2023, Número 2
<< Anterior Siguiente >>
Salud Mental 2023; 46 (2)
Effectiveness evaluation of online Mindfulness in mental health and alcohol consumption in medical students during the COVID-19 pandemic
German-Ponciano LJ, Zapata-de la Rosa MF, Molina-Cadena BI, Velasco-Gómez YS, Puig-Lagunes ÁA
Idioma: Ingles.
Referencias bibliográficas: 49
Paginas: 45-54
Archivo PDF: 254.27 Kb.
RESUMEN
Introducción. Derivado de la pandemia del COVID-19, la prevalencia de estrés, ansiedad, depresión y consumo
de alcohol ha incrementado entre los estudiantes de medicina. La intervención por Mindfulness ha
reportado disminuir estas psicopatologías y el consumo de alcohol; no obstante, la evidencia muestra resultados
poco claros respecto a su eficacia.
Objetivo. Evaluar la eficacia de la intervención basada en Mindfulness
online (IBM) sobre los niveles de sintomatología de estrés, ansiedad y depresión, así como en el consumo
de alcohol y el estado de atención plena en estudiantes de medicina durante la pandemia por COVID-19.
Método. Se realizó una investigación cuasi-experimental en 237 estudiantes de medicina, de los cuales se
obtuvieron datos sociodemográficos; además, se midieron los niveles de psicopatologías, consumo de alcohol,
y el estado de atención plena pre y post intervención a través de los instrumentos DASS-21, AUDIT, y
MASS. Se llevaron a cabo ocho sesiones de Mindfulness online, una vez por semana, de aproximadamente
una hora cada una.
Resultados. La IBM no redujo los niveles de psicopatologías ni de consumo de alcohol
ni mejoró el estado de atención plena. Los altos niveles de psicopatologías, la tasa de abandono y la falta
de participación voluntaria, fueron los principales factores que limitan la eficacia del IBM online.
Discusión y
conclusión. La IBM online no fue efectiva entre la población estudiada: se recomienda la generación de estrategias
en las que los estudiantes se involucren y completen los programas de intervención, los resultados
de esta investigación ayudarán a mejorar futuras intervenciones de mindfulness online.
REFERENCIAS (EN ESTE ARTÍCULO)
Alsoufi, A., Alsuyihili, A., Msherghi, A., Elhadi, A., Atiyah, H., Ashini, A., … Elhadi,M. (2020). Impact of the COVID-19 pandemic on medical education: Medicalstudents’ knowledge, attitudes, and practices regarding electronic learning.PLoS One, 15(11), e0242905. doi: 10.1371/journal.pone.0242905
Arenas-Monreal, L., Hernández-Tezoquipa, I., Valdez-Santiago, R., & Bonilla-Fernández,P. (2004). Las instituciones de salud y el autocuidado de los médicos. SaludPública de México, 46(4), 326-332. doi: 10.1590/S0036-36342004000400007
Asociación Médica Mundial. (2013). Declaración de Helsinki. Principios éticos parala investigación en seres humanos. (64º Asamblea General).
