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Salazar-Granizo YE, Hueso-Montoro C, Caparros-Gonzalez RA. Lifestyles and Academic Stress in University Students of Health Sciences: A Mixed-Methodology Study. Healthcare (Basel) 2024; 12:1384. [PMID: 39057527 PMCID: PMC11276596 DOI: 10.3390/healthcare12141384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2024] [Revised: 06/23/2024] [Accepted: 07/09/2024] [Indexed: 07/28/2024] Open
Abstract
The global health emergency generated by the COVID-19 pandemic (caused by the SARS-CoV-2 virus) led to the implementation of extraordinary measures such as confinement and isolation in many countries to mitigate the spread of the virus. (1) This study analyzes the lifestyles and academic and perceived stresses of university students of health sciences during the period of online learning due to the COVID-19 pandemic. The relationship between lifestyles and academic stress was examined. (2) A parallel mixed-method convergent study was conducted, with a correlational non-experimental design. Quantitative and qualitative data were collected and analyzed in parallel, with parametric and nonparametric testing for quantitative data and Miles and Huberman's approach to qualitative analysis. The qualitative findings complemented the quantitative results. The number of students who participated in this study was 2734, from six programs in health, nursing, medicine, clinical laboratory, physiotherapy, dentistry, and clinical psychology at the University of Chimborazo, Ecuador. (3) Overall, the health science students had "Unhealthy or health-compromising lifestyles", medical students being the ones who have healthier lifestyles. However, more than 80% experienced and perceived stress during the period of online learning and social isolation due to the pandemic, women being the ones who experienced it at a higher level. (4) The online learning modality during the COVID-19 pandemic modified lifestyles and generated stress in health science students, due to changes in daily routines, sedentary lifestyle, and stress, as a result of social isolation. Therefore, the students prefer face-to-face teaching, perceived as enabling more enriching interactions with their teachers and peers and the opportunity to develop essential practical skills in their health practice.
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Affiliation(s)
- Yolanda E. Salazar-Granizo
- Doctorate Program in Clinical Medicine and Public Health, University of Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs-GRANADA), 18071 Granada, Spain; (C.H.-M.); (R.A.C.-G.)
- School of Nursing, Faculty of Health Sciences, National University of Chimborazo, Riobamba 060101, Ecuador
| | - Cesar Hueso-Montoro
- Instituto de Investigación Biosanitaria (ibs-GRANADA), 18071 Granada, Spain; (C.H.-M.); (R.A.C.-G.)
- Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
- Center for Mind, Brain and Behavior Research (CIMCYC), 18071 Granada, Spain
| | - Rafael A. Caparros-Gonzalez
- Instituto de Investigación Biosanitaria (ibs-GRANADA), 18071 Granada, Spain; (C.H.-M.); (R.A.C.-G.)
- Faculty of Health Sciences, University of Granada, 18016 Granada, Spain
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Lin YK, Saragih ID, Lin CJ, Liu HL, Chen CW, Yeh YS. Global prevalence of anxiety and depression among medical students during the COVID-19 pandemic: a systematic review and meta-analysis. BMC Psychol 2024; 12:338. [PMID: 38858700 PMCID: PMC11163725 DOI: 10.1186/s40359-024-01838-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 05/31/2024] [Indexed: 06/12/2024] Open
Abstract
PURPOSE As future physicians, medical students have experienced tremendous pressure during the ongoing COVID-19 pandemic, which is associated with a high risk of depression and anxiety. We aimed to investigate an overview of the prevalence of anxiety and depression among medical students in various countries during the global COVID-19 pandemic, and discuss associated stressors. METHODS We systematically searched CINAHL, EMBASE, MEDLINE, PubMed, and Web of Science for relevant articles from December 1, 2019 to March 15, 2023. We performed meta-analysis using a random-effects model with REML method to calculate the pooled prevalence of anxiety and depression. Begg's and Egger's tests were used to identify the potential risk of publication bias. Meta-regression was used to explore potential sources of heterogeneity. RESULTS We identified 130 studies reporting anxiety and depression among 132,068 medical students during the COVID-19 pandemic. Eight screening tools were identified for anxiety and six for depression. The pooled prevalence of mental health outcomes for anxiety and depression was 45% (95% confidence interval [CI], 40%-49%) and 48% (95% CI, 43%-52%), respectively. The pooled prevalence of mental health outcomes for moderate and severe anxiety and moderate and severe depression was 28% (95% CI, 24%-32%) and 30% (95% CI, 26%-35%), respectively. There was high heterogeneity between studies, with I2 ranging from 99.58%-99.66%. Continent and survey date were included in the meta-regression model. The results of meta-regression revealed that medical students in Asia had a lower prevalence of anxiety, and depression than those in other regions. The survey date (from February to June, 2020) showed a significantly positive correlation with the prevalence of anxiety and depression. CONCLUSIONS We demonstrated the global prevalence of anxiety and depression among medical students during the COVID-19 pandemic. The data highlight that medical students worldwide are at high risk of experiencing anxiety and depression. The reported stressors can be categorized into personal, academic, environmental and cultural, and pandemic factors. Schools and institutions should ensure optimal alternative learning environments for uninterrupted provision of medical education. The appropriate authorities should prioritize the provision of adequate protection for medical students and establish policies to promote new methods of training and education during a disaster, such as via distance learning.
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Affiliation(s)
- Yen-Ko Lin
- Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- Division of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- Department of Medical Humanities and Education, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
- Department of Emergency Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
- Center for Medical Education and Humanizing Health Professional Education, Kaohsiung Medical University, Kaohsiung, Taiwan.
| | - Ita Daryanti Saragih
- Doctoral student, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Chia-Ju Lin
- College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Hsin-Liang Liu
- Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Chao-Wen Chen
- Division of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
- Department of Emergency Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Yung-Sung Yeh
- Division of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
- Department of Emergency Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
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Hanna O, Vinyard CJ, Casapulla S. Concerns of osteopathic medical students during the COVID-19 pandemic. J Osteopath Med 2024; 0:jom-2023-0092. [PMID: 38745450 DOI: 10.1515/jom-2023-0092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 03/21/2024] [Indexed: 05/16/2024]
Abstract
OBJECTIVES This study aims to quantify the areas of most concern in medical students in relation to their residency application in the setting of the COVID-19 pandemic and to identify risk factors for all that cause concern and specific areas of concern in a population with well-established high rates of anxiety at baseline. The COVID-19 pandemic introduced sweeping changes to medical education that had wide-ranging effects on medical students and their applications for medical residencies. METHODS In August 2020, we utilized a cross-sectional study to quantify student's areas of concern related to residency application related to the COVID-19 pandemic. We asked participants to rate their levels of concern in 15 different aspects related to medical residency applications and the perceived impact that COVID-19 had on each. RESULTS The survey was distributed to 984 osteopathic medical students, with 255 complete responses. The three areas of greatest impact were shadowing opportunities (4.15), volunteer opportunities (4.09), and conferencing opportunities (4.09). The most salient demographic variables were year in school, sex, and locale. Females reported higher levels of concern across all categories in the study compared to males, with statistical significance across all categories (all p<0.05, Range d=0.16 to 0.43), except for letters of recommendation and sub-internships. CONCLUSIONS The areas of most concern identified in our study were consistent with prior studies and may implicate the pressures that female medical students may feel compared to their male counterparts. The underlying cause(s) may be subject to future research.
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Affiliation(s)
- Odeh Hanna
- Heritage College of Osteopathic Medicine, 43973 Ohio University , Athens, OH, USA
| | - Christopher J Vinyard
- Professor, Biomedical Sciences, Heritage College of Osteopathic Medicine, 43973 Ohio University , Athens, OH, USA
| | - Sharon Casapulla
- Clinical Adjunct Assistant Professor, Department of Primary Care, Director of Education and Research, Office of Rural and Underserved Programs, Heritage College of Osteopathic Medicine, 43973 Ohio University , Athens, OH, USA
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Teleş M. The effect of fear on health information searching behavior during the pandemic: The case of COVID-19. Int J Med Inform 2024; 184:105368. [PMID: 38335745 DOI: 10.1016/j.ijmedinf.2024.105368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 01/31/2024] [Accepted: 02/01/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND AND OBJECTIVES Fear can cause people to panic, lead to erroneous decisions, and trigger inappropriate behavior. This study aims to investigate the effects of fear of COVID-19 on the perception of the reliability and the use of health information sources. METHODS This study is both a cross-sectional and explanatory study. The participants selected by convenience sampling method were 323 students attending a state university in Turkey. The Fear of COVID-19 Scale (FCV-19S) and the Health Information Sources Survey were used as data collection tools. Descriptive statistics, correlation coefficients, and linear regression analyses were used. RESULTS The participants' mean FCV-19S score was 2.30 ± 0.93 on a five-point Likert scale. In the range of 0-10, the information source with the highest reliability perception mean score was the doctor (8.05 ± 2.54), whereas that with the highest usage was the Internet (7.98 ± 2.77). Although the fear of COVID-19 had a negative effect on Internet use (b = -0.38; p < 0.05), the effects on the use of other health information sources were positive (b = 0.37-0.83; p < 0.05). Trust in radio (b = 0.60; p < 0.05) and newspapers/magazines (b = 0.49; p < 0.05) also increased with fear. CONCLUSIONS These results showed that as university students' fear of COVID-19 increased, the use of the Internet for health information decreased; however, the use of doctors, nurses, pharmacists, other health workers, scientific articles, television, radio, and newspapers/journals increased. Nurses were the source of information whose use increased the most, along with increased fear. The findings can guide health policies to be followed. Not only doctor talks but also nurse talks and scientific videos should be increased on the Internet, social media, and other mass media.
