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Introducing holism and complementary medicine into mainstream medical education provides many scientific, philosophical, and personal challenges. The growth of new knowledge always necessitates venturing into areas, which are, by definition, unknown, hence arise potential clashes of ideology, knowledge, evidence, interpretation, language, and personality. This paper outlines some of the experience and progress made at Monash University Victoria, Australia, in teaching this material in undergraduate medical education. The Monash medical course has always been known for its commitment to an integrated curriculum, a holistic perspective, and the personal development of its students. Some of the points of integration in the core curriculum already achieved include health enhancement and mindfulness-based stress management programs right from first year, lectures and forums on complementary medicine, integration of this material into weekly case-based teaching, and health promotion and mind–body medicine. For very interested students, electives provide an opportunity to explore subjects in more depth. Experience has taught us that it is as important to learn how to deliver the message as it is to refine its content. This presents challenges that are as much personal as they are intellectual. Areas of particular importance are the academic environment, language, diplomacy, style, relevance, and evidence. In this process, building relationships, collegiality, patience, objectivity, impartiality, and humor are helpful.
Effects of interventions for improving mental health of health professional students has not been established. This review analysed interventions to support mental health of health professional students and their effects. The full holdings of Medline, PsycINFO, EBM Reviews, Cinahl Plus, ERIC and EMBASE were searched until 15th April 2016. Inclusion criteria were randomised controlled trials of undergraduate and post graduate health professional students, group interventions to support mental health compared to alternative education, usual curriculum or no intervention; and post-intervention measurements for intervention and control participants of mindfulness, anxiety, depression, stress/distress or burnout. Studies were limited to English and short term effects. Studies were appraised using the PEDro scale. Data were synthesised using meta-analysis. Four comparisons were identified: psychoeducation or cognitive-behavioural interventions compared to alternative education, and mindfulness or relaxation compared to control conditions. Cognitive-behavioural interventions reduced anxiety (−0.26; −0.5 to −0.02), depression (−0.29; −0.52 to −0.05) and stress (0.37; −0.61 to −0.13). Mindfulness strategies reduced stress (−0.60; −0.97 to −0.22) but not anxiety (95% CI −0.21 to 0.18), depression (95% CI −0.36 to 0.03) or burnout (95% CI −0.36 to 0.10). Relaxation strategies reduced anxiety (SMD −0.80; 95% CI −1.03 to −0.58), depression (−0.49; −0.88 to −0.11) and stress (−0.34; −0.67 to −0.01). Method quality was generally poor. Evidence suggests that cognitive-behavioural, relaxation and mindfulness interventions may support health professional student mental health. Further high quality research is warranted.
The incidence of major depression increases markedly during adolescence and early adulthood. There is therefore an increased need for effective emotion regulation (ER) capacities during this period. The present study explored the relative benefits of dispositional mindfulness compared to other commonly researched ER strategies, cognitive reappraisal, and expressive suppression, in a sample of youth with major depression presenting to a clinical service. Results demonstrated that mindfulness is distinct from these other ER strategies and is associated with lower cross-sectional levels of depression, anxiety, rumination and dysfunctional attitudes, and improved quality of life. Greater dispositional mindfulness also predicted greater recovery from these symptoms. It was concluded that a greater tendency to use mindfulness as an ER strategy is associated with positive mental health outcomes and better quality of life. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
The incidence of major depression increases markedly during adolescence and early adulthood. There is therefore an increased need for effective emotion regulation (ER) capacities during this period. The present study explored the relative benefits of dispositional mindfulness compared to other commonly researched ER strategies, cognitive reappraisal, and expressive suppression, in a sample of youth with major depression presenting to a clinical service. Results demonstrated that mindfulness is distinct from these other ER strategies and is associated with lower cross-sectional levels of depression, anxiety, rumination and dysfunctional attitudes, and improved quality of life. Greater dispositional mindfulness also predicted greater recovery from these symptoms. It was concluded that a greater tendency to use mindfulness as an ER strategy is associated with positive mental health outcomes and better quality of life. (PsycINFO Database Record (c) 2016 APA, all rights reserved)