{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T02:01:25Z","timestamp":1780020085818,"version":"3.53.1"},"reference-count":59,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":41,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"DOI":"10.1186\/s12909-026-09253-0","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T04:25:33Z","timestamp":1776486333000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improvement of medical students\u2019 stress, dispositional mindfulness, well-being and flourishing during the first academic year of a medical curriculum integrating a well-being longitudinal strand"],"prefix":"10.1186","volume":"26","author":[{"given":"Cristina","family":"Biehl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constanza","family":"Montenegro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulette","family":"Conget","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Rigotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Plaza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Ronco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Bitran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Benaglio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,18]]},"reference":[{"key":"9253_CR1","doi-asserted-by":"publisher","first-page":"1613","DOI":"10.1177\/00207640221106691","volume":"68","author":"H Almutairi","year":"2022","unstructured":"Almutairi H, Alsubaiei A, Abduljawad S, Alshatti A, Fekih-Romdhane F, Husni M, et al. Prevalence of burnout in medical students: a systemic review and meta-analysis. Int J Soc Psychiatry. 2022;68:1613\u201324.","journal-title":"Int J Soc Psychiatry"},{"key":"9253_CR2","doi-asserted-by":"publisher","first-page":"575","DOI":"10.3390\/medicina60040575","volume":"60","author":"M Di Vincenzo","year":"2024","unstructured":"Di Vincenzo M, Arsenio E, Della Rocca B, Rosa A, Tretola L, Toricco R, et al. Is there a burnout epidemic among medical students? Results from a systematic review. Medicina. 2024;60:575.","journal-title":"Medicina"},{"key":"9253_CR3","doi-asserted-by":"publisher","first-page":"846789","DOI":"10.3389\/fpsyg.2022.846789","volume":"13","author":"Q Jia","year":"2022","unstructured":"Jia Q, Qu Y, Sun H, Huo H, Yin H, You D. Mental health among medical students during COVID-19: a systematic review and meta-analysis. Front Psychol. 2022;13:846789.","journal-title":"Front Psychol"},{"key":"9253_CR4","doi-asserted-by":"publisher","first-page":"1520","DOI":"10.1097\/ACM.0000000000000482","volume":"89","author":"CMLR Brazeau","year":"2014","unstructured":"Brazeau CMLR, Shanafelt T, Durning SJ, Massie FS, Eacker A, Moutier C, et al. Distress among matriculating medical students relative to the general population. Acad Med. 2014;89:1520\u20135.","journal-title":"Acad Med"},{"key":"9253_CR5","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1097\/ACM.0000000000000134","volume":"89","author":"LN Dyrbye","year":"2014","unstructured":"Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among US medical students, residents, and early career physicians relative to the general US population. Acad Med. 2014;89:443\u201351.","journal-title":"Acad Med"},{"key":"9253_CR6","doi-asserted-by":"publisher","first-page":"1613","DOI":"10.4065\/80.12.1613","volume":"80","author":"LN Dyrbye","year":"2005","unstructured":"Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. MAYO CLIN Proc. 2005;80:1613\u201322.","journal-title":"MAYO CLIN Proc"},{"key":"9253_CR7","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1080\/08998280.2023.2187207","volume":"36","author":"M Nair","year":"2023","unstructured":"Nair M, Moss N, Bashir A, Garate D, Thomas D, Fu S, et al. Mental health trends among medical students. Bayl Univ Med Cent Proc. 2023;36:408\u201310.","journal-title":"Bayl Univ Med Cent Proc"},{"key":"9253_CR8","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1186\/s12909-017-1091-0","volume":"17","author":"T K\u00f6tter","year":"2017","unstructured":"K\u00f6tter T, Wagner J, Br\u00fcheim L, Voltmer E. Perceived medical school