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Affiliation(s)
- Mesut Teleş
- Niğde Ömer Halisdemir University, Zübeyde Hanım Faculty of Health Sciences, Department of Health Management, Türkiye (Turkey).
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Wu X, Kim KY, Jian Z. Potential categories of employment stress among rural college students and their relationship to employment psychology. Front Psychol 2024; 15:1363065. [PMID: 38605829 PMCID: PMC11007059 DOI: 10.3389/fpsyg.2024.1363065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Accepted: 03/21/2024] [Indexed: 04/13/2024] Open
Abstract
Background Psychological problems related to employment are among the most common psychological problems faced by rural college students. Employment stress is an important factor affecting the development of psychological health in employees; thus, reducing employment stress can improve the psychological state of employment. Objective This study aimed to understand the potential profiles of employment stress among rural college students to determine the relationship between different profiles and employment psychology. Methods This study was conducted in a higher education institution in Qingdao, Shandong Province, China between June and December 2023, and 249 rural college students participated. The Employment Stress Scale and Employment Psychology Scale were used to collect the data. Data were analyzed using latent profile analysis, independent sample t-tests, and binary logistic regression analysis. Results The results showed that rural university students were categorized into low-level (49.80%) and high-level (50.21%) employment stress groups. There was a statistically significant difference between the employment psychology of rural college students in the low- and high-level groups (p < 0.001). Juniors/seniors were more likely to be classified in the high-level group (OR = 0.477, p = 0.011). Conclusion Intervention programs should be developed and implemented to address the characteristics of employment stress among rural college students with different profiles to promote the healthy development of their attitudes toward employment.
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Affiliation(s)
- Xinyue Wu
- Student Affairs Department, Qingdao University of Technology, Qingdao, China
- Department of Education, General Graduate School, The Catholic University of Korea, Bucheon-si, Republic of Korea
| | - Kyung Yee Kim
- Department of Education, General Graduate School, The Catholic University of Korea, Bucheon-si, Republic of Korea
| | - Ziting Jian
- Department of Education, General Graduate School, The Catholic University of Korea, Bucheon-si, Republic of Korea
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Faris M, Macky MM, Badran AH, Saif M, Yasser M, Ibrahim E, Hussein A. The Prevalence of Anxiety Among University Students in the United Arab Emirates Following the COVID-19 Lockdown. Cureus 2024; 16:e56259. [PMID: 38623102 PMCID: PMC11017236 DOI: 10.7759/cureus.56259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2024] [Indexed: 04/17/2024] Open
Abstract
INTRODUCTION The COVID-19 pandemic, with its consequential lifestyle changes, is anticipated to contribute to increased anxiety levels, particularly among university students who already contend with significant academic stress. We aim to assess the prevalence of anxiety among university students in the United Arab Emirates (UAE) following the COVID-19 lockdown period. METHODS We conducted a descriptive cross-sectional study among students enrolled in UAE universities. A self-administered questionnaire was utilized to gather demographic data, assess anxiety levels using the generalized anxiety disorder-7 scale, explore potential factors associated with heightened anxiety, investigate the impact of increased anxiety on academic performance, and identify coping mechanisms employed post-lockdown. RESULTS Of the 369 participating students, anxiety levels were minimal in 87 (23.6%), mild in 163 (44.2%), and moderate to severe in 119 (32.2%) subjects. Moreover, increased anxiety levels were significantly correlated with poor/fair sleep quality (p=0.002). Importantly, students with moderate to severe anxiety levels exhibited poorer performance in exams and assignments (p=0.001) and encountered difficulties in maintaining focus on studies (p<0.001). The predominant coping mechanisms employed by students included self-distraction, prayer, and maintaining a positive attitude. CONCLUSION The majority of students in our study experienced mild to severe levels of anxiety following the COVID-19 lockdown period. We hope that our findings will prompt university and government officials to implement effective screening and preventive strategies to adequately support university students in future public health crises.
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Affiliation(s)
- Marwan Faris
- College of Medicine, University of Sharjah, Sharjah, ARE
| | - May M Macky
- College of Medicine, University of Sharjah, Sharjah, ARE
| | | | - Mariam Saif
- College of Medicine, University of Sharjah, Sharjah, ARE
| | - Mohga Yasser
- College of Medicine, University of Sharjah, Sharjah, ARE
| | - Eithar Ibrahim
- College of Medicine, University of Sharjah, Sharjah, ARE
| | - Amal Hussein
- Department of Family and Community Medicine, University of Sharjah, Sharjah, ARE
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Chen Z, Xiong J, Ma H, Hu Y, Bai J, Wu H, Wang Y. Network analysis of depression and anxiety symptoms and their associations with mobile phone addiction among Chinese medical students during the late stage of the COVID-19 pandemic. SSM Popul Health 2024; 25:101567. [PMID: 38524176 PMCID: PMC10958643 DOI: 10.1016/j.ssmph.2023.101567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Revised: 11/18/2023] [Accepted: 11/19/2023] [Indexed: 03/26/2024] Open
Abstract
Network analysis provides a novel approach to discovering associations between mental disorders at the symptom level. This study aimed to examine the characteristics of the network of depression and anxiety symptoms and their associations with mobile phone addiction (MPA) among Chinese medical students during the late stage of the COVID-19 pandemic. A total of 553 medical students were included. Depression and anxiety symptoms and MPA were measured by the nine-item Patient Health Questionnaire (PHQ-9), the seven-item Generalized Anxiety Disorder Scale (GAD-7), and the Mobile Phone Addiction Index (MPAI), respectively. Central and bridge symptoms were identified with centrality indices and bridge centrality indices. Network stability was examined using the case-dropping procedure. "Uncontrollable worry", "restlessness" and "nervousness" were the central symptoms in the depression and anxiety network. "Restlessness" and "motor" were the most central bridge symptoms linking depression and anxiety. "Concentration", "anhedonia" and "sleep" were most strongly associated with MPA. "Uncontrollable worry", "restlessness", "nervousness," and "motor" may be the symptoms for interventions to target in medical students with comorbid depression and anxiety. From a network perspective, depressive symptoms may be more important than anxiety symptoms in medical students with MPA.
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Affiliation(s)
- Zhihan Chen
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, PR China
| | - Jiexi Xiong
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, PR China
| | - Hongfei Ma
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, PR China
| | - Yunan Hu
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, PR China
| | - Junni Bai
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, PR China
| | - Hui Wu
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, PR China
| | - Yang Wang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, PR China
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Peng R, Wang S, Liu N. Factors influencing Chinese EFL students' online learning anxiety in the post-COVID-19 era. Heliyon 2024; 10:e26112. [PMID: 38390135 PMCID: PMC10881876 DOI: 10.1016/j.heliyon.2024.e26112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 02/05/2024] [Accepted: 02/07/2024] [Indexed: 02/24/2024] Open
Abstract
Online learning has evolved as an attractive and viable option for education, yet there is a need for further research to investigate the factors contributing to students' online learning anxiety regarding the college English course. Based on Keegan's distance education framework, this study examines the factors impacting online learning anxiety among English as foreign language (EFL) students in the Chinese context during the post-COVID-19 era. Data were collected from 899 EFL students across different regions of China through an online survey. Follow-up interviews with ten students provided additional insights into the association between online English learning and anxiety. The collected data underwent descriptive analysis, exploratory factor analysis, reliability analysis, and multiple linear regression analysis to examine the relationship between online learning anxiety and the identified factors. The results of our study indicate that many Chinese EFL students experienced different degrees of anxiety, ranging from mild to moderate or severe. Moreover, online learning anxiety among Chinese EFL students was positively predicted by a lack of learning motivation, separation from instructors, separation from peers, and technological challenges, while a lack of two-way communication negatively predicted it. The findings underscore the importance of taking effective measures and offering psychological guidance for Chinese EFL students to alleviate anxiety and facilitate their successful adaptation to the new normal of online learning.
