Effect of Emotional Management Interventions on Medical Students: A Scoping Review

Authors

  • Anaí Díaz Morales Universidad de Chile, Facultad de Medicina, Escuela de Medicina, Santiago de Chile
  • Constanza Chabour Barra Universidad de Chile, Facultad de Medicina, Escuela de Medicina Santiago de Chile;
  • Daniela Kinzel Maluje Universidad de Chile, Facultad de Medicina, Departamento de Dermatología, Santiago de Chile
  • Álvaro Herrera Alcaíno Universidad de Chile, Facultad de Medicina, Departamento de Obstetricia y Ginecología, Santiago de Chile.. Universidad San Sebastián, Facultad de Medicina, Santiago de Chile. https://orcid.org/0009-0007-4861-2144
DOI: https://doi.org/10.6018/edumed.668671
Keywords: Medical Students, Burnout, Stress, Mental Health

Abstract

Introduction: Medical students face high levels of stress and burnout during training, which can adversely affect their psychological well-being and academic performance. Emotional management interventions have been proposed as strategies to mitigate these negative outcomes. Methods: A systematic review was conducted following PRISMA guidelines. Studies published from 2019 to 2024 that evaluated interventions aimed at improving emotional management, emotional regulation, or resilience in medical students were included. Data on participants, intervention types, and outcomes (stress, burnout, well-being) were extracted, and a narrative synthesis was performed due to methodological heterogeneity. Results: Twenty-four studies met the inclusion criteria, implementing a variety of interventions such as mindfulness and meditation programs, resilience and positive psychology training, peer mentorship and support groups, arts-based reflective activities, and curriculum-integrated self-care modules. Approximately 70% of studies reported significant reductions in perceived stress and about 50% observed improvements in resilience or emotional well-being among participants. Around 40% of studies documented decreased burnout levels. Some interventions also enhanced empathy and self-efficacy in students, though one study found no significant effect. The heterogeneity of study designs limited direct comparability, and few studies assessed long-term outcomes beyond the intervention period. Conclusions: Emotional management interventions were generally effective in reducing stress and improving the short-term well-being of medical students. Systematic integration of these strategies into medical curricula is recommended, with adaptations to the local context. Further multicenter randomized trials with extended follow-up are needed to confirm sustained benefits and inform best implementation practices.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...
Metrics
Views/Downloads
  • Abstract
    235
  • pdf (Español (España))
    175
  • pdf
    175

References

Capdevila‑Gaudens P, García‑Abajo JM, Flores‑Funes D, García‑Barbero M, García‑Estañ J. Depression, anxiety, burnout and empathy among Spanish medical students. PLoS One, 2021, 16(12), e0260359. https://10.1371/journal.pone.0260359

Botina LJ, Bolaños CM, Rodríguez DC, Díaz YT. Estrés académico en estudiantes universitarios de Iberoamérica: una revisión sistemática. Cuadernos Hispanoamericanos de Psicología, 2021, 2021(2), 1–18. https://doi.org/10.18270/chps..v2021i2.3917

Aveiro‑Róbalo TR, Garlisi‑Torales LD, Nati‑Castillo HA, Valeriano‑Paucar JR, García‑Arévalo CM, Ayala‑Servín N, et al. Ansiedad y depresión en estudiantes de medicina de Latinoamérica durante la pandemia del COVID‑19. Rev Salud Pública Parag, 2023, 13(1), 40–45. https://doi.org/10.18004/rspp.2023.abril.06

Ekbäck E, von Knorring J, Burström A, Hunhammar D, Dennhag I, Molin J, Henje E. Training for Awareness, Resilience and Action (TARA) for medical students. BMC Med Educ, 2022, 22(1), 132. https://doi.org/10.1186/s12909-022-03122-2

Versel JL, Plezia A, Jennings L, Sontag‑Milobsky I, Adams W, Shahid R. Emotional intelligence and resilience “PROGRAM” improves wellbeing and stress management skills in preclinical medical students. Adv Med Educ Pract, 2023, 14, 1309–16. https://doi.org/10.2147/amep.s437053

Feingold JH, Kaplan CA, Hart A, Waldman R, Kronman H, Brody J, et al. We get by with a little help from our PEERS: The Practice Enhancement, Engagement, Resilience, and Support Program for building community and well‑being in medical education. Acad Med, 2022, 97(6), 858–62. 10.1097/ACM.0000000000004669

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev, 2016, 5, 210. https://doi.org/10.1186/s13643-016-0384-4

Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ, 2019, 366, l4898. https://10.1136/bmj.l4898

Sterne JA, Hernán MA, Reeves BC, et al. ROBINS‑I: a tool for assessing risk of bias in non‑randomised studies of interventions. BMJ, 2016, 355, i4919. https://10.1136/bmj.i4919

Cochrane Training. ROBINS‑I: Risk of Bias in Non‑randomised Studies of Interventions. Cochrane. https://methods.cochrane.org/bias/risk-bias-non-randomized-studies-interventions

Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M, Tugwell P. The Newcastle–Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta‑analyses. Ottawa Hospital Research Institute. https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp

Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA. Cochrane Handbook for Systematic Reviews of Interventions version 6.5 (updated August 2024). Cochrane, 2024. Available from www.cochrane.org/handbook.

