Mapping the relationship: a cross-sectional analysis of obsessive-compulsive symptoms and mindfulness in undergraduate medical students from Central India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20252475Keywords:
OCD, OCI-R, MAAS, Medical students, MindfulnessAbstract
Background: Obsessive-compulsive disorder (OCD) is a chronic psychiatric condition characterized by intrusive thoughts (obsessions) and repetitive behaviours (compulsions) performed to relieve the associated distress. Medical education is known to be intellectually and emotionally demanding, often leading to increased levels of stress, anxiety, and symptoms of psychological disorders. This study aimed to assess the relationship between obsessive-compulsive symptoms and mindfulness among undergraduate medical students in central India.
Methods: A cross-sectional study was conducted involving 240 undergraduate medical students and interns, using convenience sampling. A self-administered questionnaires based on two validated scales: the obsessive-compulsive inventory-revised (OCI-R) to assess obsessive-compulsive symptoms and the mindful attention awareness scale (MAAS) to measure mindfulness was used. Data were collected using paper-based forms and analysed for gender differences and correlation between OCI-R and MAAS scores.
Results: Among the 240 participants, 130 were males and 110 were females, males reported a higher mean OCI-R score (27.4) compared to females (24.3), with median values of 29.0 and 24.5, respectively. It was observed that as individuals’ OCI scores increase their MAAS scores, tend to slightly decrease. However, the association appears weak.
Conclusions: The findings support the growing evidence that mindfulness is negatively associated with obsessive-compulsive symptoms. Incorporating mindfulness-based interventions in medical training may help reduce psychological distress. Further research is needed to explore causality and long-term benefits of mindfulness practices in this population.
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References
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th edn. Arlington, VA: American Psychiatric Publishing; 2013. DOI: https://doi.org/10.1176/appi.books.9780890425596
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81(4):354-73. DOI: https://doi.org/10.1097/00001888-200604000-00009
Didonna F. (2009). Clinical Handbook of Mindfulness. New York: Springer; 2009. DOI: https://doi.org/10.1007/978-0-387-09593-6
Foa EB, Kozak MJ, Salkovskis PM, Coles ME, Amir N. The validation of a new obsessive-compulsive disorder scale: the obsessive-compulsive inventory. Psychol Assess. 1998;10(3):206. DOI: https://doi.org/10.1037//1040-3590.10.3.206
Shitole RB, Thakkar H. (2021). Correlation between obsessive compulsive symptoms & mindfulness among undergraduate occupational therapy students (UG OT). Paripex Indian J Res. 2021;10(07):1. DOI: https://doi.org/10.36106/paripex/5907146
Hölzel BK, Lazar SW, Gard T, Schuman-Olivier Z, Vago DR, Ott U. How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspect Psychol Sci. 2011;6(6):537-59. DOI: https://doi.org/10.1177/1745691611419671
Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C. A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 2013;47(3):391-400. DOI: https://doi.org/10.1016/j.jpsychires.2012.11.015
Kabat-Zinn J. Mindfulness-based interventions in context: Past, present, and future. Clin Psychol Sci Pract. 2003;10(2):144-56. DOI: https://doi.org/10.1093/clipsy/bpg016
Kumar GS, Jain A, Hegde S. Prevalence of depression and its associated factors using Beck Depression Inventory among students of a medical college in Karnataka. Indian J Psychiatr. 2016;58(4):432.
Singh R, Ghosh D, Nandi S. Prevalence and pattern of obsessive-compulsive symptoms in medical students. J Clin Diagn Res. 2019;13(2):VC01-4.
Twohig MP, Hayes SC, Masuda A. A preliminary investigation of acceptance and commitment therapy as a treatment for chronic skin picking. Behaviour Research and Therapy, 2010;44(10):1513-22. DOI: https://doi.org/10.1016/j.brat.2005.10.002
Opakunle T, Aloba O, Opakunle O, Oyewole A, Osokoya O. Prevalence and correlates of obsessive–compulsive symptoms in a sample of undergraduate clinical medical students in Osogbo, Southwestern Nigeria. Niger J Health Sci. 2017;17(2):66-71. DOI: https://doi.org/10.4103/njhs.njhs_6_19
M Ebrahem S, Diab Abd-elwahab S, A Shokr E, A Radwan H. Effectiveness of mindfulness skills on self-efficacy and suicidal ideation among first-year nursing students with obsessive-compulsive symptoms during COVID-19 pandemic. Int Egypt J Nurs Sci Res. 2022;3(1):221-39. DOI: https://doi.org/10.21608/ejnsr.2022.247075
Hanstede M, Gidron Y, Nyklícek I. The effects of a mindfulness intervention on obsessive-compulsive symptoms in a non-clinical student population. J Nerv Ment Dis. 2008;196(10):776-9. DOI: https://doi.org/10.1097/NMD.0b013e31818786b8
Micha M, Drakos I, Bacopoulou F, Kritseli E, Kokka I, Tigani X, et al. Effectiveness of mindfulness based interventions on symptom reduction according to Y-BOCS and OCI-R in adult patients with obsessive-compulsive disorder. A systematic review of randomized controlled trials. Psychology. 2021;12(11):1863-77. DOI: https://doi.org/10.4236/psych.2021.1211112
Külz AK, Landmann S, Cludius B, Rose N, Heidenreich T, Jelinek L, et al. Mindfulness-based cognitive therapy (MBCT) in patients with obsessive–compulsive disorder (OCD) and residual symptoms after cognitive behavioral therapy (CBT): a randomized controlled trial. Eur Arch Psychiatr Clin Neurosci. 2019;269:223-33. DOI: https://doi.org/10.1007/s00406-018-0957-4