stress of undergraduate medical students predicts academic performance: an observational study. BMC Med Educ. 2017;17:256.","journal-title":"BMC Med Educ"},{"key":"9253_CR9","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1016\/j.teln.2024.04.009","volume":"19","author":"S Di Mario","year":"2024","unstructured":"Di Mario S, Rollo E, Gabellini S, Filomeno L. How stress and burnout impact the quality of life among healthcare students: an integrative review of the literature. Teach Learn Nurs. 2024;19:315\u201323.","journal-title":"Teach Learn Nurs"},{"key":"9253_CR10","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1186\/s12909-023-04165-9","volume":"23","author":"J Howick","year":"2023","unstructured":"Howick J, Dudko M, Feng SN, Ahmed AA, Alluri N, Nockels K, et al. Why might medical student empathy change throughout medical school? A systematic review and thematic synthesis of qualitative studies. BMC Med Educ. 2023;23:270.","journal-title":"BMC Med Educ"},{"key":"9253_CR11","doi-asserted-by":"publisher","first-page":"1016","DOI":"10.1111\/j.1365-2923.2010.03754.x","volume":"44","author":"LN Dyrbye","year":"2010","unstructured":"Dyrbye LN, Power DV, Stanford Massie F, Eacker A, Harper W, Thomas MR, et al. Factors associated with resilience to and recovery from burnout: A prospective, multi-institutional study of US medical students. Med Educ. 2010;44:1016\u201326.","journal-title":"Med Educ"},{"key":"9253_CR12","doi-asserted-by":"publisher","first-page":"90","DOI":"10.36834\/cmej.36890","volume":"8","author":"G Bullock","year":"2017","unstructured":"Bullock G, Kraft L, Amsden K, Gore W, Wimsatt J, Prengle R, et al. The prevalence and effect of burnout on graduate healthcare students. Can Med Educ J. 2017;8:90\u2013108.","journal-title":"Can Med Educ J"},{"key":"9253_CR13","doi-asserted-by":"publisher","first-page":"0293539","DOI":"10.1371\/journal.pone.0293539","volume":"18","author":"AM Alzahrani","year":"2023","unstructured":"Alzahrani AM, Hakami A, Alhadi A, Al-Maflehi N, Aljawadi MH, Alotaibi RM, et al. The effectiveness of mindfulness training in improving medical students\u2019 stress, depression, and anxiety. PLoS ONE. 2023;18:0293539.","journal-title":"PLoS ONE"},{"key":"9253_CR14","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1037\/0022-3514.84.4.822","volume":"84","author":"KW Brown","year":"2003","unstructured":"Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Personal Soc Psychol. 2003;84:822\u201348.","journal-title":"J Personal Soc Psychol"},{"key":"9253_CR15","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.sumpsi.2015.05.005","volume":"22","author":"A Akin","year":"2015","unstructured":"Akin A, Akin U. Mediating role of coping competence on the relationship between mindfulness and flourishing. SUMA Psicol. 2015;22:37\u201343.","journal-title":"SUMA Psicol"},{"key":"9253_CR16","doi-asserted-by":"publisher","first-page":"938","DOI":"10.1037\/a0024889","volume":"11","author":"LI Catalino","year":"2011","unstructured":"Catalino LI, Fredrickson BL. A tuesday in the life of a flourisher: the role of positive emotional reactivity in optimal mental health. Emotion. 2011;11:938\u201350.","journal-title":"Emotion"},{"key":"9253_CR17","doi-asserted-by":"publisher","first-page":"922","DOI":"10.3390\/ijerph19020922","volume":"19","author":"HCY Ho","year":"2022","unstructured":"Ho HCY, Chan YC, Public Health. Flourishing in the workplace: a one-year prospective study on the effects of perceived organizational support and psychological capital. Int J Environ Res Public Health. 