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Building a foundation in self‐awareness: Genetic counseling students’ experiences with self‐care, reflection, and mindfulness

Laura Bulmer, Christy Stanley, L. Loffredo, Rachel Mills, Lauren E Doyle

Journal of Genetic Counseling December 2, 2021 DOI: 10.1002/jgc4.1539 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Mixed-methods study Peer reviewed
Sample size 154
Population Genetic counseling graduate students
Measures Self-Reflection and Insight Scale (SRIS), Mindfulness Attention Awareness Scale (MAAS)
Topics Meditation
Keywords Education
Key points Genetic counseling graduate students scored significantly lower than other health professionals on the Mindfulness Attention Awareness Scale and the SRIS Insight subscale, suggesting lower mindfulness and possibly limited insight into their thoughts and feelings. After beginning graduate training, students were more likely to reduce active self-awareness practices such as physical activity and mental health counseling. Second-year students who reported mindfulness practice scored significantly higher on the SRIS Insight subscale, and students described improved self-awareness that enhanced clinical counseling relationships, though implementation of practices was perceived as inconsistent.

Abstract

Stress and anxiety are significant concerns for practicing genetic counselors as well as genetic counseling students and can have downstream effects on patient care. Prior research suggests graduate‐level training in self‐awareness practices such as self‐care, reflection, and mindfulness could have lasting effects for genetic counselors, their patients, and the profession as a whole. This mixed‐methods study assessed self‐awareness among 154 genetic counseling graduate students using the Self‐Reflection and Insight Scale (SRIS), the Mindfulness Attention Awareness Scale (MAAS), and self‐described experiences with self‐awareness practice. Genetic counseling students had significantly lower mean scores on the MAAS and the Insight subscale of the SRIS compared with other health professionals, indicating that genetic counseling students have lower levels of mindfulness and may lack insight into their thoughts and feelings. After starting genetic counseling graduate programs, students were more likely to reduce participation in active self‐awareness practices such as physical activity and mental health counseling. Most students reported having structured practice in self‐care (n = 97, 63%), reflection (n = 125, 81.2%), and mindfulness (n = 77, 50%) as a part of their training programs. Second‐year genetic counseling students reporting mindfulness practices had significantly higher scores on the Insight subscale of the SRIS than those who did not, indicating that students engaged in mindfulness practice are better able to understand their thoughts, feelings, and behavior. The majority of students reported benefitting from structured practice in self‐care (n = 63, 64.9%), reflection (n = 101, 80%), and mindfulness (n = 54, 70.1%). Open‐ended responses regarding students’ perceived benefits and limitations of structured practice were analyzed for recurrent themes. Students reported improved self‐awareness which enhanced their counseling relationships during clinical rotations. However, they also perceived that implementation of self‐awareness practices may have been inconsistent. Findings from this study have implications for integrating self‐awareness practices into genetic counseling graduate curriculum.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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