Patel V, Brackman S, Shafi U, Causey A, Melnik Allen L, Dittmar A, Panda M. Overview of an emergent, arts‑based resiliency curriculum to mitigate medical trainee burnout. Arts Health, 2020, 13(1), 98–106. https://10.1080/17533015.2020.1802608

Lavadera P, Millon EM, Shors TJ. MAP Train My Brain: Meditation Combined with Aerobic Exercise Reduces Stress and Rumination While Enhancing Quality of Life in Medical Students. J Altern Complement Med, 2020, 26(5), 418–423. https://10.1089/acm.2019.0281

Priyadharshini KM, George N, Britto DR, Nirmal SR, Tamilarasan M, Kulothungan K. Assessment of stress, resilience, and coping style among medical students and effectiveness of intervention programs on stress level in South India: A non-randomized control trial. Indian J Community Med, 2021, 46(4), 735–8. https://10.4103/ijcm.IJCM_157_21

Gunsilius CZ, Price MM, Rogers SL, Flynn E, Jha AP. Paying attention to attention: a program evaluation of faculty‑delivered mindfulness‑based attention training to optimize wellness and professionalism in medical students. BMC Med Educ, 2024, 24(1), 182. https://doi.org/10.1186/s12909-024-05119-5

Malpass A, Binnie K, Robson L. Medical students' experience of mindfulness training in the UK: well‑being, coping reserve, and professional development. Educ Res Int, 2019, 2019, 4021729. https://10.1155/2019/4021729

Jeyasingam N. Philosophy for resilience: a meaningful intervention for medical students. J Acad Ethics, 2021, 20(1), 67–72. https://doi.org/10.1007/s10805-021-09394-5

Bhat S, Shekhar R, Bhat A. Being well – A proactive mental wellness intervention for undergraduate medical students. J Datta Meghe Inst Med Sci Univ, 2023, 18(1), 24–8. https://10.4103/jdmimsu.jdmimsu_147_22

Kulman‑Lipsey S, Yang S, Pedram Javidan A, Fung B, Levinson A, Vernon J, et al. An integrative longitudinal resilience curriculum. Clin Teach, 2019, 16(4), 395–400. https://10.1111/tct.13054

Forbes M, Byrom L, van der Steenstraten I, Markwell A, Bretherton H, Kay M. Resilience on the Run: an evaluation of a well‑being programme for medical interns. Intern Med J, 2020, 50(1), 92–9. https://10.1111/imj.14324

Brown MEL, MacLellan A, Laughey W, Omer U, Himmi G, LeBon T, et al. Can stoic training develop medical student empathy and resilience? A mixed‑methods study. BMC Med Educ, 2022, 22(1), 340. https://doi.org/10.1186/s12909-022-03391-x

Wadi M, Shorbagi A, Shorbagi S, Taha MH, Bahri Yusoff MS. The impact of the Systematic Assessment for Resilience (SAR) framework on students’ resilience, anxiety, depression, burnout, and academic‑related stress: a quasi‑experimental study. BMC Med Educ, 2024, 24(1), 506. https://doi.org/10.1186/s12909-024-05444-9

Machado L, de Oliveira IR, Peregrino A, Cantilino A. Common mental disorders and subjective well‑being: Emotional training among medical students based on positive psychology. PLoS One, 2019, 14(2), e0211926. https://10.1371/journal.pone.0211926

Scullion R, Eckert M, Loechner J, Sattel H, Lahmann C. Effects of a mind–body medicine elective on medical student well‑being: a pilot study. Med Educ Online, 2023, 28(1), 2189752. https://10.1080/10872981.2023.2189752

Cheung EO, Kwok I, Ludwig AB, Burton W, Wang X, Basti N, Addington EL, Maletich C, Moskowitz JT. Development of a positive psychology program (LAVENDER) for preserving medical student well‑being: a single‑arm pilot study. Glob Adv Health Med, 2021, 10, 2164956120988481. https://10.1177/2164956120988481

