students: preliminary findings. Appl Psychophysiol Biofeedback. 41(3):301–305.
   PubMed Web of Science ®Google Scholar
• Broocks A, Bandelow B, Pekrun G, George A, Meyer T, Bartmann U, Hillmer-Vogel U, Rüther E. 1998. Comparison of aerobic exercise, clomipramine, and placebo in the treatment of panic disorder. Am J Psychiatry. 155(5):603–609.
   PubMed Web of Science ®Google Scholar
• Carmody J, Baer R. 2009. How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. J Clin Psychol. 65(6):627–638.
   PubMed Web of Science ®Google Scholar
• Chodron P. 1997. When things fall apart. Boulder (CO): Shambala Press.
   Google Scholar
• Cohen S, Kamarck T, Mermelstein R. 1983. A global measure of perceived stress. J Health Soc Behav. 24(4):385–396.
   PubMed Web of Science ®Google Scholar
• Cohen S, Williamson GM. 1988. Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S, editors. The Social Psychology of Health. Newbury Park (CA): Sage.
   Google Scholar
• Dahlin M, Joneborg N, Runeson B. 2005. Stress and depression among medical students: a cross-sectional study. Med Educ. 39(6):594–604.
   PubMed Web of Science ®Google Scholar
• Dayalan H, Subramanian S, Elango T. 2010. Psychological well-being in medical students during exam stress-influence of short-term practice of mind sound technology. Indian J Med Sci. 64(11):501–507.
   PubMedGoogle Scholar
• Dobkin PL, Hassed CS. 2016. Mindful medical practitioners. A guide for clinicians and educators. New York (NY): Springer International Publishing.
   Google Scholar
• Dobkin PL, Hutchinson TA. 2013. Teaching mindfulness in medical school: where are we now and where are we going? Med Educ. 47(8):768–779.
   PubMed Web of Science ®Google Scholar
• Dyrbye LN, Shanafelt TD, Werner L, Sood A, Satele D, Wolanskyj A. 2017. The impact of a required longitudinal stress management and resilience training course for first-year medical students. J Gen Intern Med. 32(12):1309–1314.
   PubMed Web of Science ®Google Scholar
• Dyrbye LN, Satele D, Shanafelt TD. 2017. Healthy exercise habits are associated with lower risk of burnout and higher quality of life among U.S. medical students. Acad Med. 92(7):1006–1011.
   PubMed Web of Science ®Google Scholar
• Dyrbye LN, Thomas MR, Shanafelt TD. 2006. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 81(4):354–373.
   PubMed Web of Science ®Google Scholar
• Erogul M, Singer G, McIntyre T, Stefanov DG. 2014. Abridged mindfulness intervention to support wellness in first-year medical students. Teach Learn Med. 26(4):350–356.
   PubMed Web of Science ®Google Scholar
• Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, Edwards S, Wiedermann BL, Landrigan CP. 2008. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 336(7642):488–491.
   PubMed Web of Science ®Google Scholar
• Frank E, Tong E, Lobelo F, Carrera J, Duperly J. 2008. Physical activity levels and counseling practices of U.S. medical students. Med Sci Sports Exerc. 40(3):413–421.
   PubMed Web of Science ®Google Scholar
• Galán F, Sanmartín A, Polo J, Giner L. 2011. Burnout risk in medical students in Spain using the maslach burnout inventory-student survey. Int Arch Occup Environ Health. 84(4):453–459.
   PubMed Web of Science ®Google Scholar
• Garneau K, Hutchinson T, Zhao Q, Dobkin PL. 2013. Cultivating person-centered medicine in future physicians. EJPCH. 1(2):468–477.
   Google Scholar
• Goldberg DP, Hillier VF. 1979. A scaled version of the general health questionnaire. Psychol Med. 9(1):139–145.
   PubMed Web of Science ®Google Scholar
• Grossman P, Niemann L, Schmidt S, Walach H. 2004. Mindfulness-based stress reduction and health benefits. A meta-analysis. J Psychosom Res. 57(1):35–43.
   PubMed Web of Science ®Google Scholar
• Gruzelier J, Smith F, Nagy A, Henderson D. 2001. Cellular and humoral immunity, mood and exam stress: the influences of self-hypnosis and personality predictors. Int J Psychophysiol. 42(1):55–71.