2022;19:922.","journal-title":"Int J Environ Res Public Health"},{"key":"9253_CR18","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1007\/s10804-009-9082-y","volume":"17","author":"GJ Westerhof","year":"2010","unstructured":"Westerhof GJ, Keyes CLM. Mental illness and mental health: the two continua model across the lifespan. J Adult Dev. 2010;17:110\u20139.","journal-title":"J Adult Dev"},{"key":"9253_CR19","doi-asserted-by":"publisher","first-page":"1041","DOI":"10.1016\/j.cpr.2011.04.006","volume":"31","author":"SL Keng","year":"2011","unstructured":"Keng SL, Smosk MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev. 2011;31:1041\u201356.","journal-title":"Clin Psychol Rev"},{"key":"9253_CR20","first-page":"147","volume":"11","author":"H Belen","year":"2021","unstructured":"Belen H. The impact of mindfulness and assertiveness on well-being: a structural equation modelling analysis. Turk Psychol Couns Guid J. 2021;11:147\u201360.","journal-title":"Turk Psychol Couns Guid J"},{"key":"9253_CR21","first-page":"357","volume":"174","author":"M Goyal","year":"2014","unstructured":"Goyal M, Singh S, Sibinga EMS, Gould NF, Rowland-Seymour A, Sharma R, et al. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA. 2014;174:357\u201368.","journal-title":"JAMA"},{"key":"9253_CR22","doi-asserted-by":"publisher","first-page":"8214","DOI":"10.1038\/s41598-023-35483-z","volume":"13","author":"T Fazia","year":"2023","unstructured":"Fazia T, Bubbico F, Nova A, Buizza C, Cela H, Iozzi D, et al. Improving stress management, anxiety and mental well-being in medical students through an online mindfulness-based intervention: a randomized study. Sci Rep. 2023;13:8214.","journal-title":"Sci Rep"},{"key":"9253_CR23","doi-asserted-by":"crossref","first-page":"0196053","DOI":"10.1371\/journal.pone.0196053","volume":"13","author":"M De Vibe","year":"2018","unstructured":"De Vibe M, Solhaug I, Rosenvinge JH, Tyssen R, Hanley A, Garland E. Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; results from a randomized controlled trial. PLoS ONE. 2018;13:0196053.","journal-title":"PLoS ONE"},{"key":"9253_CR24","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1186\/s12909-021-02678-9","volume":"21","author":"D Merrick","year":"2021","unstructured":"Merrick D, Mbaki Y, Pratten MK, Simpson TG. Exploring wellbeing in first year medical students amidst a curriculum change. BMC Med Educ. 2021;21:252.","journal-title":"BMC Med Educ"},{"key":"9253_CR25","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1097\/ACM.0000000000000166","volume":"89","author":"SJ Slavin","year":"2014","unstructured":"Slavin SJ, Schindler DL, Chibnall JT. Medical student mental health 3.0: improving student wellness through curricular changes. Acad Med. 2014;89:573\u20137.","journal-title":"Acad Med"},{"key":"9253_CR26","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1007\/s40670-019-00881-4","volume":"30","author":"B Manning-Geist","year":"2020","unstructured":"Manning-Geist B, Meyer F, Chen J, Pelletier A, Kosman K, Chen X, Phoenix. Preclinical stress management workshops increase medical students\u2019 knowledge and self-awareness of coping with Stress. Med Sci Educ. 2020;30:235\u201341.","journal-title":"Med Sci Educ"},{"key":"9253_CR27","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1186\/s13643-023-02244-y","volume":"12","author":"CCG da Silva","year":"2023","unstructured":"da Silva CCG, Bolognani CV, Amorim FF, Imoto AM. Effectiveness of training programs based on mindfulness in reducing psychological distress and promoting well-being in medical students: a systematic review and meta-analysis. Syst REVIEWS. 2023;12:79.","journal-title":"Syst REVIEWS"},{"key":"9253_CR28","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1186\/s12909-019-1788-3","volume":"19","author":"Q Wang","year":"2019","unstructured":"Wang Q, Wang L, Shi M, Li X, Liu R, Liu J, et al. Empathy, burnout, life satisfaction, correlations and associated sociodemographic factors among Chinese undergraduate medical students: an exploratory cross-sectional study. BMC Med Educ. 2019;19:211\u201324.","journal-title":"BMC Med Educ"},{"key":"9253_CR29","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1136\/ebmental-2019-300082","volume":"22","author":"K Witt","year":"2019","unstructured":"Witt K, Boland A, Lamblin M, McGorry PD, Veness B, Cipriani A, et al. Effectiveness of universal programmes for the prevention of suicidal ideation, behaviour and mental ill health in medical students: a systematic review and meta-analysis. Evid Based Ment Health. 