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Affiliation(s)
- Renzhong Peng
- School of Foreign Languages, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Shiying Wang
- School of Foreign Languages, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Na Liu
- School of Foreign Languages, Jingchu University of Technology, Jingmen, Hubei, China
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Khoramirad A, Shojaei S, Ghaderi H, Abedini Z. The relationship between anxiety and academic identity and the motivation to study nursing and midwifery in the covid-19 pandemic: A structural model. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:1. [PMID: 38525217 PMCID: PMC10959260 DOI: 10.4103/jehp.jehp_1782_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 02/26/2023] [Indexed: 03/26/2024]
Abstract
BACKGROUND The coronavirus disease (COVID-19) pandemic had a great psychological effect on health service providers and students of related fields. The study aimed to investigate the relationship between COVID-19 anxiety and academic identity and the motivation to study nursing and midwifery during the COVID-19 pandemic. MATERIALS AND METHODS In a cross-sectional study 221 nursing and midwifery students at-University of Medical Sciences in 2020 using census sampling were studied. The questionnaires were GADQ-7, the student's academic identity standard questionnaire, the coronavirus anxiety scale, and academic motivation in nursing and midwifery. Pearson's correlation coefficient, regression coefficient, and path analysis were used in statistical software AMOS (version 21) and SPSS (version 22). RESULTS The results showed that motivation and anxiety with a significant overall effect of 0.43 and -0.36 were the main determining variables of academic identity respectively (P < 0.001). COVID-19 anxiety was recognized as responsible for 24% of the changes in motivation to study nursing (P < 0.001). CONCLUSIONS Academic identity and motivation to study nursing and midwifery have been affected by the COVID-19 pandemic. The need for psychological attention in this situation is required for nursing and midwifery students.
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Affiliation(s)
- Ashraf Khoramirad
- Ph.D. in Health Psychology, Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
| | - Sarallah Shojaei
- Ph.D. in Health Education and Health Promotion, Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
| | - Heydar Ghaderi
- Master of Curriculum Planning, Employee of the Department of Education, Faculty of Nursing, Qom University of Medical Sciences, Qom, Iran
| | - Zahra Abedini
- Ph.D. in Nursing, Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
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Fernandez MDS, da Silva NRJ, Bielavski CH, da Silva JA, Silva AER. Generalized anxiety disorder in Brazilian undergraduate dental students during the COVID-19 pandemic: A cross-sectional study. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2024; 28:117-129. [PMID: 37277980 DOI: 10.1111/eje.12927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 06/30/2022] [Accepted: 05/14/2023] [Indexed: 06/07/2023]
Abstract
OBJECTIVE Explore the prevalence of generalized anxiety disorder (GAD) and associated factors in undergraduate dental students during the first wave of the COVID-19 pandemic in Brazil. MATERIALS AND METHODS Cross-sectional study. A semi-structured questionnaire addressing the variables of interest was shared with dental students between July 8 and 27 2020. The outcome was determined using the seven-item generalized anxiety disorder (GAD-7) scale. A 'positive' diagnosis was defined as a total of ≥10 points on the scale. Statistical analysis involved descriptive, bivariate and multivariate analyses, with the significance level set at 5%. RESULTS Among the 1050 students evaluated, 53.8% had a positive diagnosis for GAD. The multivariate analysis revealed that the prevalence of symptoms was higher among individuals who resided with more than three people, those enrolled at teaching institutions that suspended all clinical and laboratory activities, those who did not have an adequate home situation to maintain distance learning, those who had been diagnosed with COVID-19, those who felt anxious about having to see patients with a suspicion or diagnosis of COVID-19 and those who preferred to interrupt in-person academic activities until the population is vaccinated for the COVID-19 virus. CONCLUSION The prevalence of GAD was high. Aspects related to the composition and organization of the home, the suspension of academic activities, a history of COVID-19 contamination, feelings of anxiety in providing dental care to patients with symptoms/suspected of COVID-19 infection and the preference to interrupt in-person academic activities until the population is vaccinated for COVID-19 were factors predisposing the students to anxiety during the first wave of the pandemic.
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Affiliation(s)
| | | | | | - Jandilson Avelino da Silva
- Department of Psychology, School of Medicine, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Alexandre Emidio Ribeiro Silva
- School of Dentistry, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
- Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
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Ghader N, AlMheiri N, Fikri A, AbdulRazzak H, Saleheen H, Saddik B, Aljawarneh Y, Dalky H, Al Banna A, Al Memari S, Al Shehhi B, Al Mazrouei S, Al Hajeri O. Prevalence and factors associated with mental illness symptoms among school students post lockdown of the COVID-19 pandemic in the United Arab Emirates: A cross-sectional national study. PLoS One 2024; 19:e0296479. [PMID: 38300941 PMCID: PMC10833540 DOI: 10.1371/journal.pone.0296479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 12/12/2023] [Indexed: 02/03/2024] Open
Abstract
Limited data exists on the mental health of children in the United Arab Emirates (UAE). This study aimed to fill this gap by examining the prevalence of anxiety, depression, and risk for Post-Traumatic Stress Disorder (PTSD) among school students in post-lockdown of the COVID-19 pandemic. A sample of 3,745 school students participated, responding to standardized tests (Mood and Feeling Questionnaire-Child Self-Report, Screen for Child Anxiety Related Disorders-Child Version, and Children's Revised Impact of Event Scale-8). Findings showed that the risk for PTSD was the most prevalent (40.6%), followed by symptoms of anxiety (23.3%), and depression (17.1%). For gender differences, symptoms of the three conditions (depression, anxiety, and PTSD) were higher in female students (9.2%) compared to male peers (7.7%) (p = 0.09). Moreover, symptoms of depression and anxiety were found to be higher among late adolescents (p<0.05). Further analysis revealed that having medical problems was a positive predictor for anxiety (OR = 2.0, p<0.01) and risk for PTSD (OR = 1.3, p = 0.002); similarly, witnessing the death of a close family member due to COVID-19 (OR for depression, anxiety, and PTSD = 1.7, p<0.01) were positive predictors associated with PTDS, depression, and anxiety. The study concluded that post COVID-19 lockdown, symptoms of anxiety, depression, and risk for PTSD were found to be prevalent among school students in the UAE. Researchers put forward recommendations on the initiation of a national school mental health screening program, the provision of follow-up services for vulnerable students, and the integration of a mental health support system in the disaster preparedness plans.