Johnson J, Pointon L, Talbot R, Coleman R, Budworth L, Simms‑Ellis R, Vogt K, Tsimpida D, Biyani CS, Harrison R, Cheung G, Melville C, Jayagopal V, Lea W. Reboot coaching programme: a mixed‑methods evaluation assessing resilience, confidence, burnout and depression in medical students. Scott Med J, 2024, 69(1), 10–17. https://10.1177/00369330231213981

Alobaid SA, Beyari MB, Bin Idris R, Alhumud MH, Alkuwaiz LA, Alsaif F, et al. Students' perception of peer‑students mentoring program "Big Sibling Mentoring Program" to complement faculty mentoring of first‑year medical students in Saudi Arabia. Adv Med Educ Pract, 2024, 15, 837–843. https://10.2147/AMEP.S459942

Abrams MP, Salzman J, Espina Rey A, Daly K. Impact of providing peer support on medical students’ empathy, self‑efficacy, and mental health stigma. Int J Environ Res Public Health, 2022, 19(9), 5135. https://10.3390/ijerph19095135

Rhines A, Medina J, Reed R, Stewart K, Raines A. Assessing the efficacy and feasibility of emotional intelligence and stress management training for medical students within their third‑year surgery clerkship. Am J Surg, 2024, 238, 115817. https://10.1016/j.amjsurg.2024.115817

Flickinger TE, Kon RH, Jacobsen B, Schorling J, May N, Harrison M, Plews‑Ogan M. “Flourish in the Clerkship Year”: a curriculum to promote wellbeing in medical students. Med Sci Educ, 2022, 32(2), 315–320. https://doi.org/10.1007/s40670-022-01522-z

Kaligis F, Ismail RI, Wiguna T, Prasetyo S, Gunardi H, Indriatmi W, Pasaribu MM, Pandia V, Minayati K, Magdalena CC, Nurraga GW, Pramatirta B, Calvin N, Sourander A. Effectiveness of an online mental health strengthening module to build resilience and overcome stress for transitional aged medical students. Front Digit Health, 2023, 5, 1207583.

Mugford H, O’Connor C, Danelson K, Popoli D. Medical students’ perceptions and retention of skills from active resilience training. Fam Med, 2022, 54(3), 213–5. https://10.22454/FamMed.2022.462706

Nielsen MG, Ørnbøl E, Vestergaard M, et al. The construct validity of the Perceived Stress Scale. J Psychosom Res, 2016, 84, 22–30. https://10.1016/j.jpsychores.2016.01.004

Portoghese I, Leiter MP, Maslach C, et al. Measuring Burnout Among University Students: Factorial Validity, Invariance, and Latent Profiles of the Italian Version of the MBI‑SS. Front Psychol, 2018, 9, 2105. https://10.3389/fpsyg.2018.02105

Carrard V, Berney S, Bourquin C, Ranjbar S, Castelao E, Schlegel K, et al. Mental health and burnout during medical school: Longitudinal evolution and covariates. PLoS One, 2024, 19(4), e0295100. https://10.1371/journal.pone.0295100

Bennett‑Weston A, Keshtkar L, Jones M, Sanders C, Lewis C, Nockels K, et al. Interventions to promote medical student well‑being: an overview of systematic reviews. BMJ Open, 2024, 14(5), e082910. https://10.1136/bmjopen-2023-082910

Preovolos C, Grant A, Rayner M, Fitzgerald K, Ng L. Peer mentoring by medical students for medical students: a scoping review. Med Sci Educ, 2024, 34(6), 1577–1602. https://doi.org/10.1007/s40670-024-02108-7

Lavados Toro NA, Inzunza Carrasco S, Lillo Miranda B, Jerez Yañez OM. Evaluación de intervenciones para mitigar el estrés académico en estudiantes de medicina: una revisión sistemática. Rev Esp Educ Med, 2025, 6(1), e633961. https://doi.org/10.6018/edumed.633961

Bannatyne AJ, Jones C, Craig BM, Jones D, Forrest K. A systematic review of mental health interventions to reduce self‑stigma in medical students and doctors. Front Med (Lausanne), 2023, 10, 1204274. https://10.3389/fmed.2023.1204274

Published
28-07-2025
How to Cite
Díaz Morales, A., Chabour Barra, C., Kinzel Maluje, D., & Herrera Alcaíno, Álvaro. (2025). Effect of Emotional Management Interventions on Medical Students: A Scoping Review. Spanish Journal of Medical Education, 6(3). https://doi.org/10.6018/edumed.668671

Most read articles by the same author(s)

Similar Articles

You may also start an advanced similarity search for this article.