2019;22:84\u201390.","journal-title":"Evid Based Ment Health"},{"key":"9253_CR30","doi-asserted-by":"publisher","first-page":"510","DOI":"10.4067\/S0034-98872019000400510","volume":"147","author":"M Bitran","year":"2019","unstructured":"Bitran M, Z\u00fa\u00f1iga D, Pedrals N, Echeverr\u00eda G, Vergara C, Rigotti A, et al. Burnout en la formaci\u00f3n de profesionales de la salud en Chile: Factores de protecci\u00f3n y riesgo, y propuestas de abordaje desde la perspectiva de los educadores. Rev Med Chil. 2019;147:510\u20137.","journal-title":"Rev Med Chil"},{"key":"9253_CR31","doi-asserted-by":"publisher","first-page":"1139946","DOI":"10.3389\/fpsyt.2023.1139946","volume":"14","author":"J Martinez-Libano","year":"2023","unstructured":"Martinez-Libano J, Torres-Vallejos J, Oyanedel JC, Gonzalez-Campusano N, Calderon-Herrera G, Yeomans-Cabrera MM. Prevalence and variables associated with depression, anxiety and stress among Chilean higher education students postpandemic. Front PSYCHIATRY. 2023;14:1139946.","journal-title":"Front PSYCHIATRY"},{"key":"9253_CR32","unstructured":"https:\/\/medicina.udd.cl\/medicina-santiago\/admision\/malla-curricular\/."},{"key":"9253_CR33","doi-asserted-by":"publisher","first-page":"2682","DOI":"10.1016\/j.mayocp.2021.06.005","volume":"96","author":"TD Shanafelt","year":"2021","unstructured":"Shanafelt TD. Physician well-being 2.0: where are we and where are we going? Mayo Clin Proc. 2021;96:2682\u201393.","journal-title":"Mayo Clin Proc"},{"key":"9253_CR34","unstructured":"Seligman M. Flourish: a visionary new understanding of happiness and well-being. Free Press; 2011."},{"key":"9253_CR35","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1037\/0003-066X.55.1.68","volume":"55","author":"RM Ryan","year":"2000","unstructured":"Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55:68\u201378.","journal-title":"Am Psychol"},{"key":"9253_CR36","doi-asserted-by":"publisher","first-page":"833","DOI":"10.1001\/jama.282.9.833","volume":"282","author":"RM Epstein","year":"1999","unstructured":"Epstein RM. Mindful practice. JAMA. 1999;282:833\u20139.","journal-title":"J Am Med ASSOCIATION"},{"key":"9253_CR37","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1037\/0003-066X.56.3.218","volume":"56","author":"BL Fredrickson","year":"2001","unstructured":"Fredrickson BL. The role of positive emotions in positive psychology: the broaden-and-build theory of positive emotions. Am Psychol. 2001;56:218\u201326.","journal-title":"Am Psychol"},{"key":"9253_CR38","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1002\/jclp.20237","volume":"62","author":"SL Shaphiro","year":"2006","unstructured":"Shaphiro SL, Carlson LE, Astin JA, Freedman B. Mechanisms of mindfulness. J Clin Psychol. 2006;62:373\u201386.","journal-title":"J Clin Psychol"},{"key":"9253_CR39","volume-title":"Full catastrophe living","author":"J Kabat-Zinn","year":"1990","unstructured":"Kabat-Zinn J. Full catastrophe living. Delacorte: New York; 1990."},{"key":"9253_CR40","doi-asserted-by":"publisher","first-page":"e101004","DOI":"10.1136\/gpsych-2022-101004","volume":"36","author":"A Medisauskaite","year":"2023","unstructured":"Medisauskaite A, Silkens MEWM, Rich A. A national longitudinal cohort study of factors contributing to UK medical students\u2019 mental ill-health symptoms. Gen Psychiatr. 2023;36:e101004.","journal-title":"Gen PSYCHIATRY"},{"key":"9253_CR41","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1186\/s12909-021-02862-x","volume":"21","author":"E Voltmer","year":"2021","unstructured":"Voltmer E, K\u00f6slich-Strumann S, Voltmer JB, K\u00f6tter T. Stress and behavior patterns throughout medical education - a six-year longitudinal study. BMC Med Educ. 2021;21:454.","journal-title":"BMC Med Educ"},{"key":"9253_CR42","doi-asserted-by":"publisher","first-page":"385","DOI":"10.2307\/2136404","volume":"24","author":"S Cohen","year":"1983","unstructured":"Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385\u201396.","journal-title":"J Health Soc Behav"},{"key":"9253_CR43","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1017\/S1138741600006004","volume":"9","author":"E Remor","year":"2006","unstructured":"Remor E. Psychometric properties of a European Spanish version of the Perceived Stress Scale (PSS). Span J Psychol. 