   PubMed Web of Science ®Google Scholar
• Hofmann SG, Sawyer AT, Witt AA, Oh D. 2010. The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol. 78(2):169–183.
   PubMed Web of Science ®Google Scholar
• Jain S, Shapiro SL, Swanick S, Roesch SC, Mills PJ, Bell I, Schwartz GE. 2007. A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Ann Behav Med. 33(1):11–21.
   PubMed Web of Science ®Google Scholar
• Kabat-Zinn J. 2013. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York (NY): Bantam Books.
   Google Scholar
• Kelly P, Williamson C, Niven AG, Hunter R, Mutrie N, Richards J. 2018. Walking on sunshine: scoping review of the evidence for walking and mental health. Br J Sports Med. 52(12):800–806.
   PubMed Web of Science ®Google Scholar
• Kiecolt-Glaser JK, Marucha PT, Atkinson C, Glaser R. 2001. Hypnosis as a modulator of cellular immune dysregulation during acute stress. J Consult Clin Psychol. 69(4):674–682.
   PubMed Web of Science ®Google Scholar
• Kirkwood G, Rampes H, Tuffrey V, Richardson J, Pilkington K. 2005. Yoga for anxiety: a systematic review of the research evidence. Br J Sports Med. 39(12):884–891.
   PubMed Web of Science ®Google Scholar
• Koh KB, Lee Y, Beyn KM, Chu SH, Kim DM. 2008. Counter-stress effects of relaxation on proinflammatory and anti-inflammatory cytokines. Brain Behav Immun. 22(8):1130–1137.
   PubMed Web of Science ®Google Scholar
• Li AW, Goldsmith CW. 2012. The effects of yoga on anxiety and stress. Altern Med Rev. 17(1):21–35.
   PubMedGoogle Scholar
• Liben S, Hutchinson TA. 2020. MD aware: a mindful medical practice course guide. New York (NY): Springer International Publishing.
   Google Scholar
• Maclaughlin BW, Wang D, Noone A, Liu N, Harazduk N, Lumpkin M, Haramati A, Saunders P, Dutton M, Amri H. 2011. Stress biomarkers in medical students participating in a mind body medicine skills program. eCAM. 2011(950461):1–8.
   Google Scholar
• Malathi A, Damodaran A, Shah N, Krishnamurthy G, Namjoshi P, Ghodke S. 1998. Psychophysiological changes at the time of examination in medical students before and after the practice of yoga and relaxation. Indian J Psychiatry. 40(1):35–40.
   PubMedGoogle Scholar
• Malathi A, Damodaran A. 1999. Stress due to exams in medical students–role of yoga. Indian J Physiol Pharmacol. 43(2):218–224.
   PubMedGoogle Scholar
• McGrady A, Brennan J, Lynch D, Whearty K. 2012. A wellness program for first year medical students. Appl Psychophysiol Biofeedback. 37(4):253–260.
   PubMed Web of Science ®Google Scholar
• Morris A, Do D, Gottlieb-Smith R, Ng J, Jain A, Wright S, Shochet R. 2012. Impact of a fitness intervention on medical students. South Med J. 105(12):630–634.
   PubMed Web of Science ®Google Scholar
• Naughton MJ, Wiklund I. 1993. A critical review of dimension-specific measures of health-related quality of life in cross-cultural research. Qual Life Res. 2(6):397–432.
   PubMed Web of Science ®Google Scholar
• Parshad O, Richards A, Asnani M. 2011. Impact of yoga on haemodynamic function in healthy medical students. West Indian Med J. 60(2):148–152.
   PubMed Web of Science ®Google Scholar
• Petruzzello SJ, Landers DM, Hatfield BD, Kubitz KA, Salazar W. 1991. A meta-analysis on the anxiety-reducing effects of acute and chronic exercise. Outcomes and mechanisms. Sports Med. 11(3):143–182.
   PubMed Web of Science ®Google Scholar
• Prasad L, Varrey A, Sisti G. 2016. Medical students' stress levels and sense of well being after six weeks of yoga and meditation. Evid Based Complement Alternat Med. 2016(9251849):9251849–9251847.
   PubMed Web of Science ®Google Scholar
• Radloff LS. 1977. The ces-d scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1(3):385–401.
