{"title":"以正念为基础的减压计划对医师助理/助理学生歧义、抑郁和倦怠耐受性的影响。","authors":"Bethany Grubb, Samarpita Sengupta, Veronica Coleman, Tiffany Kindratt","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy of a modified mindfulness-based stress reduction (MBSR) curriculum in reducing burnout and depression and increasing the tolerance of ambiguity in physician assistant/associate (PA) students.</p><p><strong>Methods: </strong>A comprehensive modified MBSR curriculum was designed based on evidence-based practices and implemented for PA students in the didactic phase of the curriculum. To measure its efficacy, using a prospective cohort design, we evaluated changes in burnout (Maslach Burnout Inventory), depression (Harvard Dep. of Psychiatry/National Depression Screening Day), and tolerance of ambiguity (Tolerance of Ambiguity in Medical Students and Doctors, TAMSAD) in students before and after the implementation of the curriculum (n=85). We compared results to two other PA programs not receiving the MBSR curriculum (n=46). The students also provided qualitative assessments of the program.</p><p><strong>Results: </strong>The percentage of students reporting burnout on the Maslach Burnout Inventory decreased by 9.9% after implementation of the curriculum in the intervention group and increased by 18.2% in the control group. The percentage of students reporting difficulty concentrating decreased by 22.9% in the intervention group after MBSR and increased by 5.9% in the control group. The scores on the TAMSAD scale showed a marked improvement in the intervention group (55 to 59) after the curriculum was implemented with no change in the control group. The students also provided qualitative assessments of the program related to types and benefits of the mindful wellness practice utilized.</p><p><strong>Conclusions: </strong>The mindful wellness curriculum could be implemented effectively in other allied health programs to address the ever-increasing mental health challenges that students face. Increased levels of the tolerance of ambiguity allow students to more confidently face life's uncertainties and a rigorous curriculum.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 2","pages":"e183-e190"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of a Mindfulness-Based Stress Reduction Program to Tolerance of Ambiguity, Depression, and Burnout in Physician Assistant/Associate Students.\",\"authors\":\"Bethany Grubb, Samarpita Sengupta, Veronica Coleman, Tiffany Kindratt\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To evaluate the efficacy of a modified mindfulness-based stress reduction (MBSR) curriculum in reducing burnout and depression and increasing the tolerance of ambiguity in physician assistant/associate (PA) students.</p><p><strong>Methods: </strong>A comprehensive modified MBSR curriculum was designed based on evidence-based practices and implemented for PA students in the didactic phase of the curriculum. To measure its efficacy, using a prospective cohort design, we evaluated changes in burnout (Maslach Burnout Inventory), depression (Harvard Dep. of Psychiatry/National Depression Screening Day), and tolerance of ambiguity (Tolerance of Ambiguity in Medical Students and Doctors, TAMSAD) in students before and after the implementation of the curriculum (n=85). We compared results to two other PA programs not receiving the MBSR curriculum (n=46). The students also provided qualitative assessments of the program.</p><p><strong>Results: </strong>The percentage of students reporting burnout on the Maslach Burnout Inventory decreased by 9.9% after implementation of the curriculum in the intervention group and increased by 18.2% in the control group. The percentage of students reporting difficulty concentrating decreased by 22.9% in the intervention group after MBSR and increased by 5.9% in the control group. The scores on the TAMSAD scale showed a marked improvement in the intervention group (55 to 59) after the curriculum was implemented with no change in the control group. The students also provided qualitative assessments of the program related to types and benefits of the mindful wellness practice utilized.</p><p><strong>Conclusions: </strong>The mindful wellness curriculum could be implemented effectively in other allied health programs to address the ever-increasing mental health challenges that students face. Increased levels of the tolerance of ambiguity allow students to more confidently face life's uncertainties and a rigorous curriculum.</p>\",\"PeriodicalId\":35979,\"journal\":{\"name\":\"Journal of Allied Health\",\"volume\":\"54 2\",\"pages\":\"e183-e190\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Allied Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Allied Health","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Effects of a Mindfulness-Based Stress Reduction Program to Tolerance of Ambiguity, Depression, and Burnout in Physician Assistant/Associate Students.
Purpose: To evaluate the efficacy of a modified mindfulness-based stress reduction (MBSR) curriculum in reducing burnout and depression and increasing the tolerance of ambiguity in physician assistant/associate (PA) students.
Methods: A comprehensive modified MBSR curriculum was designed based on evidence-based practices and implemented for PA students in the didactic phase of the curriculum. To measure its efficacy, using a prospective cohort design, we evaluated changes in burnout (Maslach Burnout Inventory), depression (Harvard Dep. of Psychiatry/National Depression Screening Day), and tolerance of ambiguity (Tolerance of Ambiguity in Medical Students and Doctors, TAMSAD) in students before and after the implementation of the curriculum (n=85). We compared results to two other PA programs not receiving the MBSR curriculum (n=46). The students also provided qualitative assessments of the program.
Results: The percentage of students reporting burnout on the Maslach Burnout Inventory decreased by 9.9% after implementation of the curriculum in the intervention group and increased by 18.2% in the control group. The percentage of students reporting difficulty concentrating decreased by 22.9% in the intervention group after MBSR and increased by 5.9% in the control group. The scores on the TAMSAD scale showed a marked improvement in the intervention group (55 to 59) after the curriculum was implemented with no change in the control group. The students also provided qualitative assessments of the program related to types and benefits of the mindful wellness practice utilized.
Conclusions: The mindful wellness curriculum could be implemented effectively in other allied health programs to address the ever-increasing mental health challenges that students face. Increased levels of the tolerance of ambiguity allow students to more confidently face life's uncertainties and a rigorous curriculum.
期刊介绍：
The Journal of Allied Health is the official publication of the Association of Schools of Allied Health Professions (ASAHP) . The Journal is the only interdisciplinary allied health periodical, publishing scholarly works related to research and development, feature articles, research abstracts and book reviews. Readers of The Journal comprise allied health leaders, educators, faculty and students. Subscribers to The Journal consist of domestic and international college and university libraries, health organizations and hospitals. Almost 20% of subscribers, in the last three years, have been from outside of the United States. Subscribers include the World Health Organization, the American Medical Association and major universities.
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