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An 8-Week Mindfulness-Based Stress Reduction Course for Ob/Gyn Residents: A Pilot Study

Erin Cavanaugh, Marisa Rose

Obstetrics and Gynecology October 1, 2017 DOI: 10.1097/01.aog.0000525734.33435.0b (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pilot study Peer reviewed
Sample size 21
Population Obstetrics and gynecology residents
Intervention Mindfulness-based stress reduction (MBSR)
Duration 8-week intervention, 2-month postintervention follow-up
Topics Meditation
Key points An 8-week MBSR course was associated with statistically significant improvements in stress, anxiety, and focus among OBGYN residents, but no significant improvement in depression or burnout scores.

Abstract

Background: Studies have linked improved physician well-being with better patient outcomes. Despite the documentation of growing job dissatisfaction, burnout, and depression among OBGYN residents, few interventions have been studied. Mindfulness-based stress reduction (MBSR) has been shown to significantly improve personal well-being and job satisfaction in primary care specialties, but has not been investigated in obstetrics and gynecology.

Methods: An 8-week MBSR course specifically designed for medical professionals was created and led by a certified Mindfulness Teacher. Participants completed a pre- and postintervention survey measuring burnout, anxiety, mindfulness, resilience, stress, and depression by validated scales. McNemar's test was used to assess changes in outcome measures.

Results: All 21 of the eligible residents participated in four or more of the eight weekly 1-hour lectures. At the 2-month postintervention survey, participants demonstrated statistically significant improvements in stress, anxiety, and focus. Residents showed no statistical improvement in depression or burnout scores.

Discussion: Our pilot study demonstrated that an 8-week MBSR course was associated with improvements in some but not all measured outcomes of burnout, mindfulness, resilience, stress, and depression. We are currently piloting a reformatted course with shortened but more frequent programs to support and improve the well-being of our residents.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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