Stress and burnout in residents: impact of mindfulness-based resilience training.

Goldhagen, Brian E

Kingsolver, Karen

Stinnett, Sandra S

Rosdahl, Jullia A

New Zealand

2015-12-04T21:50:54Z

2015

BACKGROUND AND OBJECTIVE: Stress and burnout impact resident physicians. This prospective study tests the hypothesis that a mindfulness-based resilience intervention would decrease stress and burnout in residents. METHODS: Resident physicians from the Departments of Family Medicine, Psychiatry, and Anesthesia at Duke University, Durham, NC, USA, participated in two or three 1-hour sessions of mindfulness-based resilience activities, which introduced mindful-awareness and included practical exercises for nurturing resilience. Anonymous surveys were distributed before (completed by 47 residents) and after the intervention (both completed by 30 residents); a follow-up survey was distributed 1 month later (seven residents completed all three surveys). The survey included the Depression Anxiety Stress Scale, 21-question version (DASS-21), the Oldenburg Burnout Inventory, the Mindful Attention Awareness Scale, and ten questions from the Cognitive Failures Questionnaire. RESULTS: At baseline, most residents' scores were in the normal range with respect to stress; however, female residents had higher DASS-21 scores than male residents (31.7, females vs 18.4, males; P=0.002). Most residents' burnout scores were in the abnormal range, both with respect to exhaustion (38/47 residents, subscore ≥2.25) and disengagement (37/47 residents, subscore ≥2.1). Higher perceived levels of stress correlated with the instruments. Analysis of the surveys before and after the intervention showed no significant short-term change in stress, burnout, mindful-awareness, or cognitive failure. There was a trend for females and post-medical school graduate year 1 and 2 (PGY1 and PGY2) residents to have a reduction in DASS-21 scores after intervention. There was also a trend of reduced stress and burnout in residents who perceived higher stress. CONCLUSION: Residents who are female, PGY1 and PGY2, and who perceive residency to be stressful may benefit most from a mindfulness-based resilience intervention.

http://www.ncbi.nlm.nih.gov/pubmed/26347361

amep-6-525

https://hdl.handle.net/10161/11097

eng

Informa UK Limited

Adv Med Educ Pract

10.2147/AMEP.S88580

medical trainees

physician

self-care

wellness

Stress and burnout in residents: impact of mindfulness-based resilience training.

Journal article

Stinnett, Sandra S|0000-0001-7192-0195

Rosdahl, Jullia A|0000-0002-0103-2077

http://www.ncbi.nlm.nih.gov/pubmed/26347361

525

532

Basic Science Departments

Biostatistics & Bioinformatics

Clinical Science Departments

Duke

Ophthalmology

Ophthalmology, Glaucoma

School of Medicine

Published online

6