According to a randomized controlled study, published in Journal of Continuing Education in the Health Professions, physicians who practiced the Transcendental Meditation (TM) technique showed significant reductions in both burnout and depression symptoms. Research conducted at Stritch School of Medicine, Loyola University Chicago found that practice of Transcendental Meditation produced large effect sizes in decreasing burnout and depression symptoms in academic physicians; controls exhibited smaller effect sizes. The research was done pre-covid.
Marie Loiselle, PhD, lead author and senior researcher at the Center for Social-Emotional Health at Maharishi International University, stated: “Prior to treatment, the physicians were discouraged by the impact that burnout was having on their work and personal lives. To see both burnout and depression reduced significantly across 1- and 4-month posttests for the Transcendental Meditation group indicates a real possibility for alleviating these symptoms throughout the health profession.”
Sanford Nidich, EdD, co-author and director of the Center for Social-Emotional Health, explained that “these findings are consistent with research on Transcendental Meditation recently published in JAMA Network Open and the Journal of the American College of Emergency Physicians showing large within-group effect sizes due to TM on burnout and depression symptoms in healthcare provider groups. The findings are also consistent with research on other populations.”
Forty academic physicians were enrolled in the four-month study, comparing the TM technique to treatment-as-usual controls. TM is described as a simple, effortless technique, practiced for 20 minutes twice a day, sitting with eyes closed. TM allows ordinary thinking processes to become more quiescent, resulting in a unique state of restful alertness. Controls continued with their usual care throughout the duration of the study. The primary outcome was total burnout, using the Maslach Burnout Inventory (MBI). The Beck Depression Inventory (BDI-2) was also used to determine effectiveness of TM on depression symptoms over the same time-period.
Repeated measures analysis of covariance was used to assess adjusted mean change scores. Significant improvements were found for the TM group compared to controls in total burnout (P=.020) including the MBI dimensions of emotional exhaustion (P=.042) and personal accomplishment (P=.018), and depression (P=.016).
The following is a sample of responses from semi-structured interviews with TM participants about their experiences:
“I’m more relaxed about things overall, more accepting, calmer, not as revved up by things. I think that is the biggest change.”
“If I am feeling really bothered by the day, I’m able to get over it easier and shift over to focusing on home.”
According to Gregory Gruener, MD, study co-author and Vice Dean for Education, Stritch School of Medicine, Loyola University Chicago: “Longevity in a career that will last 40 to 50 years requires a physician to embrace the ‘long-view’. While knowledge, skills and attitude are fundamental, Transcendental Meditation provides the clarity of mind and calmness that makes this journey as enjoyable and fulfilling as the destination.”
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Funding support: This study was supported by grants from Loyola University and other private foundations and individual donors.
Article title: Effects of Transcendental Meditation on Academic Physician Burnout and Depression: A Mixed Methods Randomized Controlled Trial.
Authors: Loiselle, Marie PhD; Brown, Carla EdD; Travis, Frederick PhD; Gruener, Gregory MD, MBA, MHPE; Rainforth, Maxwell PhD; Nidich, Sanford EdD.
JOURNAL: Journal of Continuing Education in the Health Professions, 43(3):p 164-171, Summer 2023.
DOI: 10.1097/CEH.0000000000000472
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News Coverage: This study was published Jan 26, 2023 and publicized with an embargoed press release via EurekAlert! It was reported in the medical press. Helio requested a copy of the study and published their review Feb 3, 2023. But you have to register to read it.
HealthDay, the world’s largest syndicator of health news, also requested a copy of the study and posted their report Feb 16, 2023, which can be read here: Transcendental Meditation Helps to Alleviate Burnout in Academic Physicians. Benefits seen for total burnout, emotional exhaustion, and depression at four months. It was picked up by many health and medical news sites, like Physician’s Weekly, which created another wave of publicity. Article Metrics published by Wolters Kluwer.
When lead author Marie Loiselle read this news she shared her wish that this will motivate more health professionals to start TM and more programs like the one Carla and Duncan Brown teach at Stritch School of Medicine to be implemented.
The evidence continues to mount, which makes it a wise, health-conscious decision, and, since the pandemic, an almost necessary one. Some physicians have also been prescribing TM for their patients. It is a viable alternative and should be covered by health insurance.
It seems to be a matter of time, which reminds me of this famous quote attributed to German philosopher Arthur Schopenhauer: “All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident.”
See more Quotes from famous thinkers on the nature of truth, its rejection, and acceptance over time.
Update: The JCEHP Summer 2023 – Volume 43 – Issue 3 published an Editorial by Editor-in-Chief, Dr. Simon Kitto Ph.D.: Some Musings About Theorizing Context in a (Post)Pandemic: The Case of Physician Burnout. The opening paragraph draws attention to this original research article by Loiselle and colleagues!
Oct 17, 2023: An Apple Podcast (39 min) was posted with Marie Loiselle and two of her co-authors, Dr. Gruener and Carla Brown, Ph.D.: JCEHP Emerging Best Practices in CPD: Effects of Transcendental Meditation on Academic Physician Burnout and Depression.
Burnout is pervasive among physicians and has widespread implications for individuals and institutions. This research study examines, for the first time, the effects of the Transcendental Meditation (TM) technique on academic physician burnout and depression. Mixed methods findings suggest the TM technique is a viable and effective intervention to decrease burnout and depression for academic physicians.
This JCEHP study is also published on the PubMed, NIH, National Library of Medicine website.
— Written and compiled (citing sources) by Ken Chawkin for The Uncarved Blog.
Tags: academic physicians, burnout, depression, emotional exhaustion, Journal of Continuing Education in the Health Professions, Loyola University Chicago, peer-reviewed publication, randomized controlled trial, Stritch School of Medicine, the three stages of truth, TM, Transcendental Meditation
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