The effects of mindful self-care on medical resident wellness, depression, and burnout

Introduction: The Accreditation Council for Graduate Medical Education (ACGME), a U.S. nonprofit organization setting educational standards for safe and high-quality medical care, recently expanded its requirements for resident well-being, emphasizing self-care. However, little research exists on th...

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Main Authors: Wendy M. GUYKER, Evette A. ADDAI, Catherine P. COOK-COTTONE, Susan M. ORRANGE, Sofie SCALETTA
Format: Article
Language:English
Published: Edizioni FS 2024-09-01
Series:Journal of Health and Social Sciences
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Online Access:https://journalhss.com/wp-content/uploads/JHSS_2024_367-378.pdf
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author Wendy M. GUYKER
Evette A. ADDAI
Catherine P. COOK-COTTONE
Susan M. ORRANGE
Sofie SCALETTA
author_facet Wendy M. GUYKER
Evette A. ADDAI
Catherine P. COOK-COTTONE
Susan M. ORRANGE
Sofie SCALETTA
author_sort Wendy M. GUYKER
collection DOAJ
description Introduction: The Accreditation Council for Graduate Medical Education (ACGME), a U.S. nonprofit organization setting educational standards for safe and high-quality medical care, recently expanded its requirements for resident well-being, emphasizing self-care. However, little research exists on this topic. This study aimed to assess the types and frequency of mindful self-care behaviors, defined as intentional practices that promote awareness of internal needs and external demands. It also examined the relationship between self-care, well-being, burnout, distress, and depression, and whether self-care can protect residents from depression linked to burnout and distress. Methods: A cross-sectional survey was conducted with medical residents at a Northeastern U.S. medical school over three months. Residents in their first four years of surgical and non-surgical specialties received an email with a survey link and informed consent. Mindful self-care was assessed using the Mindful Self-Care Scale (MSCS), distress with the Physician Well-Being Index (PWBI), depression with the Patient Health Questionnaire-9 (PHQ-9), and wellness with the Brief Resident Wellness Profile (BRWP). Data were analyzed using SPSS, with moderation analyses performed to explore self-care’s role in mitigating depression linked to distress. Results: A total of 104 residents participated (15.95% response rate). Self-care positively correlated with resident well-being (r = .62, p < .0001) and negatively correlated with resident distress (r = -.50, p < .0001) and resident depression (r = -.56, p < .0001). Burned-out residents had significantly less self-care than those not burned out (F (1,97) = 15.69, p < .0001). Moderation analyses evidenced that mindful self-care is protective for residents against developing depression related to burnout and distress. Discussion: This research shows that resident self-care is strongly linked to well-being and is associated with lower distress, depression, and burnout. It highlights that self-care can protect against poor health outcomes during residency and emphasizes that self-care can involve changing one’s approach rather than requiring additional resources like time or money.
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spelling doaj-art-f27b95caf4ec493bb5b43f5d415b91f42025-01-29T11:21:51ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862024-09-0193367378The effects of mindful self-care on medical resident wellness, depression, and burnoutWendy M. GUYKER0Evette A. ADDAI1Catherine P. COOK-COTTONE2Susan M. ORRANGE3Sofie SCALETTA4Department of Counseling, School, and Educational Psychology, University at Buffalo, The State University of New York, Buffalo, NY, USA. E-mail: wmguyker@buffalo.eduMountain of Change Counseling and Psychological Services, Chicago, USA. E-mail: evetteaddai@mountainofchange.orgDepartment of Counseling, School, and Educational Psychology University at Buffalo, The State University of New York, Buffalo, NY, USA. E-mail: cpcook@buffalo.edu Department of Family Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, USA. E-mail: sorrange@buffalo.edu Department of Counseling, School, and Educational Psychology, University at Buffalo, The State University of New York, Buffalo, NY, USA. E-mail: smscalet@buffalo.eduIntroduction: The Accreditation Council for Graduate Medical Education (ACGME), a U.S. nonprofit organization setting educational standards for safe and high-quality medical care, recently expanded its requirements for resident well-being, emphasizing self-care. However, little research exists on this topic. This study aimed to assess the types and frequency of mindful self-care behaviors, defined as intentional practices that promote awareness of internal needs and external demands. It also examined the relationship between self-care, well-being, burnout, distress, and depression, and whether self-care can protect residents from depression linked to burnout and distress. Methods: A cross-sectional survey was conducted with medical residents at a Northeastern U.S. medical school over three months. Residents in their first four years of surgical and non-surgical specialties received an email with a survey link and informed consent. Mindful self-care was assessed using the Mindful Self-Care Scale (MSCS), distress with the Physician Well-Being Index (PWBI), depression with the Patient Health Questionnaire-9 (PHQ-9), and wellness with the Brief Resident Wellness Profile (BRWP). Data were analyzed using SPSS, with moderation analyses performed to explore self-care’s role in mitigating depression linked to distress. Results: A total of 104 residents participated (15.95% response rate). Self-care positively correlated with resident well-being (r = .62, p < .0001) and negatively correlated with resident distress (r = -.50, p < .0001) and resident depression (r = -.56, p < .0001). Burned-out residents had significantly less self-care than those not burned out (F (1,97) = 15.69, p < .0001). Moderation analyses evidenced that mindful self-care is protective for residents against developing depression related to burnout and distress. Discussion: This research shows that resident self-care is strongly linked to well-being and is associated with lower distress, depression, and burnout. It highlights that self-care can protect against poor health outcomes during residency and emphasizes that self-care can involve changing one’s approach rather than requiring additional resources like time or money. https://journalhss.com/wp-content/uploads/JHSS_2024_367-378.pdfburnoutdepressionmental healthmindfulnessself-care
spellingShingle Wendy M. GUYKER
Evette A. ADDAI
Catherine P. COOK-COTTONE
Susan M. ORRANGE
Sofie SCALETTA
The effects of mindful self-care on medical resident wellness, depression, and burnout
Journal of Health and Social Sciences
burnout
depression
mental health
mindfulness
self-care
title The effects of mindful self-care on medical resident wellness, depression, and burnout
title_full The effects of mindful self-care on medical resident wellness, depression, and burnout
title_fullStr The effects of mindful self-care on medical resident wellness, depression, and burnout
title_full_unstemmed The effects of mindful self-care on medical resident wellness, depression, and burnout
title_short The effects of mindful self-care on medical resident wellness, depression, and burnout
title_sort effects of mindful self care on medical resident wellness depression and burnout
topic burnout
depression
mental health
mindfulness
self-care
url https://journalhss.com/wp-content/uploads/JHSS_2024_367-378.pdf
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