2006;9:86\u201393.","journal-title":"Span J Psychol"},{"key":"9253_CR44","first-page":"19","volume":"40","author":"J Soler","year":"2012","unstructured":"Soler J, Tejedor R, Feliu-Soler A, Pascual JC, Cebolla A, Soriano J, et al. Psychometric proprieties of Spanish version of Mindful Attention Awareness Scale (MAAS). Actas Esp Psiquiatr. 2012;40:19\u201326.","journal-title":"ACTAS ESPA\u00d1OLAS DE PSIQUIATRIA"},{"key":"9253_CR45","doi-asserted-by":"publisher","first-page":"207","DOI":"10.2307\/3090197","volume":"43","author":"C Keyes","year":"2002","unstructured":"Keyes C. The mental health continuum: from languishing to flourishing in life. J Health Soc Behav. 2002;43:207\u201322.","journal-title":"J Health Soc Behav"},{"key":"9253_CR46","doi-asserted-by":"publisher","first-page":"96","DOI":"10.7334\/psicothema2016.3","volume":"29","author":"G Echeverria","year":"2017","unstructured":"Echeverria G, Torres M, Pedrals N, Padilla O, Rigotti A, Bitran M. Validation of a Spanish version of the mental health continuum-short form questionnaire. Psicothema. 2017;29:96\u2013102.","journal-title":"PSICOTHEMA"},{"key":"9253_CR47","doi-asserted-by":"publisher","first-page":"e10362","DOI":"10.7717\/peerj.10362","volume":"8","author":"H Chae","year":"2020","unstructured":"Chae H, Cloninger CR, Lee SJ. Effects of personality on the developmental trajectories of academic burnout among Korea medical students. PEER J. 2020;8:e10362.","journal-title":"PEER J"},{"key":"9253_CR48","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1046\/j.1365-2929.2004.01814.x","volume":"38","author":"KJ Moffat","year":"2004","unstructured":"Moffat KJ, McConnachie A, Ross S, Morrison JM. First year medical student stress and coping in a problem-based learning medical curriculum. Med Educ. 2004;38:482\u201391.","journal-title":"Med Educ"},{"key":"9253_CR49","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.paid.2014.12.044","volume":"81","author":"LG Kiken","year":"2015","unstructured":"Kiken LG, GEL, BK POS, GSA. From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Pers Indiv Differ. 2015;81:41\u20136.","journal-title":"Pers Indiv Differ"},{"key":"9253_CR50","doi-asserted-by":"publisher","first-page":"0258999","DOI":"10.1371\/journal.pone.0258999","volume":"16","author":"N Kakoschke","year":"2021","unstructured":"Kakoschke N, Hassed C, Chambers R, Lee K. The importance of formal versus informal mindfulness practice for enhancing psychological wellbeing and study engagement in a medical student cohort with a 5-week mindfulness-based lifestyle program. PLoS ONE. 2021;16:0258999.","journal-title":"PLoS ONE"},{"key":"9253_CR51","doi-asserted-by":"publisher","first-page":"238212052110207","DOI":"10.1177\/23821205211020758","volume":"8","author":"CC van der Lebares","year":"2021","unstructured":"Lebares CC, Greenberg AL, Shui A, Boscardin C, van der Schaaf M. Flourishing as a measure of global well-being in first year residents: a pilot longitudinal cohort study. J Med Educ Curric Dev. 2021;8:23821205211020758.","journal-title":"J Med Educ Curric Dev"},{"key":"9253_CR52","doi-asserted-by":"publisher","first-page":"0206029","DOI":"10.1371\/journal.pone.0206029","volume":"13","author":"DM Kaplan","year":"2018","unstructured":"Kaplan DM, Raison CL, Milek A, Tackman AM, Pace TWW, Mehl MR. Dispositional mindfulness in daily life: a naturalistic observation study. PLoS ONE. 2018;13:0206029.","journal-title":"PLoS ONE"},{"key":"9253_CR53","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s12671-015-0487-3","volume":"7","author":"G Feldman","year":"2016","unstructured":"Feldman G, Lavallee J, Gildawie K, Greeson JM. Dispositional mindfulness uncouples physiological and emotional reactivity to a laboratory stressor and emotional reactivity to executive functioning lapses in daily life. Mindfulness. 