Ayala, E. E., Omorodion, A. M., Nmecha, D., Winseman, J. S., & Mason, H. R.C. (2017). What Do Medical Students Do for Self-Care? A Student-CenteredApproach to Well-Being. Teaching and Learning in Medicine, 29(3), 237-246.doi: 10.1080/10401334.2016.1271334
Ball, S., & Bax, A. (2022). Self-care in Medical Education: effectiveness of healthhabitsinterventions for first-year medical students. Academic Medicine, 77(9),911-917. doi: 10.1097/00001888-200209000-00023
Caldera-Villalobos, C., Garza-Veloz, I., Martínez-Avila, N., Delgado-Enciso, I.,Ortiz-Castro, Y., Cabral-Pacheco, G. A., & Martinez-Fierro, M. L. (2020). TheCoronavirus Disease (COVID-19) Challenge in Mexico: A Critical and ForcedReflection as Individuals and Society. Frontiers in Public Health, 8, 337. doi:10.3389/fpubh.2020.00337
Chmielewski, J., Łoś, K., & Łuczyński, W. (2021). Mindfulness in healthcareprofessionals and medical education. International Journal of OccupationalMedicine and Environmental Health, 34(1), 1-14. doi: 10.13075/ijomeh.1896.01542
Chodkiewicz, J., Talarowska, M., Miniszewska, J., Nawrocka, N., & Bilinski, P.(2020). Alcohol Consumption Reported during the COVID-19 Pandemic: TheInitial Stage. International Journal of Environmental Research and PublicHealth, 17(13), 4677. doi: 10.3390/ijerph17134677
Coker, A., Coker, O., & Sanni, D. (2018). Sociodemographic correlates and symptomsof depression, anxiety, and stress among a sample of nigerian medical students.Nigerian Journal of Basic and Clinical Science, 15(1), 58-62. doi: 10.4103/njbcs.njbcs_50_16
Constantinou, C. S., Georgiou, M., & Perdikogianni, M. (2017). Medical Students’Attitudes and Beliefs towards Psychotherapy: A Mixed Research MethodsStudy. Behavioral Sciences, 7(3), 55. doi: 10.3390/bs7030055
Danilewitz, M., Koszycki, D., Maclean, H., Sanchez-Campos, M., Gonsalves, C.,Archibald, D., & Bradwejn, J. (2018). Feasibility and effectiveness of an onlinemindfulness meditation program for medical students. Canadian MedicalEducation Journal, 9(4), e15-e25.
Farris, S. R., Grazzi, L., Holley, M., Dorsett, A., Xing, K., Pierce, C. R., & Wells, R.E. (2021). Online Mindfulness May Target Psychological Distress and MentalHealth during COVID-19. Global Advances in Health and Medicine, 10,216495612110024. doi: 10.1177/21649561211002461
Freire, B. R., Castro, P. A. S. V. de, & Petroianu, A. (2020). Alcohol consumptionby medical students. Revista da Associação Médica Brasileira, 66(7), 943-947.doi: 10.1590/1806-9282.66.7.943
Givens, J. L., & Tjia, J. (2002). Depressed medical students’ use of mental healthservices and barriers to use. Academic Medicine, 77(9), 918-921. doi:10.1097/00001888-200209000-00024
Gloster, A. T., Lamnisos, D., Lubenko, J., Presti, G., Squatrito, V., Constantinou,M., … Karekla, M. (2020). Impact of COVID-19 pandemic on mental health:An international study. PLoS One, 15(12), e0244809. doi: 10.1371/journal.pone.0244809
Godara, M., Silveira, S., Matthäus, H., Heim, C., Voelkle, M., Hecht, M., … Singer,T. (2021). Investigating differential effects of socio-emotional and mindfulnessbasedonline interventions on mental health, resilience, and social capacitiesduring the COVID-19 pandemic: The study protocol. PLoS One, 16(11),e0256323. doi: 10.1371/journal.pone.0256323
Gold, J. A., Johnson, B., Leydon, G., Rohrbaugh, R. M., & Wilkins, K. M. (2015).Mental health self-care in medical students: a comprehensive look at helpseeking.Academic Psychiatry, 39(1), 37-46. doi: 10.1007/s40596-014-0202-z
Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., & Lee, C. (2019).Efficacy of the Mindfulness Meditation Mobile App “Calm” to Reduce StressAmong College Students: Randomized Controlled Trial. JMIR mHealth anduHealth, 7(6), e14273. doi: 10.2196/14273
Kamboj, S. K., Irez, D., Serfaty, S., Thomas, E., Das, R. K., & Freeman, T. P.(2017). Ultra-Brief Mindfulness Training Reduces Alcohol Consumption inAt-Risk Drinkers: A Randomized Double-Blind Active-Controlled Experiment.International Journal of Neuropsychopharmacology, 20(11), 936-947. doi:10.1093/ijnp/pyx064
Killgore, W. D. S., Cloonan, S. A., Taylor, E. C., Lucas, D. A., & Dailey, N. S. (2021).Alcohol dependence during COVID-19 lockdowns. Psychiatry Research, 296,113676. doi: 10.1016/j.psychres.2020.113676
Lai, A. Y., Lee, L., Wang, M., Feng, Y., Lai, T. T., Ho, L., … Lam, T. (2020). MentalHealth Impacts of the COVID-19 Pandemic on International UniversityStudents, Related Stressors, and Coping Strategies. Frontiers in Psychiatry, 11,584240. doi: 10.3389/fpsyt.2020.584240
Lasheras, I., Gracia-García, P., Lipnicki, D., Bueno-Notivol, J., López-Antón, R., dela Cámara, C., … Santabárbara, J. (2020). Prevalence of Anxiety in MedicalStudents during the COVID-19 Pandemic: A Rapid Systematic Review withMeta-Analysis. International Journal of Environmental Research and PublicHealth, 17(18), 6603. doi: 10.3390/ijerph17186603
Ley General de Salud. (1984). Diario Oficial de la Federación. Última Reformapublicada en el Diario Oficial de la Federación el 16-02-2022. (Número 27).
