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Mindfulness-Based Interventions for Psychological Stress in Medical Students: A Systematic Review

Journal
Healthcare (Basel, Switzerland) (Q2)
Published
2 July 2026
Study design
Systematic review / meta-analysis of RCTs
Evidence level
Level 1, High (CEBM 1a)
Authors
Ana Leonor Couto, Daniel Humberto Pozza, Ricardo João Teixeira, Isaura Tavares
PMID
42450971
DOI
10.3390/healthcare14131961

Why clinicians should know about it

Abstract

Background/Objectives: Medical students are frequently exposed to high levels of psychological stress due to demanding academic workloads and individual responsibilities. Mindfulness-Based Interventions (MBIs) have been increasingly explored as strategies to improve mental well-being of this population. The objective of this systematic review is to evaluate the effects of MBIs on psychological stress among medical students. Methods: A systematic search of three databases (PubMed, Scopus, and Web of Science) was conducted following PRISMA guidelines upon protocol registration in PROSPERO. Randomized controlled trials (RCTs) and non-randomized studies assessing mindfulness interventions in medical students were included. Risk of bias was evaluated using the Cochrane RoB 2 tool for RCTs and the ROBINS-I tool for non-randomized studies. Results: Twenty-one studies met the inclusion criteria, including fourteen RCTs and seven non-randomized studies. The types of MBIs were variable between the included studies, including mainly Mindfulness-Based Stress Reduction (MBSR) but also Compassion Cultivation Training (CCT). The interventions were also heterogeneous in what concerns duration and format. Conclusions: Although further research is required to address current methodological gaps, namely the variable types, formats, and duration of MBIs, this study suggests putative benefits of integrating mindfulness into medical education to promote psychological resilience.

Abstract as published, via PubMed.

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For healthcare professionals. The summary is generated by AI from the published abstract, and the evidence level is assigned automatically from the study design on the Oxford CEBM hierarchy. Neither is medical advice. Read the full paper before changing practice.