2016;7:527\u201341.","journal-title":"MINDFULNESS"},{"key":"9253_CR54","doi-asserted-by":"publisher","first-page":"1284632","DOI":"10.3389\/fpubh.2023.1284632","volume":"11","author":"AM Gonzalez-Mart\u00edn","year":"2023","unstructured":"Gonzalez-Mart\u00edn AM, Aibar-Almazan A, Rivas-Campo Y, Castellote-Caballero Y, Carcelen-Fraile M. del C. Mindfulness to improve the mental health of university students. A systematic review and meta-analysis. Front Public Health. 2023;11:1284632.","journal-title":"Front Public Health"},{"key":"9253_CR55","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1080\/10615806.2021.1895986","volume":"34","author":"R Long","year":"2021","unstructured":"Long R, Halvorson M, Lengua LJ. A mindfulness-based promotive coping program improves well-being in college undergraduates. Anxiety Stress Copin. 2021;34:690\u2013703.","journal-title":"ANXIETY STRESS COPING"},{"key":"9253_CR56","doi-asserted-by":"publisher","first-page":"16822","DOI":"10.3390\/ijerph192416822","volume":"19","author":"F Al-Rouq","year":"2022","unstructured":"Al-Rouq F, Al-Otaibi A, AlSaikhan A, Al-Essa M, Al-Mazidi S, Public Health. Assessing physiological and psychological factors contributing to stress among medical students: implications for health. Int J Environ Res Public Health. 2022;19:16822.","journal-title":"Int J Environ Res Public Health"},{"key":"9253_CR57","doi-asserted-by":"publisher","first-page":"2599","DOI":"10.1007\/s12144-020-00963-2","volume":"40","author":"N Joseph","year":"2021","unstructured":"Joseph N, Nallapati A, Machado MX, Nair V, Matele S, Muthusamy N, et al. Assessment of academic stress and its coping mechanisms among medical undergraduate students in a large Midwestern university. Curr Psychol. 2021;40:2599\u2013609.","journal-title":"Curr Psychol"},{"key":"9253_CR58","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1186\/s12909-021-02734-4","volume":"21","author":"A Neufeld","year":"2021","unstructured":"Neufeld A, Malin G. How medical students cope with stress: a cross-sectional look at strategies and their sociodemographic antecedents. BMC Med Educ. 2021;21:299.","journal-title":"BMC Med Educ"},{"key":"9253_CR59","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1186\/s12909-022-03185-1","volume":"22","author":"K Sattar","year":"2022","unstructured":"Sattar K, Yusoff MSB, Arifin WN, Yasin MAM, Nor MZM. Effective coping strategies utilized by medical students for mental health disorders during undergraduate medical education-a scoping review. BMC Med Educ. 2022;22:121.","journal-title":"BMC Med Educ"}],"container-title":["BMC Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12909-026-09253-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-026-09253-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-026-09253-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T01:01:55Z","timestamp":1780016515000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12909-026-09253-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,18]]},"references-count":59,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["9253"],"URL":"https:\/\/doi.org\/10.1186\/s12909-026-09253-0","relation":{},"ISSN":["1472-6920"],"issn-type":[{"value":"1472-6920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,18]]},"assertion":[{"value":"7 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Our research complies with the requirements of the Declaration of Helsinki.Given that data collection was part of mandatory curricular activity, the institutional review board, named Comit\u00e9 \u00c9tico Cient\u00edfico, Faculty of Medicine Cl\u00ednica Alemana Universidad del Desarrollo, waived the need for ethics approval and the obtainment of informed consent. The committee requested participants\u00b4 authorization to use anonymized data for publication purposes, which was obtained. The final version of this manuscript was submitted to and approved without ethical considerations by the ethics committee.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"869"}}