AccScience Publishing / HPR / Online First / DOI: 10.36922/HPR0136
RESEARCH ARTICLE

Feasibility and preliminary clinical outcomes of a mindfulness-based stress reduction program among psychiatry and child neuropsychiatry residents: A pilot study

Antimo Natale1 Cecilia Chiarenza2 Gabriele Avincola2* Carla Benedicta Romano2 Giuseppina Morabito3 Letizia Ferrante3 Laura Bongiorno3 Fakhrou Abdulnaser4 Roberta Pastorino5,6 Pasquale Caponnetto7,8 Maria Salvina Signorelli2
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1 Department of Psychiatry, Adult Psychiatry Service, University Hospital of Geneva, Geneva, Switzerland
2 Department of Clinical and Experimental Medicine, Psychiatry Unit, University of Catania, Catania, Italy
3 Mindful Sicilia ETS, Catania, Italy
4 Department of Psychological Science, College of Education, Qatar University, Doha, Qatar
5 Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
6 Department of Woman and Child Health and Public Health - Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
7 Department of Educational Sciences, Section of Psychology, University of Catania, Catania, Italy
8 Center of Excellence for the Acceleration of Harm Reduction (CoEHAR), University of Catania, Catania, Italy
Received: 20 May 2025 | Revised: 22 May 2026 | Accepted: 26 May 2026 | Published online: 29 July 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Background: Burnout, anxiety, depression, insomnia, and impaired mentalizing are common among mental health trainees, potentially impacting well-being and quality of care. Mindfulness-based interventions have shown promise in mitigating these issues. Incorporating such programs into postgraduate training may offer proactive support during a critical developmental stage.

Objective: This study primarily aimed to assess the feasibility and acceptability of implementing a mindfulness-based stress reduction (MBSR) program among psychiatry and child neuropsychiatry residents. Secondary exploratory aims included assessing preliminary changes in burnout, anxiety, depression, insomnia, and mentalizing outcomes.

Methods: This single-center, non-randomized controlled pilot feasibility study included psychiatry and child neuropsychiatry residents. Participation in the intervention group was based on willingness to attend an MBSR program alongside standard institutional support services. A comparison group was identified among residents from the same departments who received standard support only. Feasibility outcomes included recruitment, retention, adherence, and participant satisfaction. Validated scales assessed burnout, anxiety, depression, insomnia, and mentalizing before and after intervention.

Results: Thirty-nine participants were included in the final analysis (19 in the intervention group; 20 in the control group). Feasibility outcomes indicated good acceptability and participant satisfaction. Exploratory analyses showed a modest reduction in emotional exhaustion in the intervention group compared to controls (p = 0.0487), while no significant between-group differences emerged for other outcomes.

Conclusion: This pilot study supports the feasibility and acceptability of implementing an MBSR program among mental health trainees. Exploratory findings suggest possible effects on emotional exhaustion, although results should be interpreted cautiously. Larger controlled studies are needed to assess clinical effectiveness.