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Affiliation(s)
- Nariman Ghader
- Mental Health Department, Emirates Health Services, Dubai, United Arab Emirates
| | - Noor AlMheiri
- Mental Health Department, Emirates Health Services, Dubai, United Arab Emirates
| | - Asma Fikri
- National Center for Health Research, Ministry of Health and Prevention, Dubai, United Arab Emirates
| | - Hira AbdulRazzak
- Statistics and Research Center, Ministry of Health and Prevention, Dubai, United Arab Emirates
| | - Hassan Saleheen
- Abu Dhabi Public Health Center, Department of Health, Abu Dhabi, United Arab Emirates
| | - Basema Saddik
- Department of Family and Community Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Yousef Aljawarneh
- Faculty of Health Sciences, Higher Colleges of Technology, Dubai, United Arab Emirates
| | - Heyam Dalky
- Faculty of Health Sciences, Higher Colleges of Technology, Dubai, United Arab Emirates
| | - Ammar Al Banna
- Child and Adolescent Mental Health Center of Excellence, Al Jalila Children’s Specialty Hospital, Dubai, United Arab Emirates
| | - Shammah Al Memari
- Statistics and Research Center, Ministry of Health and Prevention, Dubai, United Arab Emirates
| | - Budoor Al Shehhi
- Statistics and Research Center, Ministry of Health and Prevention, Dubai, United Arab Emirates
| | - Shereena Al Mazrouei
- Statistics and Research Center, Ministry of Health and Prevention, Dubai, United Arab Emirates
| | - Omniyat Al Hajeri
- Statistics and Research Center, Ministry of Health and Prevention, Dubai, United Arab Emirates
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12
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Liang JZ, Ng DKW, Raveendran V, Teo MYK, Quah ELY, Chua KZY, Lua JK, Owyong JLJ, Vijayan AV, Abdul Hamid NAB, Yeoh TT, Ong EK, Phua GLG, Mason S, Fong W, Lim C, Woong N, Ong SYK, Krishna LKR. The impact of online education during the Covid-19 pandemic on the professional identity formation of medical students: A systematic scoping review. PLoS One 2024; 19:e0296367. [PMID: 38181035 PMCID: PMC10769105 DOI: 10.1371/journal.pone.0296367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 12/09/2023] [Indexed: 01/07/2024] Open
Abstract
Evolving individual, contextual, organizational, interactional and sociocultural factors have complicated efforts to shape the professional identity formation (PIF) of medical students or how they feel, act and think as professionals. However, an almost exclusive reliance on online learning during the COVID-19 pandemic offers a unique opportunity to study the elemental structures that shape PIF and the environmental factors nurturing it. We propose two independent Systematic Evidence-Based Approach guided systematic scoping reviews (SSR in SEBA)s to map accounts of online learning environment and netiquette that structure online programs. The data accrued was analysed using the clinically evidenced Krishna-Pisupati Model of Professional Identity Formation (KPM) to study the evolving concepts of professional identity. The results of each SSR in SEBA were evaluated separately with the themes and categories identified in the Split Approach combined to create richer and deeper 'themes/categories' using the Jigsaw Perspective. The 'themes/categories' from each review were combined using the Funnelling Process to create domains that guide the discussion. The 'themes/categories' identified from the 141 included full-text articles in the SSR in SEBA of online programs were the content and effects of online programs. The themes/categories identified from the 26 included articles in the SSR in SEBA of netiquette were guidelines, contributing factors, and implications. The Funnelling Process identified online programs (encapsulating the content, approach, structures and the support mechanisms); their effects; and PIF development that framed the domains guiding the discussion. This SSR in SEBA identifies the fundamental elements behind developing PIF including a structured program within a nurturing environment confined with netiquette-guided boundaries akin to a Community of Practice and the elemental aspect of a socialisation process within online programs. These findings ought to be applicable beyond online training and guide the design, support and assessment of efforts to nurture PIF.
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Affiliation(s)
- Jonathan Zhen Liang
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
| | - Donovan Kai Wei Ng
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
| | - Vijayprasanth Raveendran
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
| | - Mac Yu Kai Teo
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
| | - Elaine Li Ying Quah
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
| | - Keith Zi Yuan Chua
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
| | - Jun Kiat Lua
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
| | | | - Andrew Vimal Vijayan
- Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore
| | | | - Ting Ting Yeoh
- Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore
- Department of Pharmacy, National Cancer Centre Singapore, Singapore, Singapore
| | - Eng Koon Ong
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
- Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
- Assisi Hospice, Singapore, Singapore
| | - Gillian Li Gek Phua
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
- Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore
| | - Stephen Mason
- Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, University of Liverpool, Liverpool, United Kingdom
| | - Warren Fong
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
- Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore
| | - Crystal Lim
- Medical Social Services, Singapore General Hospital, Singapore, Singapore
| | - Natalie Woong
- Department of Internal Medicine, Singapore General Hospital, Singapore, Singapore
| | - Simon Yew Kuang Ong
- Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
- Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore
| | - Lalit Kumar Radha Krishna
- Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
- Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
- Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, University of Liverpool, Liverpool, United Kingdom
- PalC, The Palliative Care Centre for Excellence in Research and Education, Singapore, Singapore
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13
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Li H, Upreti T, Do V, Dance E, Lewis M, Jacobson R, Goldberg A. Measuring wellbeing: A scoping review of metrics and studies measuring medical student wellbeing across multiple timepoints. MEDICAL TEACHER 2024; 46:82-101. [PMID: 37405740 DOI: 10.1080/0142159x.2023.2231625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/06/2023]
Abstract
PURPOSE Studies have demonstrated poor mental health in medical students. However, there is wide variation in study design and metric use, impairing comparability. The authors aimed to examine the metrics and methods used to measure medical student wellbeing across multiple timepoints and identify where guidance is necessary. METHODS Five databases were searched between May and June 2021 for studies using survey-based metrics among medical students at multiple timepoints. Screening and data extraction were done independently by two reviewers. Data regarding the manuscript, methodology, and metrics were analyzed. RESULTS 221 studies were included, with 109 observational and 112 interventional studies. There were limited studies (15.4%) focused on clinical students. Stress management interventions were the most common (40.2%). Few (3.57%) interventional studies followed participants longer than 12 months, and 38.4% had no control group. There were 140 unique metrics measuring 13 constructs. 52.1% of metrics were used only once. CONCLUSIONS Unique guidance is needed to address gaps in study design as well as unique challenges surrounding medical student wellbeing surveys. Metric use is highly variable and future research is necessary to identify metrics specifically validated in medical student samples that reflect the diversity of today's students.
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Affiliation(s)
- Henry Li
- Department of Emergency Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Canada
| | - Tushar Upreti
- Max Rady College of Medicine, Faculty of Health Sciences, University of Manitoba Rady, Winnipeg, Canada
| | - Victor Do
- Department of Pediatrics, Faculty of Medicine, University of Toronto Temerty, Toronto, Canada
| | - Erica Dance
- Department of Emergency Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Canada
| | - Melanie Lewis
- Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada
| | - Ryan Jacobson
- Office of Advocacy and Wellbeing, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada
| | - Aviva Goldberg
- Department of Pediatrics and Child Health, Faculty of Health Sciences, University of Manitoba Rady, Winnipeg, Canada
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Zeidan RK, Shukla A, Hussein A, AlZubaidi H, Temsah MH, AlHajjaj MS, Al-Bluwi N, Awad M, Alsayed HAH, Saheb Sharif-Askari N, AlHano Z, Agha R, Hamid Q, Halwani R, Saddik B. Assessment of Knowledge, Perceptions, and Attitudes During the Global Mpox Outbreak in June 2022: A Cross-Sectional Study From the United Arab Emirates. Int J Public Health 2023; 68:1606080. [PMID: 38024212 PMCID: PMC10657881 DOI: 10.3389/ijph.2023.1606080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 10/18/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives: To examine knowledge, worry, anxiety, and vaccine acceptance for mpox among UAE adults. Methods: An online survey, advertised on academic and social media platform in June 2022 collected data from 959 participants (aged 18 and above) on mpox beliefs, risks, knowledge, worry, anxiety, COVID-19 infection, vaccination, and willingness to receive the mpox vaccine. Bivariate and logistic regression analysis identified associations and predictors between variables. Results: 56% had optimal knowledge of mpox transmission and symptoms. 54% were worried, and 27% experienced anxiety related to the outbreak. Knowledge scores were higher among women, healthcare workers, and those with reliable information sources. High perceived infection risk, changes in precautionary measures, and belief in difficult treatment predicted more worry and anxiety. Higher worry and two or more doses of the COVID-19 vaccine predicted higher likelihood of taking the mpox vaccine. Conclusion: The UAE population showed low knowledge and high worry and anxiety during the global mpox outbreak. Increasing public awareness through targeted educational campaigns is vital. Promoting better understanding of infectious diseases, addressing concerns, and encouraging vaccine uptake can prepare for future outbreaks.
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Affiliation(s)
- Rouba Karen Zeidan
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Ankita Shukla
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Amal Hussein
- Department of Family and Community Medicine and Behavioural Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Hamzah AlZubaidi
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates
- School of Medicine, Deakin Rural Health, Deakin University Faculty of Health, Warrnambool, VIC, Australia
| | - Mohamad-Hani Temsah
- Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Mohamed S. AlHajjaj
- Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Najlaa Al-Bluwi
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Manal Awad
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | | | - Narjes Saheb Sharif-Askari
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Department of Family and Community Medicine and Behavioural Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Zahraa AlHano
- College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Razan Agha
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Qutayba Hamid
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
- Meakins-Christie Laboratories, Research Institute, McGill University Health Center, Montréal, QC, Canada
| | - Rabih Halwani
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Basema Saddik
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Department of Family and Community Medicine and Behavioural Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
- School of Population Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia
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Cheng J, Liao M, He Z, Xiong R, Ju Y, Liu J, Liu B, Wu B, Zhang Y. Mental health and cognitive function among medical students after the COVID-19 pandemic in China. Front Public Health 2023; 11:1233975. [PMID: 37575102 PMCID: PMC10416241 DOI: 10.3389/fpubh.2023.1233975] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 07/14/2023] [Indexed: 08/15/2023] Open
Abstract
Background Chinese people experienced a nationwide coronavirus disease 2019 (COVID-19) pandemic after the adjustment of epidemic response policies from December 2022 to January 2023. This study aims to explore the prevalence of mental and cognitive symptoms and their associated factors among medical students after the COVID-19 pandemic. Methods A cross-sectional study was conducted between February 27th and March 8th, 2023. The symptoms of anxiety, depression, insomnia, post-traumatic stress disorder (PTSD), and cognitive function among medical students were examined using the Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), the Athens Insomnia Scale (AIS), the Impact of Event Scale-6 (IES-6), and the Perceived Deficits Questionnaire-Depression-5 (PDQ-D-5). Data on demographic information was also collected. Statistical analyses were conducted to describe the prevalence and explore the associated factors of mental and cognitive symptoms. Results Among 947 participants, the proportion of students experiencing anxiety, depression, insomnia, and PTSD symptoms was 37.8, 39.3, 28.3, and 29.5%, respectively. The self-reported COVID-19 infection rate was 72.2%. Higher grades, childhood, and current rural residence were identified as potential risk factors for mental and cognitive symptoms. Gender, age, average monthly household income, and COVID-19 diagnosis were not associated with mental and cognitive symptoms among medical students. Conclusion Our findings revealed a high prevalence of mental and cognitive symptoms among Chinese medical students after the COVID-19 pandemic. Special attention should be paid to the mental health of higher-grade students and those residing in rural areas.