Li, W., Howard, M. O., Garland, E. L., McGovern, P., & Lazar, M. (2017). Mindfulnesstreatment for substance misuse: A systematic review and meta-analysis. Journalof Substance Abuse Treatment, 75, 62-96. doi: 10.1016/j.jsat.2017.01.008
Meo, S. A., Abukhalaf, A. A., Alomar, A. A., Sattar, K., & Klonoff, D. C. (2020).COVID-19 Pandemic: Impact of Quarantine on Medical Students’ MentalWellbeing and Learning Behaviors. Pakistan Journal of Medical Sciences,36(COVID19-S4), S43-S48. doi: 10.12669/pjms.36.covid19-s4.2809
Morledge, T. J., Allexandre, D., Fox, E., Fu, A. Z., Higashi, M. K., Kruzikas, D.T., … Reese, P. R. (2013). Feasibility of an Online Mindfulness Program forStress Management—A Randomized, Controlled Trial. Annals of BehavioralMedicine, 46(2), 137-148. doi: 10.1007/s12160-013-9490-x
Nasui, B. A., Popa, M., Buzoianu, A. D., Pop, A. L., Varlas, V. N., Armean, S. M., &Popescu, C. A. (2021). Alcohol Consumption and Behavioral Consequences inRomanian Medical University Students. International Journal of EnvironmentalResearch and Public Health, 18(14), 7531. doi: 10.3390/ijerph18147531
O’Byrne, L., Gavin, B., & McNicholas, F. (2020). Medical students and COVID-19:the need for pandemic preparedness. Journal of Medical Ethics, 46(9), 623-626.doi: 10.1136/medethics-2020-106353
Picton, A. (2021). Work-life balance in medical students: self-care in a culture of selfsacrifice.BMC Medical Education, 21(1), 8. doi: 10.1186/s12909-020-02434-5
Pitchot, W., & Dor, B. (2019). Complications psychiatriques liées à l’alcoolisme.[Psychiatric complications associated with alcoholism]. Revue Médicale deLiège, 74(5-6), 300-303.
Puig-Lagunes, Á. A., Vargas-Álvarez, J. E., Salinas-Méndez, L. E., Ricaño-Santos,K. A., & Puig-Nolasco, Á. (2020). Prevalencia de depresión, ansiedad y estrésacadémico entre estudiantes de medicina, durante distintos periodos de estrés.Atención Familiar, 27(4), 165-171. doi: 10.22201/fm.14058871p.2020.4.76891
Ramón-Arbués, E., Gea-Caballero, V., Granada-López, J. M., Juárez-Vela, R.,Pellicer-García, B., & Antón-Solanas, I. (2020). The Prevalence of Depression,Anxiety and Stress and Their Associated Factors in College Students.International Journal of Environmental Research and Public Health, 17(19),7001. doi: 10.3390/ijerph17197001
Rodriguez, M. L., Corse, A. K., & Rosen, L.D. (2017). Mental Health Services UseAmong Medical Students: Perceived Stigma and Barriers to Care. MedicalScience Educator, 27(2), 267-272. doi: 10.1007/s40670-017-0392-6
Román, F., Santibáñez, P., & Vinet, E. V. (2016). Uso de las Escalas de DepresiónAnsiedad Estrés (DASS-21) como Instrumento de Tamizaje en Jóvenes conProblemas Clínicos. Acta de Investigación Psicológica, 6(1), 2325-2336. doi:10.1016/s2007-4719(16)30053-9
Sanchez, T., Peña, E., & Ng, B. (2020). Mental health in the age of COVID-19, aMexican experience. Indian Journal of Psychiatry, 62(Suppl 3), S377-S379.doi: 10.4103/psychiatry.indianjpsychiatry_1048_20
Sancho, M., De Gracia, M., Rodríguez, R. C., Mallorquí-Bagué, N., Sánchez-González,J., Trujols, J., … Menchón, J. M. (2018). Mindfulness-Based Interventions forthe Treatment of Substance and Behavioral Addictions: A Systematic Review.Frontiers in Psychiatry, 9, 95. doi: 10.3389/fpsyt.2018.00095
Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, J. A., Vago, D. R., Gawande,R., … Fulwiler, C. (2020). Mindfulness and Behavior Change. Harvard Reviewof Psychiatry, 28(6), 371-394. doi: 10.1097/hrp.0000000000000277
Sekhar, P., Tee, Q. X., Ashraf, G., Trinh, D., Shachar, J., Jiang, A., … Turner, T. (2021).Mindfulness-based psychological interventions for improving mental wellbeingin medical students and junior doctors. Cochrane Database of SystematicReviews, 12(12), CD013740. doi: 10.1002/14651858.cd013740.pub2
Shuai, R., Bakou, A. E., Hardy, L., & Hogarth, L. (2020). Ultra-brief breath counting(mindfulness) training promotes recovery from stress-induced alcoholseekingin student drinkers. Addictive Behaviors, 102, 106141. doi: 10.1016/j.addbeh.2019.106141
Soares, F. R. R., Farias, B. R. F. de, & Monteiro, A. R. M. (2019). Consumptionof alcohol and drugs and school absenteeism among high school students ofpublic schools. Revista Brasileira de Enfermagem, 72(6), 1692-1698. doi:10.1590/0034-7167-2018-0828
Testino, G. (2020). Are Patients With Alcohol Use Disorders at Increased Risk forCovid-19 Infection? Alcohol and Alcoholism, 55(4), 344-346. doi: 10.1093/alcalc/agaa037
Thistlethwaite, J., Quirk, F., & Evans, R. (2010). Medical students seekingmedical help: A qualitative study. Medical Teacher, 32(2), 164-166. doi:10.3109/01421590903434177
Walsh, K. M., Saab, B. J., & Farb, N. A. (2019). Effects of a MindfulnessMeditation App on Subjective Well-Being: Active Randomized ControlledTrial and Experience Sampling Study. JMIR Mental Health, 6(1), e10844. doi:10.2196/10844
Wielgosz, J., Goldberg, S. B., Kral, T. R. A., Dunne, J. D., & Davidson, R. J. (2019).Mindfulness Meditation and Psychopathology. Annual Review of ClinicalPsychology, 15(1): 285-316. doi: 10.1146/annurev-clinpsy-021815-093423
Witkiewitz, K., & Bowen, S. (2010). Depression, craving, and substance usefollowing a randomized trial of mindfulness-based relapse prevention. Journalof Consulting and Clinical Psychology, 78(3), 362-374. doi: 10.1037/a0019172
Witkiewitz, K., Litten, R. Z., & Leggio, L. (2019). Advances in the science andtreatment of alcohol use disorder. Science Advances, 5(9), eaax4043. doi:10.1126/sciadv.aax4043
Yang, E., Schamber, E., Meyer, R. M. L., & Gold, J. I. (2018). Happier Healers:Randomized Controlled Trial of Mobile Mindfulness for Stress Management.The Journal of Alternative and Complementary Medicine, 24(5), 505-513. doi:10.1089/acm.2015.0301
Zanon, C., Brenner, R. E., Baptista, M. N., Vogel, D. L., Rubin, M., Al-Darmaki, F. R.,… Zlati, A. (2021). Examining the Dimensionality, Reliability, and Invarianceof the Depression, Anxiety, and Stress Scale–21 (DASS-21) Across EightCountries. Assessment, 28(6), 1531-1544. doi: 10.1177/1073191119887449
Zenner, C., Herrnleben-Kurz, S., & Walach, H. (2014). Mindfulness-basedinterventions in schools-A systematic review and meta-analysis. Frontiers inPsychology, 5, 603 doi: 10.3389/fpsyg.2014.00603