بررسی اثربخشی آموزش کاهش استرس مبتنی بر ذهن‌آگاهی بر نشانگان استرس و سرمایه روان‌شناختی دانشجویان پزشکی

مقدمه: همواره استرس یکی از چالش‌های تحصیل در رشته پزشکی به خصوص در دوره کارورزی بوده است و شناسایی منابع روان ‌شناختی که به عنوان عوامل محافظتی برای دانشجویان عمل نماید از دغدغه‌های متخصصین سلامت روان است. بنابراین این پژوهش با هدف بررسی اثربخشی آموزش کاهش استرس مبتنی بر ذهن‌ آگاهی بر نشانگان استرس و سرمایه روان ‌شناختی دانشجویان پزشکی انجام شده است.روش کار: پژوهش حاضر به روش نیمه‌ آزمایشی، همراه با پیش ‌آزمون و پس ‌آزمون با یک گروه آزمایش و یک گروه کنترل بود. جامعه آماری کلیه دانشجویان پزشکی کارورز (اینترن) دانشگاه آزاد اسلامی تنکابن در سال 1402-1401 که تعداد آنها 100 نفر بودند. آزمودنی ‌ها با روش نمونه ‌گیری (در دسترس) و تصادفی انتخاب شدند و در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) قرار گرفتند. گروه آزمایش، آموزش کاهش استرس مبتنی بر ذهن ‌آگاهی را در 8 جلسه 120 دقیقه ‌ای دریافت کردند، اما گروه کنترل مداخله ‌ایی دریافت نکرد. جهت جمع ‌آوری داده ‌ها از پرسشنامه ‌های نشانگان استرس خدایاری ‌فرد و پرند (1385) و سرمایه روا‌‌ن ‌شناختی توسط  luthansو همکاران (2007) استفاده شد. برای تجزیه و تحلیل داده‌ ها کوواریانس چند متغیره توسط نرم ‌افزار spss-27 به کار گرفته شد.یافته ‌ها: نتایج نشان داد که آموزش برنامه کاهش استرس مبتنی بر ذهن ‌آگاهی باعث کاهش نشانگان استرس و افزایش سرمایه روان ‌شناختی در پس آزمون نسبت به پیش ‌آزمون شده است (0/05>p). نتیجه ‌گیری: این برنامه باعث کاهش موثر نشانگان استرس و افزایش سرمایه روان شناختی کارورزان پزشکی شد. این پژوهش اهمیت بالایی در بهبود سلامت روانی و فیزیکی دارد، همچنین برنامه‌های عملی برای کاهش استرس و افزایش عملکرد در حرفه پزشکی ارائه می‌دهد. این یافته‌ها می ‌تواند به عنوان راهنمایی برای توسعه برنامه‌های آموزشی مشابه در حوزه‌های بهداشتی و پزشکی، با هدف بهبود کیفیت خدمات و کاهش استرس مورد استفاده قرار گیرد. 

investigating the effects of mindfulness-based stress reduction on stress symptoms and psychological capital of intern medical students