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Affiliation(s)
- Junzhe Cheng
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Clinical Medicine Eight-Year Program, Xiangya School of Medicine, Central South University, Changsha, Hunan, China
| | - Mei Liao
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
| | - Ziping He
- Clinical Medicine Eight-Year Program, Xiangya School of Medicine, Central South University, Changsha, Hunan, China
| | - Rui Xiong
- School of Stomatology, Nanchang University, Nanchang, Jiangxi, China
| | - Yumeng Ju
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
| | - Jin Liu
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
| | - Bangshan Liu
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
| | - Bei Wu
- Hospital Management Office, Central South University, Changsha, Hunan, China
| | - Yan Zhang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
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Alsomali S, Mandourah Z, Almashari Y, Alayed S, Alqozi Y, Alharthi A. Factors Influencing Satisfaction With Online Learning During COVID-19 Crisis by Undergraduate Medical Students From King Saud bin Abdulaziz University for Health Sciences (KSAUHS), Riyadh. Cureus 2023; 15:e41672. [PMID: 37575725 PMCID: PMC10412896 DOI: 10.7759/cureus.41672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/10/2023] [Indexed: 08/15/2023] Open
Abstract
Background During the coronavirus 2019 (COVID-19) pandemic, Saudi Arabia implemented strict measures to prevent the entry and spread of the virus and to minimize its burden on society, including the use of online education as an alternative to traditional classroom learning. This study surveyed medical students from King Abdulaziz bin Saud University for Health Sciences-Riyadh to evaluate the factors affecting their satisfaction and experience with online learning. Methods This cross-sectional study was conducted from March to May 2021, using consecutive sampling and a population of approximately 700 medical students from King Saud bin Abdulaziz University of Health Sciences. This study was carried out through an online questionnaire. Results The survey received 277 responses with a response rate of 40%. About 15.3% of respondents believed that online learning productivity was poor, and 18.9% found it below average; however, 21.7% rated it as excellent. The level of anxiety while studying at home was rated as fine by 32.7%, while 21% felt very anxious, and the level of distraction was reported to be high, by 23.1%. Additionally, 64.4% of respondents preferred more online courses even after the COVID-19 crisis. Overall, 29.2% of respondents rated online learning as excellent, while 12.5% rated it as poor. We found a significant positive correlation between feeling isolated while studying at home and feeling anxious (r=0.618; p<0.001) and a significant positive correlation between productivity during online learning and the impact on grades (r=0.495; p<0.001). Conclusion This study found that online learning had benefits but also negatively impacted academic performance and mental health, highlighting the need for tailored support services. Further research is recommended, and medical students should have more theoretical online classes while keeping practical sessions on-site.
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Affiliation(s)
- Sameerah Alsomali
- Emergency Medicine, King Abdulaziz Medical City Riyadh, Riyadh, SAU
- Emergency Medicine, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Ziad Mandourah
- Medicine and Surgery, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Yasser Almashari
- Medicine, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Sulaiman Alayed
- Medicine, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Yazan Alqozi
- Medicine, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Abdulrahman Alharthi
- Medicine, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
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Alshehri A, Alshehri B, Alghadir O, Basamh A, Alzeer M, Alshehri M, Nasr S. The prevalence of depressive and anxiety symptoms among first-year and fifth-year medical students during the COVID-19 pandemic: a cross-sectional study. BMC MEDICAL EDUCATION 2023; 23:411. [PMID: 37277742 DOI: 10.1186/s12909-023-04387-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 05/23/2023] [Indexed: 06/07/2023]
Abstract
BACKGROUND Medical students have higher risk of psychological disorders due to the relatively stressful environment. Educators are becoming increasingly aware of the impact of stresses on the students general well-being. The objective of the current study was to examine the prevalence of and risk factors for depressive and anxiety symptoms among first-year and fifth-year medical students. Additionally, we aimed to determine whether the COVID-19 pandemic has affected students' mental well-being. METHODS A cross-sectional study was performed at the College of Medicine at King Saud University between September 2020 and January 2021. The target population was first-year and fifth-year medical students. Depressive symptoms were screened using the 9-item Patient Health Questionnaire (PHQ-9), while anxiety symptoms were screened using the 7-item Generalized Anxiety Disorder assessment (GAD-7). Students were also directly asked about the effect of the COVID-19 pandemic on their mental well-being. Outcomes were compared between groups using the chi-squared test and Student's t test. Multivariate logistic regression analysis was performed to identify factors associated with depressive and anxiety symptoms. RESULTS A total of 182 medical students were included. Depressive symptoms (52.9% versus 35.8%, p = 0.020) and anxiety symptoms (35.6% versus 26.3%, p = 0.176) were higher in the first-year students than in the fifth-year students. Approximately 19.2% of the students were worried about acquiring COVID-19, 49.4% were worried about academic performance, and 30.8% were feeling sad, depressed or anxious during the COVID-19 pandemic. Independent risk factors for depressive symptoms included having concomitant anxiety, being worried about acquiring COVID-19, being worried about academic performance, and feeling sad, depressed or anxious. Independent risk factors for anxiety included having a lower grade point average and having concomitant depressive symptoms. CONCLUSION Medical students have an alarmingly high prevalence of depressive and anxiety symptoms, which might have been negatively impacted by the COVID-19 pandemic. There is a need for a special mental health program targeting new and current medical students.
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Affiliation(s)
- Abdullah Alshehri
- Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
| | - Badr Alshehri
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Omar Alghadir
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Abdullah Basamh
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Meshari Alzeer
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | - Sameh Nasr
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
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18
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Al Houri A, Alhouri A, Zahrawi H, Al Houri H, Abu-Hussein B, Mohammad Nazir Arrouk D, Jarrar Y, Al-Thunaibat A, Latifeh O, Al Sharei A, Latifeh Y. The Prevalence and Risk Factors of COVID-Stress Syndrome. Cureus 2023; 15:e39388. [PMID: 37362515 PMCID: PMC10286765 DOI: 10.7759/cureus.39388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/23/2023] [Indexed: 06/28/2023] Open
Abstract
Background COVID-19 is a serious disease causing negative psychological effects such as nervousness, isolation, depression, and suicide ideation. The COVID Stress Scale was developed to better understand and assess COVID-19-related distress. University students are predicted to be negatively impacted by the COVID-19 outbreak due to their lack of psychological skills and high levels of academic stress. This study compares the prevalence of COVID stress syndrome (CSS) among university students in Syria and Jordan during the outbreak. The questionnaire used in the study covers multiple aspects and can be applied to future pandemics or infectious diseases. Methodology This is a cross-sectional study conducted in Syria and Jordan between September 1 and December 1, 2021, to evaluate CSS among university students. Data were collected from a convenience sample of 2525 students using a structured, validated, and published questionnaire. Ethical considerations were taken, and informed consent was obtained from participants. The questionnaire had two parts: participant characteristics and CSS. The data were analyzed using the Statistical Package for the Social Sciences (SPSS, IBM Corp., Armonk, NY), and the chi-square test was used to compare the CSS scale between the two countries. Result The study involved 2525 university students, mostly Syrian (63.6%) and Jordanian (36.4%), aged 18-24 (89.5%), and mostly single (95.6%). Over 50% of students lived in homes with three or more people. More than half reported good to excellent economic status; non-smokers accounted for over 50%. Regarding CSS, 39.8% had a high score, 28% average, 20% severe, and 12.2% low to mild. Jordanian male students and single Syrian students showed a higher probability of experiencing CSS symptoms. The number of people in the household, financial status, and field of study also played a significant role. Conclusion The COVID-19 pandemic has negative impacts beyond physical health, including the economy, education, and mental health. A stress scale has been developed to measure COVID-19 stress syndrome, which includes Danger and Contamination Fears (DAN), Socioeconomic Consequences Fears (SEC), Xenophobic Fears (XEN), Traumatic Stress Symptoms (TSS), and Compulsive Checking and Reassurance Seeking (CHE). Non-medical faculty students are more likely to acquire CSS symptoms than medical faculty students.