Keywords
Burnout
Mindfulness
Resident
Mental health
Funding
None.
Conflict of interest
Pasquale Caponnetto serves as one of the Editors-in-Chief of this journal, but was not in any way involved in the editorial and peer-review process conducted for this paper, directly or indirectly. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
  1. Mata DA, Ramos MA, Bansal N, et al. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA. 2015;314(22):2373-2383. doi: 10.1001/jama.2015.15845
  2. Dyrbye LN, Shanafelt TD. A narrative review on burnout experienced by medical students and residents. Med Educ. 2016;50(1):132-149. doi: 10.1111/medu.12927
  3. Lee PT, Loh J, Sng G, Tung J, Yeo KK. Empathy and burnout: a study on residents from a Singapore institution. Singapore Med J. 2018;59(1):50-54. doi: 10.11622/smedj.2017096
  4. Ardizzone E, Lerchbaumer E, Heinzel JC, et al. Insomnia: a systematic review and comparison of medical resident's average off-call sleep times. Int J Environ Res Public Health. 2023;20(5):4180. doi: 10.3390/ijerph20054180
  5. Chan MK, Chew QH, Sim K. Burnout and associated factors in psychiatry residents: a systematic review. Int J Med Educ. 2019;10:149-160. doi: 10.5116/ijme.5d21.b621
  6. Lu DW, Dresden S, McCloskey C, Branzetti MA, Gisondi MA. Impact of burnout on self-reported patient care among emergency physicians. West J Emerg Med. 2015;16(7):996-1001. doi: 10.5811/westjem.2015.9.27945
  7. Mihailescu M, Neiterman E. A scoping review of the literature on the current mental health status of physicians and physicians-in-training in North America. BMC Public Health. 2019;19:1363. doi: 10.1186/s12889-019-7661-9
  8. Low ZX, Yeo KA, Sharma VK, et al. Prevalence of burnout in medical and surgical residents: a meta-analysis. Int J Environ Res Public Health. 2019;16(9):1479. doi: 10.3390/ijerph16091479
  9. Fonagy P, Bateman AW. The development of borderline personality disorder: a mentalizing model. J Pers Disord. 2008;22(1):4-21. doi: 10.1521/pedi.2008.22.1.4
  10. Free G, Swildens W, Knapen S, Beekman A, van Meijel B. Mentalizing capacities of mental health nurses: a systematic PRISMA review. J Psychiatr Ment Health Nurs. 2024;31(1):87-110. doi: 10.1111/jpm.12963
  11. Jennings ML, Slavin SJ. Resident wellness matters: optimizing resident education and wellness through the learning environment. Acad Med. 2015;90(9):1246-1250. doi: 10.1097/ACM.0000000000000842
  12. Baer TE, Feraco AM, Tuysuzoglu Sagalowsky S, Williams D, Litman HJ, Vinci RJ. Pediatric resident burnout and attitudes toward patients. Pediatrics. 2017;139(3):e20162163. doi: 10.1542/peds.2016-2163
  13. Dionne F, Richard A, Rancourt C, Carrier SM, Maheux J. Mindfulness and mentalization: comparative study of their unique and overlapping effects on psychological and interpersonal functioning. Curr Res Behav Sci. 2026;10:100198. doi: 10.1016/j.crbeha.2025.100198
  14. Jain FA, Fonagy P. Mentalizing imagery therapy: theory and case series of imagery and mindfulness techniques to understand self and others. Mindfulness. 2018;9(5):1534-1543. doi: 10.1007/s12671-018-0969-1
  15. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388(10057):2272-2281. doi: 10.1016/S0140-6736(16)31279-X
  16. Panagioti M, Panagopoulou E, Bower P, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195-205. doi: 10.1001/jamainternmed.2016.7674
  17. Busireddy KR, Miller JA, Ellison K, Ren V, Qayyum R, Panda M. Efficacy of interventions to reduce resident physician burnout: a systematic review. J Grad Med Educ. 2017;9(3):294-301. doi: 10.4300/JGME-D-16-00372.1
  18. Irving JA, Dobkin PL, Park J. Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complement Ther Clin Pract. 2009;15(2):61-66. doi: 10.1016/j.ctcp.2009.01.002
  19. Kabat-Zinn J. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York, NY: Bantam Books; 2013.
  20. Regehr C, Glancy D, Pitts A, LeBlanc VR. Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. J Nerv Ment Dis. 2014;202(5):353-359. doi: 10.1097/NMD.0000000000000130
  21. Lamothe M, Rondeau E, Malboeuf-Hurtubise C, Duval M, Sultan S. Outcomes of MBSR or MBSR-based interventions in health care providers: a systematic review with a focus on empathy and emotional competencies. Complement Ther Med. 2016;24:19-28. doi: 10.1016/j.ctim.2015.11.001
  22. Lomas T, Medina JC, Ivtzan I, Rupprecht S, Eiroa-Orosa FJ. A systematic review of the impact of mindfulness on the well-being of healthcare professionals. J Clin Psychol. 2018;74(3):319-355. doi: 10.1002/jclp.22515
  23. Fendel JC, Bürkle JJ, Göritz AS. Mindfulness-based interventions to reduce burnout and stress in physicians: a systematic review and meta-analysis. Acad Med. 2021;96(5):751-764. doi: 10.1097/ACM.0000000000003936
  24. Fendel JC, Aeschbach VM, Schmidt S, Göritz AS. The impact of a tailored mindfulness-based program for resident physicians on distress and the quality of care: a randomized controlled trial. J Intern Med. 2021;290(6):1233-1248. doi: 10.1111/joim.13374
  25. Aeschbach VM, Fendel JC, Göritz AS, Schulze-Marmeling C, Schmidt S. The effects of a tailored mindfulness-based program on the positive mental health of resident physicians: a randomized controlled trial. Mindfulness. 2022;13(5):1292-1306. doi: 10.1007/s12671-022-01876-w
  26. Sarazine J, Heitschmidt M, Vondracek H, Sarris S, Marcinkowski N, Kleinpell R. Mindfulness workshops effects on nurses' burnout, stress, and mindfulness skills. Holist Nurs Pract. 2021;35(1):10-18. doi: 10.1097/HNP.0000000000000378
  27. Janssen M, Van der Heijden B, Engels J, Korzilius H, Peters P, Heerkens Y. Effects of mindfulness-based stress reduction training on healthcare professionals' mental health: results from a pilot study testing its predictive validity in a specialized hospital setting. Int J Environ Res Public Health. 2020;17(24):9420. doi: 10.3390/ijerph17249420
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Health Psychology Research, Print ISSN: 2420-8124, Published by AccScience Publishing