PDF(Pubmed)
Abstract：
BACKGROUND: Medical Foundation Year (FY) doctors demonstrate greater psychological distress compared with the general population and other student groups. This feasibility study investigated FY doctors\' perceptions of mindfulness and the impact of a mindful resilience and effectiveness training (MRET) programme on stress, wellbeing, and performance.
METHODS: Mixed-methods study utilising a questionnaire (study 1, N = 144) and a pre-post analysis design of MRET programme (study 2, N = 13), along with focus groups (N = 7).
RESULTS: In study 1 28.5% of FY\'s reported using mindfulness. All five mindfulness facets were significantly, and positively, associated with mental wellbeing (p < 0.05). Acting with awareness (AA) and non-reactivity (NR) were significantly, positively associated with a challenge responses to stress (p < 0.05). Threat and loss appraisals were negatively associated with AA, NR, and non-judging (p < 0.01). Perceived productivity was positively associated with mindfulness facets: describing, AA, and NR (p < 0.001). In study 2, there were significant increases in wellbeing and mindfulness facets observing, describing, AA, and NR, and threat appraisals decreased (p < 0.05). The main themes identified across the focus group included Reframed Mindset, Values-Based Action, Embodied Leadership and Pedagogy.
CONCLUSIONS: There exists a relationship between mindfulness, psychological wellbeing, and performance in FYs. The MRET prorgamme improved psychological wellbeing and reduced threat appraisals. Future work could focus resources on enhancing the skills of AA and NR, as this may be sufficient to bring about meaningful improvements in wellbeing, percieved productivity and cognitive reappraisal of stressful life events.
METHODS: Mixed-methods study utilising a questionnaire (study 1, N = 144) and a pre-post analysis design of MRET programme (study 2, N = 13), along with focus groups (N = 7).
RESULTS: In study 1 28.5% of FY\'s reported using mindfulness. All five mindfulness facets were significantly, and positively, associated with mental wellbeing (p < 0.05). Acting with awareness (AA) and non-reactivity (NR) were significantly, positively associated with a challenge responses to stress (p < 0.05). Threat and loss appraisals were negatively associated with AA, NR, and non-judging (p < 0.01). Perceived productivity was positively associated with mindfulness facets: describing, AA, and NR (p < 0.001). In study 2, there were significant increases in wellbeing and mindfulness facets observing, describing, AA, and NR, and threat appraisals decreased (p < 0.05). The main themes identified across the focus group included Reframed Mindset, Values-Based Action, Embodied Leadership and Pedagogy.
CONCLUSIONS: There exists a relationship between mindfulness, psychological wellbeing, and performance in FYs. The MRET prorgamme improved psychological wellbeing and reduced threat appraisals. Future work could focus resources on enhancing the skills of AA and NR, as this may be sufficient to bring about meaningful improvements in wellbeing, percieved productivity and cognitive reappraisal of stressful life events.
摘要：
背景：与普通人群和其他学生群体相比，医学基础年（FY）医生表现出更大的心理困扰。这项可行性研究调查了FY医生对正念的看法以及正念韧性和有效性训练（MRET）计划对压力的影响，幸福,和性能。
方法：混合方法研究使用问卷调查（研究1，N=144）和MRET计划的pre-post分析设计（研究2，N=13），以及焦点小组(N=7)。
结果：在研究1中，有28.5％的FY报告使用正念。所有五个正念方面都很重要，积极的,与心理健康相关(p<0.05)。意识(AA)和非反应性(NR)显著，与对压力的挑战反应呈正相关(p<0.05)。威胁和损失评估与AA呈负相关，NR,和非判断性(p<0.01)。感知生产力与正念方面呈正相关：描述，AA,和NR(p<0.001)。在研究2中，健康和正念方面的观察显着增加，描述，AA,NR,威胁评估下降(p<0.05)。焦点小组确定的主要主题包括重塑心态，基于价值观的行动，体现领导力和教育学。
结论：正念之间存在关系，心理健康，和在财政年度的表现。MRETprorgamme改善了心理健康并减少了威胁评估。未来的工作可以集中资源来提高AA和NR的技能，因为这可能足以带来有意义的福祉改善，压力生活事件的生产力和认知重估。
方法：混合方法研究使用问卷调查（研究1，N=144）和MRET计划的pre-post分析设计（研究2，N=13），以及焦点小组(N=7)。
结果：在研究1中，有28.5％的FY报告使用正念。所有五个正念方面都很重要，积极的,与心理健康相关(p<0.05)。意识(AA)和非反应性(NR)显著，与对压力的挑战反应呈正相关(p<0.05)。威胁和损失评估与AA呈负相关，NR,和非判断性(p<0.01)。感知生产力与正念方面呈正相关：描述，AA,和NR(p<0.001)。在研究2中，健康和正念方面的观察显着增加，描述，AA,NR,威胁评估下降(p<0.05)。焦点小组确定的主要主题包括重塑心态，基于价值观的行动，体现领导力和教育学。
结论：正念之间存在关系，心理健康，和在财政年度的表现。MRETprorgamme改善了心理健康并减少了威胁评估。未来的工作可以集中资源来提高AA和NR的技能，因为这可能足以带来有意义的福祉改善，压力生活事件的生产力和认知重估。