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Affiliation(s)
- Ahmad Al Houri
- Department of Medicine, Syrian Private University, Damascus, SYR
| | | | - Hanaa Zahrawi
- Department of Medicine, Syrian Private University, Damascus, SYR
| | - Hasan Al Houri
- Department of Internal Medicine, Damascus University, Damascus, SYR
- Department of Internal Medicine, Syrian Private University, Damascus, SYR
| | | | | | - Yazan Jarrar
- Department of Medicine, The University of Jordan, Amman, JOR
| | | | - Obada Latifeh
- Faculty of Medicine, Damascus University, Damascus, SYR
| | | | - Youssef Latifeh
- Department of Psychiatry, Damascus University, Damascus, SYR
- Department of Psychiatry, Al Sham Private University, Damascus, SYR
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Stumbar SE, Garba NA, Minor S, Toonkel R, Bonnin R, Obeso V. Medical Students' Perspectives on Opportunities to Engage in the Clinical Care of COVID-19 Patients during the Pandemic. South Med J 2023; 116:405-409. [PMID: 37137474 PMCID: PMC10143392 DOI: 10.14423/smj.0000000000001557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
OBJECTIVES Recent disease modeling suggests that pandemics are likely to increase in frequency and severity. As such, medical educators must learn from their experiences with coronavirus disease 2019 (COVID-19) to develop systematic strategies for ensuring that medical students receive hands-on training in the management of emerging diseases. Here, we outline the process by which the Florida International University Herbert Wertheim College of Medicine developed and updated guidelines for student participation in the care of patients with COVID-19 and report on students' experiences. METHODS During the 2020-2021 academic year, Florida International University Herbert Wertheim College of Medicine students were not permitted to care for patients with COVID-19; however, academic year 2021-2022 guidelines did permit fourth-year students on subinternships or Emergency Medicine rotations to voluntarily care for patients with COVID-19. At the end of the 2021-2022 academic year, students completed an anonymous survey about their experience caring for patients with COVID-19. Likert-type and multiple-choice questions were analyzed using descriptive statistics and the short-answer responses were analyzed qualitatively. RESULTS One hundred two students (84%) responded to the survey. Sixty-four percent of respondents opted to provide care for patients with COVID-19. Most students (63%) cared for patients with COVID-19 during their required Emergency Medicine Selective. Twenty-eight percent of students wished they had more COVID-19 patient care opportunities, and 29% did not feel prepared to care for patients with COVID-19 on their first day of residency. CONCLUSIONS Many graduating students felt unprepared to care for patients with COVID-19 during residency and many wished they had had more opportunities to care for patients with COVID-19 during medical school. Curricular policies must evolve to allow students to gain competency in the care of patients with COVID-19 so that they are prepared for day one of residency.
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Affiliation(s)
| | | | - Suzanne Minor
- From the Department of Humanities, Health, and Society
| | | | - Rodolfo Bonnin
- Office of Medical Education, Herbert Wertheim College of Medicine, Florida International University, Miami
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Deng H, Jiang Y, Han Q, Zhou X, Zhong S, Hu K, Yang L. The impact of COVID-19 on online medical education: a knowledge graph analysis based on co-term analysis. BMC MEDICAL EDUCATION 2023; 23:203. [PMID: 37005634 PMCID: PMC10067015 DOI: 10.1186/s12909-023-04193-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Accepted: 03/23/2023] [Indexed: 06/19/2023]
Abstract
BACKGROUND This study aims to identify the characteristics and future directions of online medical education in the context of the novel coronavirus outbreak new through visual analytics using CiteSpace and VOSviewer bibliometric methods. METHOD From Web of Science, we searched for articles published between 2020 and 2022 using the terms online education, medical education and COVID-19, ended up with 2555 eligible papers, and the articles published between 2010 and 2019 using the terms online education, medical education and COVID-19, and we ended up with 4313 eligible papers. RESULTS Before the COVID-19 outbreak, Medical students and care were the most frequent keywords and the most cited author was BRENT THOMA with 18 times. The United States is the country with the greatest involvement and research impact in the field of online medical education. The most cited journal is ACAD MED with 1326 citations. After the COVID-19 outbreak, a surge in the number of research results in related fields, and ANXIETY and four secondary keywords were identified. In addition, the concentration of authors of these publications in the USA and China is a strong indication that local epidemics and communication technologies have influenced the development of online medical education research. Regarding the centrality of research institutions, the most influential co-author network is Harvard Medical School in the United States; and regarding the centrality of references, the most representative journal to which it belongs is VACCINE. CONCLUSION This study found that hey information such as keywords, major institutions and authors, and countries differ in the papers before and after the COVID-19 outbreak. The novel coronavirus outbreak had a significant impact on the online education aspect. For non-medical and medical students, the pandemic has led to home isolation, making it difficult to offer face-to-face classes such as laboratory operations. Students have lost urgency and control over the specifics of face-to-face instruction, which has reduced the quality of teaching. Therefore, we should improve our education model according to the actual situation to ensure the quality of teaching while taking into account the physical and psychological health of students.
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Affiliation(s)
- Huijiao Deng
- Zhuhai Campus of Zunyi Medical University, Zhuhai, 519000, China
| | - Yi Jiang
- Zhuhai Campus of Zunyi Medical University, Zhuhai, 519000, China
| | - Qinrong Han
- Zhuhai Campus of Zunyi Medical University, Zhuhai, 519000, China
| | - Xingyu Zhou
- Zhuhai Campus of Zunyi Medical University, Zhuhai, 519000, China
| | - Siyang Zhong
- Zhuhai Campus of Zunyi Medical University, Zhuhai, 519000, China
| | - Kai Hu
- Zhuhai Campus of Zunyi Medical University, Zhuhai, 519000, China.
| | - Lin Yang
- Key Laboratory of Human-Machine Intelligence-Synergy Systems, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences (CAS), Shenzhen, 518055, China.
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Mohammadnejad S, Chehreh R, Karamelahi Z, Solaimannzhad B. Investigation of Correlation between Coronavirus Anxiety, Academic Motivation and Attitude towards the Field Education in Medical Students. JOURNAL OF ADVANCES IN MEDICAL EDUCATION & PROFESSIONALISM 2023; 11:113-119. [PMID: 37113682 PMCID: PMC10126710 DOI: 10.30476/jamp.2022.95420.1646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Accepted: 08/29/2022] [Indexed: 06/19/2023]
Abstract
INTRODUCTION Coronavirus pandemic has created a wide range of psychological complications. Students of medical sciences, like health personnel, are at a high risk of infection with coronavirus. The present study is an attempt to examine the correlation between anxiety caused by coronavirus and attitude and motivation toward the field of study in medical sciences students at Ilam University of Medical Sciences. METHODS This correlational study was done on 373 students in different fields of medical sciences at Ilam University of Medical Sciences from April to September 2020. The participants were selected through stratified random sampling. Data gathering was done using Corona Disease Anxiety Scale (CDAS), Academic Motivation Scale (AMS), and Educational Attitude Standard Questionnaire. The questionnaires were completed online by the participants. The data were analyzed using SPSS software and Pearson's correlation test, independent t-test and analysis of variance at a significance level of (P<0.05). RESULTS Based on the Pearson correlation coefficient, the relationship between COVID-19 anxiety and educational motivation (P=0.001) and attitude (P=0.03) was inverse and significant. There was a significant statistical difference in the average score of anxiety caused by coronavirus in students of different fields. The highest mean anxiety score was in the operating room students and the lowest anxiety score was in the laboratory science field (P=0.001). CONCLUSIONS Coronavirus pandemic has created anxiety and lowered educational motivation and attitude in students of different fields of medical sciences.