students play a crucial role in shaping the future of a nation and are thus regarded as a vital segment of society. studies indicate a high prevalence of mental disorders such as stress, anxiety, and depression among students (1). medical students, in particular, face significant psychological pressure due to factors like direct patient interaction, high workload, and role ambiguity, which can lead to higher levels of stress compared to other students (2). stress among medical interns, caused by work pressure, can negatively impact their mental health, academic progress, and readiness for professional roles (3).psychological capital, encompassing components like hope, resilience, optimism, and self-efficacy, has emerged as a crucial factor in coping with stress (11). mindfulness-based stress reduction (mbsr) interventions have gained attention for their effectiveness in enhancing psychological capital and reducing stress (7).while recent research has shown promising results regarding the effectiveness of mindfulness-based stress reduction therapy, studies focusing on medical interns still need to be included. given the continuous interaction with patients, medical interns may face heightened stress levels, highlighting the need for research in this area. therefore, this study aims to investigate the effectiveness of mindfulness-based stress reduction training on stress symptoms and cognitive capital among medical interns at islamic azad university, tonekabon.methodsthe present research was conducted experimentally with a pre-test-post-test design with a control group. the statistical population of the research was the intern medical students of tankabon islamic azad university, iran, in 2022-2023, on the basis of which 100 intern medical students were voluntarily asked to fill in the questionnaires of the current research. thirty people with stress symptoms and low psychological capital were randomly selected (15 people in the experimental group) and (15 people in the control group). before the intervention, a pre-test was performed and after the intervention, a post-test was performed on the people of the control and experimental groups. the effect of this method was measured. the criteria for entering the present study were: 1) willingness to cooperate with clients for educational intervention, 2) failure to simultaneously participate in any other educational intervention, 3) medical students, both male and female, should be studying during the internship period, and 4) sign the informed consent to participate in the study and be committed to attending the entire course. the criteria for leaving the present study were 1) having non-educational motivations such as lack of interest in the field of study and family and job problems, 2) absence of more than two sessions in the education process, and 3) dissatisfaction with participation in meetings and research due to interference with other curricular and non-curricular programs.measures1) khodayari fard and parand stress symptoms questionnaire (2005): this questionnaire, based on the stress symptoms questionnaire (seyed-khorasani-sadeghiani, 1998), measures stress symptoms across cognitive, emotional, behavioral, and physical domains. it comprises 50 items, with responses rated on a six-point likert scale (12).2) psychological capital questionnaire by luthans et al. (2007): this questionnaire, designed by luthans and colleagues in 2007, consists of 24 items assessing self-efficacy, hope, resilience, and optimism. responses are rated on a six-point likert scale, with higher scores indicating more significant psychological capital (13).3) mindfulness-based stress reduction program: the program was based on the kabat-zinn protocol (2005) and comprised eight 120-minute weekly sessions (15).data analysisdata analysis included descriptive statistics, the mann-whitney test, and multivariate covariance analysis to compare the effects of mbsr training on stress symptoms and psychological capital between the experimental and control groups. spss software was utilized for statistical analysis and interpretation of results.resultsin the sample population, it was observed that 60% of the participants, totaling 18 individuals, were identified as male students, whereas 40%, equivalent to 12 individuals, were identified as female students. further examination of the age distribution within the sample revealed that the majority, constituting 56% (17 individuals), fell within the age range of 20 to 30 years old. following this group, 36% (11 individuals) were found to be between the ages of 31 to 40 years old, while a smaller proportion, comprising 8% (2 individuals), belonged to the age bracket of 41 to 50 years old.the findings of the study revealed a statistically significant disparity between the experimental group that engaged in mindfulness-based stress reduction training and the control group that did not receive any instructional intervention. this difference was particularly notable regarding the reduction of stress symptoms and the enhancement of psychological capital, as evidenced by the analysis conducted at a significance level of (p<0.05).conclusionsthe current study on mindfulness-based stress reduction training has shown impressive results. it highlights that this program can effectively reduce stress symptoms while boosting the psychological well-being of medical interns. therefore, this research not only holds considerable value in the realm of improving mental and physical health but also presents practical applications for enhancing performance and reducing stress in medical professions and similar professional environments. these findings can serve as a guide for developing similar educational programs in other medical and health-related fields, aiming for continuous improvement in the quality of healthcare services and stress reduction within these professions.ethical considerationscompliance with ethical guidelinesall subjects received information about the research. they were assured that all information would remain confidential and only be used for research. informed consent was obtained from the participants.authors’ contributionsconceptualization, research design, and collection of sources: nazanin karimi and masoud abdollahi; implementation, writing, and drafting of the article: nazanin karimi; analysis and processing of data, revision, and editing of the article: masoud abdollahi and flora rahimaghaee. all authors reviewed and approved the final version of the article.acknowledgmentsthis article is based on the master’s thesis in the field of clinical psychology by the first author at islamic azad university, tonekabon branch. the researchers are grateful to all who helped with this research.conflict of interestthe authors declared no conflicts of interest in this article.fundingthis article did not receive any financial support.