Stress Management and Resilience Training Among Department of Medicine Faculty: a Pilot Randomized Clinical Trial

Overview

Journal J Gen Intern Med

Publisher Springer

Specialty General Medicine

Date 2011 Feb 1

PMID 21279454

Citations 114

Authors

Amit Sood

Kavita Prasad

Darrell Schroeder

Prathibha Varkey

Affiliations

Soon will be listed here.

Abstract

Background: Physician distress is common and related to numerous factors involving physicians' personal and professional lives. The present study was designed to assess the effect of a Stress Management and Resiliency Training (SMART) program for increasing resiliency and quality of life, and decreasing stress and anxiety among Department of Medicine (DOM) physicians at a tertiary care medical center.

Participants: Forty DOM physicians were randomized in a wait-list controlled clinical trial to either the SMART intervention or a wait-list control group for 8 weeks. The intervention involved a single 90 min one-on-one training in the SMART program. Primary outcome measures assessed at baseline and week 8 included the Connor Davidson Resilience Scale (CDRS), Perceived Stress Scale (PSS), Smith Anxiety Scale (SAS) and Linear Analog Self Assessment Scale (LASA).

Results: Thirty-two physicians completed the study. A statistically significant improvement in resiliency, perceived stress, anxiety, and overall quality of life at 8 weeks was observed in the study arm compared to the wait-list control arm: CDRS: mean ± SD change from baseline +9.8 ± 9.6 vs. -0.8 ± 8.2, t(30) = 3.18, p = 0.003; PSS: -5.4 ± 8.1 vs. +2.2 ± 6.1, t(30) = -2.76, p = 0.010; SAS: -11.8 ± 12.3 vs.+ 2.9 ± 8.9, t(30) = -3.62, p = 0.001; and LASA: +0.4 ± 1.4 vs. -0.6 ± 1.0, t(30) = 2.29, p = 0.029.

Conclusions: A brief training to enhance resilience and decrease stress among physicians using the SMART program was feasible. Further, the intervention provided statistically significant improvement in resilience, stress, anxiety, and overall quality of life. In the future, larger clinical trials with longer follow-up and possibly wider dissemination of this intervention are warranted.

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References

Wolfe F . Fatigue assessments in rheumatoid arthritis: comparative performance of visual analog scales and longer fatigue questionnaires in 7760 patients. J Rheumatol. 2004; 31(10):1896-902. View

Varkey P, Karlapudi S, Hensrud D . The impact of a quality improvement program on employee satisfaction in an academic microsystem. Am J Med Qual. 2008; 23(3):215-21. DOI: 10.1177/1062860608314957. View

Marcks B, Woods D . A comparison of thought suppression to an acceptance-based technique in the management of personal intrusive thoughts: a controlled evaluation. Behav Res Ther. 2005; 43(4):433-45. DOI: 10.1016/j.brat.2004.03.005. View

Wilmshurst L, Peele M, Wilmshurst L . Resilience and well-being in college students with and without a diagnosis of ADHD. J Atten Disord. 2009; 15(1):11-7. DOI: 10.1177/1087054709347261. View

Shanafelt T, West C, Sloan J, Novotny P, Poland G, Menaker R . Career fit and burnout among academic faculty. Arch Intern Med. 2009; 169(10):990-5. DOI: 10.1001/archinternmed.2009.70. View

West C, Huschka M, Novotny P, Sloan J, Kolars J, Habermann T . Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006; 296(9):1071-8. DOI: 10.1001/jama.296.9.1071. View

Locke D, Decker P, Sloan J, Brown P, Malec J, Clark M . Validation of single-item linear analog scale assessment of quality of life in neuro-oncology patients. J Pain Symptom Manage. 2007; 34(6):628-38. PMC: 2732111. DOI: 10.1016/j.jpainsymman.2007.01.016. View

Ellenbogen M, Schwartzman A . Selective attention and avoidance on a pictorial cueing task during stress in clinically anxious and depressed participants. Behav Res Ther. 2008; 47(2):128-38. DOI: 10.1016/j.brat.2008.10.021. View

Smith C, Hancock H, Blake-Mortimer J, Eckert K . A randomised comparative trial of yoga and relaxation to reduce stress and anxiety. Complement Ther Med. 2007; 15(2):77-83. DOI: 10.1016/j.ctim.2006.05.001. View

10.

Beckman T, Reed D, Shanafelt T, West C . Impact of resident well-being and empathy on assessments of faculty physicians. J Gen Intern Med. 2009; 25(1):52-6. PMC: 2811588. DOI: 10.1007/s11606-009-1152-0. View

11.

Spickard Jr A, Gabbe S, Christensen J . Mid-career burnout in generalist and specialist physicians. JAMA. 2002; 288(12):1447-50. DOI: 10.1001/jama.288.12.1447. View

12.

Ramirez A, Graham J, Richards M, Cull A, Gregory W . Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet. 1996; 347(9003):724-8. DOI: 10.1016/s0140-6736(96)90077-x. View

13.

Pathman D, Konrad T, Williams E, Scheckler W, Linzer M, Douglas J . Physician job satisfaction, dissatisfaction, and turnover. J Fam Pract. 2002; 51(7):593. View

14.

Krasner M, Epstein R, Beckman H, Suchman A, Chapman B, Mooney C . Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009; 302(12):1284-93. DOI: 10.1001/jama.2009.1384. View

15.

Steinhardt M, Dolbier C . Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health. 2008; 56(4):445-53. DOI: 10.3200/JACH.56.44.445-454. View

16.

Abramowitz J, Tolin D, Street G . Paradoxical effects of thought suppression: a meta-analysis of controlled studies. Clin Psychol Rev. 2001; 21(5):683-703. DOI: 10.1016/s0272-7358(00)00057-x. View

17.

Ford I, Eklund R, Gordon S . An examination of psychosocial variables moderating the relationship between life stress and injury time-loss among athletes of a high standard. J Sports Sci. 2000; 18(5):301-12. DOI: 10.1080/026404100402368. View

18.

Farber E, Schwartz J, Schaper P, Moonen D, McDaniel J . Resilience factors associated with adaptation to HIV disease. Psychosomatics. 2000; 41(2):140-6. DOI: 10.1176/appi.psy.41.2.140. View

19.

Bishop S . Neural mechanisms underlying selective attention to threat. Ann N Y Acad Sci. 2008; 1129:141-52. DOI: 10.1196/annals.1417.016. View

20.

Campbell Jr D, Sonnad S, Eckhauser F, Campbell K, Greenfield L . Burnout among American surgeons. Surgery. 2001; 130(4):696-702; discussion 702-5. DOI: 10.1067/msy.2001.116676. View