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Affiliation(s)
- Sara Mohammadnejad
- School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
| | - Razhan Chehreh
- School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
| | - Zolaykha Karamelahi
- School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
- Clinical Research Development Unit 5azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran
| | - Batol Solaimannzhad
- School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
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22
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Ramachandran S, Shayanfar M, Brondani M. Stressors and mental health impacts of COVID-19 in dental students: A scoping review. J Dent Educ 2023; 87:326-342. [PMID: 36349431 PMCID: PMC9877782 DOI: 10.1002/jdd.13122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Revised: 09/13/2022] [Accepted: 09/24/2022] [Indexed: 11/10/2022]
Abstract
OBJECTIVE The COVID-19 pandemic has led to mental health hazards to healthcare providers in general and to undergraduate dental students. The present study undertakes a scoping review to identify and discuss the mental health issues and stressors impacting dental students globally during the COVID-19 pandemic. METHODS A systematic search following the Joanna Briggs Institute's framework for scoping reviews was conducted on Embase, MEDLINE by Ovid, Web of Science, PsycInfo, CINAHL, and ERIC to identify peer reviewed publications published globally since the onset of the COVID-19 pandemic in March 2020 until June 22, 2021. Manual search was also performed on Google scholar. Eligible studies were selected based on the predetermined set of criteria and focused specifically on mental health issues experienced by undergraduate dental students in the context of COVID-19. RESULTS Fifty-five publications were retained. Fifty-one reported stress, anxiety, or depression experienced by undergraduate dental students during the pandemic. Twenty-five studies employed validated psychometric instruments to explore mental health status among the same students. A total of 28 publications reported that the predominant concern for students was fear of infection, especially during patient interaction. Adapting to virtual learning, clinical skill deficit due to lack of/limited practical training and social isolation were other majorly reported stressors. CONCLUSIONS Many mental health issues and stressors related to the COVID-19 pandemic have been identified. Mitigation of COVID-19-related stressors on dental students' mental health should be a priority across all dental academic institutions. Continued efforts should be made to create a supportive learning environment.
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Affiliation(s)
- Swathi Ramachandran
- Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada
| | - Melody Shayanfar
- Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada
| | - Mario Brondani
- Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada
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Tavares-Almeida S, Moura D, Madeira N, Figueiredo-Braga M. Psychological burden in Portuguese university students during the COVID-19 pandemic. Porto Biomed J 2023; 8:e200. [PMID: 37152634 PMCID: PMC10158877 DOI: 10.1097/j.pbj.0000000000000200] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Accepted: 11/13/2022] [Indexed: 05/09/2023] Open
Abstract
Background University students are a risk population for mental health problems. This study aims to evaluate the psychological burden of the COVID-19 pandemic in Portuguese university students and to uncover factors associated with worse psychological indicators. Methods We used an online survey to perform a cross-sectional study that evaluated students' perceptions, lifestyle, and psychological well-being during the pandemic. Depression symptoms and risk were measured by the Patient Health Questionnaire-9, and resilience levels were quantified by the 9-item Resilience Evaluation Scale. Self-perceived levels of anxiety and current mental health status were evaluated. Results From a population of around 30,000 students invited to participate, 1751 responses were obtained and 1447 were included. Most students were female (72.3%) and were taking a master's degree (58.4%). The course with more responses was engineering (25.5%), followed by medicine (13.2%). The prevalence rates for higher anxiety levels, depression risk, and low resilience levels were 66.7%, 37.3%, and 24.9%, respectively. The factors associated with better psychological outcomes were being male, spending more time studying, having a job, performing extracurricular activities, physical exercise, and relaxing activities. By contrast, spending more time watching news, difficulty accessing online lectures, and absence of contact with family or friends were associated with worse psychological indicators. Although all courses presented substantial levels of depressive symptoms, architectures/arts, sciences, and humanities scored significantly more in the depression scale. Medicine students had significantly higher resilience levels compared with other courses. Conclusions Our findings identify factors associated with worse psychological outcomes and can be used to create protective measures for the mental health of university students during current and future pandemics.
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Affiliation(s)
- Sofia Tavares-Almeida
- Department of Clinical Neurosciences and Mental Health, Medical Psychology, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Diana Moura
- Psychiatry Department, Coimbra Hospital and University Centre
- Institute of Psychological Medicine, Faculty of Medicine, Coimbra University
| | - Nuno Madeira
- Psychiatry Department, Coimbra Hospital and University Centre
- Institute of Psychological Medicine, Faculty of Medicine, Coimbra University
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), University of Coimbra, Portugal
| | - Margarida Figueiredo-Braga
- Department of Clinical Neurosciences and Mental Health, Medical Psychology, Faculty of Medicine, University of Porto, Porto, Portugal
- i3S Instituto de Investigação e Inovação em Saúde, Porto, Portugal
- Corresponding author. E-mail address: (Margarida Figueiredo-Braga)
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Chen M, Liu M, Wang X, Pu L, Zhang M, Wang Q, Tang H, Zhong M, Li Z, Zeng J, Xiong Z. Mediating role of psychological resilience between social support and negative emotions in nursing interns in the post‐COVID‐19 era: A cross‐sectional survey. PSYCHOLOGY IN THE SCHOOLS 2023. [DOI: 10.1002/pits.22874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Affiliation(s)
- Mengjie Chen
- School of Nursing Chengdu Medical College Chengdu Sichuan China
| | - Man Liu
- Department of Family Medicine The Second Hospital of Chengdu Medical College Affiliated Hospital Chengdu Sichuan China
| | - Xiaoxia Wang
- School of Nursing Chengdu Medical College Chengdu Sichuan China
| | - Lihui Pu
- Menzies Health Institute Queensland & School of Nursing and Midwifery Griffith University Nathan Campus Brisbane Queensland Australia
| | - Mingjiao Zhang
- School of Nursing Chengdu Medical College Chengdu Sichuan China
| | - Qin Wang
- School of Nursing Chengdu Medical College Chengdu Sichuan China
| | - Hongxia Tang
- School of Nursing Chengdu Medical College Chengdu Sichuan China
| | - Mengting Zhong
- School of Nursing Chengdu Medical College Chengdu Sichuan China
| | - Zhe Li
- Mental Health Center, West China Hospital, Sichuan University Sichuan Clinical Medical Research Center for Mental Disorders Chengdu Sichuan China
| | - Jing Zeng
- School of Nursing Chengdu Medical College Chengdu Sichuan China
| | - Zhenzhen Xiong
- School of Nursing Chengdu Medical College Chengdu Sichuan China
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Nugraha D, Salamah S, Luke K, Wibowo ZK, Witarto AP, Deswima C, Kloping NA, Witarto BS, Syamlan AT, Irzaldy A, Rochmanti M, Sari DR, Sakina S, Alkaff FF. Evaluation of Health-Related Quality of Life and Mental Health in 729 Medical Students in Indonesia During the COVID-19 Pandemic. Med Sci Monit 2023; 29:e938892. [PMID: 36755476 PMCID: PMC9926794 DOI: 10.12659/msm.938892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has impacted the health-related quality of life (HRQoL) and mental health worldwide. However, its impact on medical students in Indonesia has not been well documented. This study aimed to evaluate HRQoL and mental health in 729 Indonesian medical students during the COVID-19 pandemic. MATERIAL AND METHODS We conducted a cross-sectional study from 31 August to 30 September 2021. The study instrument was an online questionnaire that was distributed via social media platforms. The 12-item short form version 2 (SF12v2) was used to measure HRQoL, and the 21-item Depression, Anxiety, and Stress Scale (DASS-21) was used to measure mental health. RESULTS From 729 Indonesian medical students included in the analyses, 37.3% had impaired physical component and 66.9% had impaired mental component of HRQoL. The determinants were medical students' island of residence, history of hospitalization, and family member's hospitalization and death due to COVID-19. Concerning mental health, the prevalence of reported symptoms of depression, anxiety, and stress were 45.4%, 65.2%, and 60.9%, respectively. Sex, study method, grade, previous COVID-19 disease severity, comorbidities, previous learning experience, and history of family isolation were identified as the determinants of mental health. CONCLUSIONS This study highlights the adverse effects of COVID-19 on HRQoL and mental health in Indonesian medical students. The results identified key associations, including SARS-CoV-2 infection and comorbidities experienced by the students, the health of their families, including grief following bereavement, and the effects of social isolation during the pandemic.