   Web of Science ®Google Scholar
• Ripp JA, Privitera MR, West CP, Leiter R, Logio L, Shapiro J, Bazari H. 2017. Well-being in graduate medical education: a call for action. Acad Med. 92(7):914–917.
   PubMed Web of Science ®Google Scholar
• Rosenzweig S, Reibel DK, Greeson JM, Brainard GC, Hojat M. 2003. Mindfulness-based stress reduction lowers psychological distress in medical students. Teach Learn Med. 15(2):88–92.
   PubMed Web of Science ®Google Scholar
• Salzberg S. 1995. Loving kindness. Colorado (CO): Shambala Press.
   Google Scholar
• Schaufeli WB, Martínez IM, Pinto AM, Salanova M, Bakker AB. 2002. Burnout and engagement in university students. J Cross Cult Psychol. 33(5):464–481.
   Web of Science ®Google Scholar
• Schiller JH, Stansfield RB, Belmonte DC, Purkiss JA, Reddy RM, House JB, Santen SA. 2018. Medical students' use of different coping strategies and relationship with academic performance in preclinical and clinical years. Teach Learn Med. 30(1):15–21.
   PubMed Web of Science ®Google Scholar
• Shapiro SL, Schwartz GE, Bonner G. 1998. Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med. 21(6):581–599.
   PubMed Web of Science ®Google Scholar
• Simard A-A, Henry M. 2009. Impact of a short yoga intervention on medical students' health: a pilot study. Med Teach. 31(10):950–952.
   PubMed Web of Science ®Google Scholar
• Slavin SJ, Schindler DL, Chibnall JT. 2014. Medical student mental health 3.0: improving student wellness through curricular changes. Acad Med. 89(4):573–577.
   PubMed Web of Science ®Google Scholar
• Spielberger CD, Gorsuch RL. 1983. State-trait anxiety inventory for adults: manual, instrument, and scoring guide. Menlo Park (CA): Mind Garden, Incorporated.
   Google Scholar
• Stern M, Norman S, Komm C. 1993. Medical students' differential use of coping strategies as a function of stressor type, year of training, and gender. Behav Med. 18(4):173–180.
   PubMed Web of Science ®Google Scholar
• van Dijk I, Lucassen P, Akkermans RP, van Engelen BGM, van Weel C, Speckens AEM. 2017. Effects of mindfulness-based stress reduction on the mental health of clinical clerkship students: a cluster-randomized controlled trial. Acad Med. 92(7):1012–1021.
   PubMed Web of Science ®Google Scholar
• Warnecke E, Quinn S, Ogden K, Towle N, Nelson MR. 2011. A randomised controlled trial of the effects of mindfulness practice on medical student stress levels. Med Edu. 45(4):381–388.
   PubMed Web of Science ®Google Scholar
• Webster CS, Luo AY, Krägeloh C, Moir F, Henning M. 2016. A systematic review of the health benefits of Tai Chi for students in higher education. Prev Med Rep. 3:103–112.
   PubMedGoogle Scholar
• Weight C, Sellon J, Lessard-Anderson C, Shanfelt T, Olsen K, Laskowski E. 2013. Physical activity, quality of life, and burnout among physician trainees: the effect of a team-based, incentivized exercise program. Mayo Clin Proc. 88(12):435–1442.
   Web of Science ®Google Scholar
• West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM, Shanafelt TD. 2006. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 296(9):1071–1078.
   PubMed Web of Science ®Google Scholar
• Whitehouse WG, Dinges DF, Orne EC, Keller SE, Bates BL, Bauer NK, Morahan P, Haupt BA, Carlin MM, Bloom PB, et al. 1996. Psychosocial and immune effects of self-hypnosis training for stress management throughout the first semester of medical school. Psychosom Med. 58(3):249–263.
   PubMed Web of Science ®Google Scholar
• Woodyard C. 2011. Exploring the therapeutic effects of yoga and its ability to increase quality of life. Int J Yoga. 4(2):49–259.
   PubMedGoogle Scholar
• Yiu V. 2005. Supporting the well-being of medical students. CMAJ. 172(7):889–890.
   PubMed Web of Science ®Google Scholar
• Yongey M, Swanson E. 2009. Joyful wisdom: embracing change and finding freedom. New York (NY): Harmony Books.
   Google Scholar
• Young S. 2015. The science of enlightenment. Louisville (CO): Sounds True Publishing.
   Google Scholar