Publications by authors named "Ekaterina Guvva"
Background: Whole-body hyperthermia (WBH) has shown promise as a non-pharmacologic treatment for major depressive disorder (MDD) in prior trials that used a medical (infrared) hyperthermia device. Further evaluation of WBH as a treatment for MDD has, however, been stymied by regulatory challenges.
Objective: We examined whether a commercially available infrared sauna device without FDA-imposed limitations could produce the degree of core body temperature (101.
Objective: To determine the effects of ESRT (an iteratively adapted and tailored MBI) on perceived stress, executive cognitive function, psychosocial well-being (ie, burnout, mindfulness), and pro-inflammatory gene expression in surgical (ESRT-1) and mixed specialty (ESRT-2) PGY-1 volunteers.
Summary Of Background And Data: Tailored MBIs have proven beneficial in multiple high-stress and high-performance populations. In surgeons, tailored MBIs have been shown to be feasible and potentially beneficial, but whether mindfulness-based cognitive training can improve perceived stress, executive function, well-being or physiological distress in surgical and nonsurgical trainees is unknown.
Article Synopsis
- Burnout and distress are common in surgical training, with a need for effective and sustainable interventions that address barriers and enablers.
- Enhanced Stress Resilience Training (ESRT), a mindfulness-based program, was studied through focus groups and interviews across three sessions, utilizing thematic analysis to identify key factors influencing its implementation.
- Critical influences on the program's success included the surrounding culture, the supporting infrastructure, and the adaptability of the intervention, leading to improved sustainability and potential applicability in other settings.
Importance: Mindfulness meditation training has been shown to be feasible in surgical trainees, but affective, cognitive, and performance benefits seen in other high-stress populations have yet to be evaluated.
Objective: To explore potential benefits to stress, cognition, and performance in postgraduate year 1 (PGY-1) surgery residents receiving modified mindfulness-based stress reduction (modMBSR).
Design, Setting, And Participants: This follow-up study is an analysis of the Mindful Surgeon pilot randomized clinical trial of modMBSR (n = 12) vs an active control (n = 9), evaluated at baseline (T1), postintervention (T2), and 1 year (T3), took place at an academic medical center residency training program among PGY-1 surgery residents.
Background: Physicians experience burnout and mental illness at significantly higher rates than the general population, with sequelae that negatively affect providers, patients, and the healthcare system at large. Gender is rarely considered in characterizing the problem or vetting interventions.
Methods: Using data from a recent national survey and a longitudinal pilot study of general surgery residents, we examined gender variation in burnout and distress.
Background: Burnout among physicians affects mental health, performance, and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that can contribute to burnout vulnerability and resilience in a group of surgical trainees.
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