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| ID | Type | Description | Link |
|---|---|---|---|
| Ethics approval IQ. UTQ. MED. | Other Identifier | University of Thi-Qar College of Medicine Research Ethics Committee |
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A 4-week stress reduction program for medical students during exams, measuring effects on stress, heart rate, blood pressure, and stress hormones (ACTH, cortisol, DHEA).
This single-group pre-post intervention study evaluates the effects of a culturally adapted 4-week stress-reduction program on psychological well-being, cardiovascular function, and hypothalamic-pituitary-adrenal (HPA) axis hormones in Iraqi medical students during examinations. A total of 135 medical students participated in an 8-session mindfulness-based stress management program. Primary outcomes included perceived stress (0-10 visual analog scale), heart rate, blood pressure, and serum levels of ACTH, cortisol, and DHEA, measured before and after the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stress Reduction Intervention | Experimental | All 135 participants receive a 4-week mindfulness-based stress reduction program consisting of 8 group sessions (90 minutes each, twice weekly) plus daily home practice (15-20 minutes). Measurements taken at baseline and 4 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mindfulness-Based Stress Reduction Program | Behavioral | Culturally adapted 4-week stress reduction program including:
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| Measure | Description | Time Frame |
|---|---|---|
| Perceived Stress Score | Perceived Stress Score (0-10 visual analog scale) | Baseline and 4 weeks |
| ACTH Levels | Measure: Levels (pg/mL) | Baseline and 4 weeks |
| Cortisol Levels | Measure: Cortisol Levels (µg/dL) | Baseline and 4 weeks |
| DHEA Levels | Measure: DHEA Levels (ng/mL) | Baseline and 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Heart Rate | Measure: Heart Rate (bpm) | Baseline and 4 weeks |
| Blood Pressure | Measure: Blood Pressure (mmHg) - Systolic and Diastolic |
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Inclusion Criteria:
Exclusion Criteria:
Current use of medications affecting HPA axis or cardiovascular function
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Thi-Qar College of Medicine | Nasiriyah | Thi-Qar | 64001 | Iraq |
Individual participant data collected for all primary and secondary outcome measures, including perceived stress scores, heart rate, blood pressure, and serum hormone levels (ACTH, cortisol, DHEA), along with demographic variables (age, sex) and intervention attendance data.
Beginning 6 months and ending 5 years following article publication
Requests directed to adelgassab@utq.edu.iq. Requestors must provide methodologically sound proposal and sign data access agreement.
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| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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Single-group pre-post intervention study. All 135 participants received an identical 8-session mindfulness-based stress reduction program delivered over 4 weeks. Outcome measures (stress, ACTH, cortisol, DHEA, heart rate, blood pressure) were assessed at baseline before the intervention and again at 4 weeks after program completion.
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| Baseline and 4 weeks |