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Affiliation(s)
- David Nugraha
- Medical Program, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia,Airlangga Medical Students Research Group (AIRMEDS-21), Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Sovia Salamah
- Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia,Division of Nephrology, Department of Internal Medicine, University Medical Center Groningen, Groningen, The Netherlands
| | - Kevin Luke
- Medical Program, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia,Airlangga Medical Students Research Group (AIRMEDS-21), Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Zefo Kiyosi Wibowo
- Medical Program, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia,Airlangga Medical Students Research Group (AIRMEDS-21), Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Andro Pramana Witarto
- Medical Program, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia,Airlangga Medical Students Research Group (AIRMEDS-21), Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Caesariska Deswima
- Medical Program, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia,Airlangga Medical Students Research Group (AIRMEDS-21), Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Nabila Ananda Kloping
- Medical Program, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia,Airlangga Medical Students Research Group (AIRMEDS-21), Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Bendix Samarta Witarto
- Medical Program, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia,Airlangga Medical Students Research Group (AIRMEDS-21), Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Adila Taufik Syamlan
- Department of Psychiatry, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
| | - Abyan Irzaldy
- Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands
| | - Maftuchah Rochmanti
- Division of Pharmacology and Therapy, Department of Anatomy, Histology, and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Dewi Ratna Sari
- Division Anatomy and Histology, Department of Anatomy, Histology, and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Sakina Sakina
- Division Anatomy and Histology, Department of Anatomy, Histology, and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Firas Farisi Alkaff
- Division of Nephrology, Department of Internal Medicine, University Medical Center Groningen, Groningen, The Netherlands,Division of Pharmacology and Therapy, Department of Anatomy, Histology, and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
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Abdel Aziz K, Stip E, Al-Sanadi A, Al-Shamsi A, Al-Sharqi H, Eisa Al-Zaabi M, Al-Shehhi N, El-Gabry DA. Prevalence and correlates of health anxiety among medical students: a cross-sectional study from the United Arab Emirates. MIDDLE EAST CURRENT PSYCHIATRY 2023. [PMCID: PMC9831876 DOI: 10.1186/s43045-022-00273-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Abstract
Background
It is often reported that medical students repeatedly develop health anxiety related to the diseases that they are studying. To the best of our knowledge, health anxiety has not been investigated in medical students in the United Arab Emirates (UAE). Therefore, we aimed to investigate the prevalence of health anxiety among a sample of medical students attending the United Arab Emirates University (UAEU). We conducted a cross-sectional study of 193 undergraduate medical students (68 males, 125 females) across the 6 years of the College of Medicine at the UAEU. Students were screened for health anxiety using the Short Health Anxiety Inventory (SHAI).
Results
Eighteen students (9.3%) reached the threshold for clinically significant health anxiety on the SHAI (score ≥ 27). There was no statistically significant difference between those with and those without health anxiety in age, gender, place of origin, or year of study. There was a statistically significant difference (p < 0.05) between the two groups as regards a past history of medical or mental health conditions influencing their choice of college. No specific student demographic or background characteristics significantly predicted the occurrence of clinically significant health anxiety.
Conclusions
Health anxiety was prevalent in a significant proportion of subjects in our sample (almost one in every ten students). Individual experiences of medical and mental illness may play a role in the development of health anxiety and in the choice of studying medicine.
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Rahma AT, Ádám B, Abdullahi AS, Sheek-Hussein M, Shaban S, AlShamsi M, AlKhori S, Nauman J, Grivna M. Reflections on medical student evaluations of a public health clerkship. Front Public Health 2023; 11:1121206. [PMID: 36935714 PMCID: PMC10020595 DOI: 10.3389/fpubh.2023.1121206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 02/13/2023] [Indexed: 03/06/2023] Open
Abstract
Introduction The COVID-19 pandemic demonstrated the need for skilled medical practitioners in public health, and outbreak investigations. The College of Medicine and Health Sciences at the United Arab Emirates University (UAEU) introduced a clerkship in public health constituting theoretical and practical sessions to 5th year medical students in 2015. The aim of this study is to explore the satisfaction of the students with the public health clerkship which is crucial for the assessment and reformation of the taught curriculum. Methods A cross-sectional, post-evaluation analysis was conducted from the period 2015-2022. The evaluation questionnaire was conducted via an online university system. The survey contained 5 themes: pre-course instructions, structure of the clerkship, academic staff, activities, and learning outcomes. Ethics approval was secured from the Social-IRB of the UAEU. We used SPSS version 26 to analyze the data using independent t-test and ANOVA. Results One hundred and seventy four students (27.4% response rate) participated in the study. Overall, the students had an average satisfaction score of 2.86 out of 4. The majority of the students reported having a good understanding of public health (93.7%), improving their oral presentation skills (91.2%), and developing new skills (87.2%). Furthermore, more than 9 in 10 students (96.1%) reported that the program expanded their knowledge, skills, and confidence. The mass (90.2%) of students agreed that the clerkship content was covered in sufficient depth, majority of the students agreed that they had received enough information about the clerkship before it started (74.6%), majority of the students agreed that the faculty were interested in their personal development (86.1%) The students who completed the clerkship prior to the COVID-19 pandemic had a statistically significant (P = 0.02) higher average rating (72.8%) than students who completed the clerkship during the pandemic (71.1%). Discussion Medical students at the UAEU were satisfied with the activities and delivery of the public health clerkship and found it rewarding. Conducting needs assessment and proposal writing provided them with the knowledge, skills, and confidence to conduct research in their career. These findings may be useful in helping and support other institutes to plan and develop a clerkship in the public health.
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Affiliation(s)
- Azhar T. Rahma
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Balázs Ádám
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
- *Correspondence: Balázs Ádám
| | - Aminu S. Abdullahi
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Mohamud Sheek-Hussein
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Sami Shaban
- Department of Medical Education, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Mouza AlShamsi
- Department of Statistics, College of Business and Economics, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Salama AlKhori
- Department of Statistics, College of Business and Economics, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Javaid Nauman
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
- Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Michal Grivna
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
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The Relationship between Anxiety, Resilience, and Posttraumatic Growth of the Medical Students in COVID-19 Pandemic in Iran. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES 2022. [DOI: 10.5812/ijpbs-115333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Background: Medical students serve as frontline individuals to COVD-19 patients, and their mental health affects the quality and safety of the provided services. Objectives: The present study aimed to identify the relationship between anxiety, resilience, and posttraumatic growth of medical interns during COVID-19 pandemic. Methods: This descriptive-correlational study was conducted in Kerman and Isfahan, Iran, from June to September 2020. The socio-demographic questionnaire, Beck Anxiety Inventory (BAI), Connor-Davidson Resilience Scale (CD-RIS), and Posttraumatic Growth Inventory (PTGI) were completed by 235 medical students. Pearson correlation test and descriptive statistics were used to analyze the data. Results: The mean and standard deviation scores of anxiety, resilience, and posttraumatic growth were 10.49, 1.08, and 50.60, as well as 13.39, 65.70, and 15.90, respectively. The results showed no significant relationship between anxiety and resilience (r = 0.16 and P = 0.057). A positive and significant correlation was observed between resilience and posttraumatic growth (r = 0.42 and P = 0.000). Furthermore, a significant negative correlation was found between anxiety and posttraumatic growth scores (r = -0.20 and P = 0.002). Conclusions: In sum, the more resilient and less anxious a person was, the greater his/her posttraumatic growth became. Therefore, it was recommended that appropriate psychological interventions be designed and implemented to improve the mental health of medical interns.
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Translation and validation of the Tamil version of depression anxiety stress scales-21. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2022. [DOI: 10.1016/j.jadr.2022.100398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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AlJahwari B, AlKamli A, Al-Huseini S, Chan MF, AlMahroqi B, Al Saadoon M, Ambusaidi A, Ganesh A, Al-Adawi S. The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study. MIDDLE EAST CURRENT PSYCHIATRY 2022. [PMCID: PMC9208829 DOI: 10.1186/s43045-022-00214-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background Anxiety disorders are a significant factor associated with physician burnout and poor patient care, reported to have a significant frequency among the youth in the Middle East. However, to date, no study has explored the prevalence of anxiety among resident physicians in the Arabian Gulf country of Oman. This cross-sectional study, conducted among a random sample of residents affiliated with the Oman Medical Specialty Board, aimed to examine the frequency and factors associated with anxiety symptoms among them. Participants were asked to complete the General Anxiety Disorder Assessment (GAD-7) to assess anxiety, as well as a socio-demographic questionnaire. Results In a total of 251 residents, the prevalence of anxiety was 14.7% (GAD-7 cut-off score ≥ 10). More than 60% of the respondents were female (68.9%). The age breakdown ranged from 25 to 30 years old (66.5%) and the majority were married (64.9%). More than 70% of respondents attended at least 5 shifts in their weekly schedule and received at least 5 on-call shifts from the hospital per week. Logistic regression showed that residents with chronic disease were 2.5 times (95% CI 1.36–4.72, p = 0.003) more likely to have anxiety than those without them. Those residents who did not exercise were 2.1 times (95% CI 1.04–4.46, p = 0.038) more likely to have anxiety than those who exercise often or regularly. Residents who received 6 or more on-calls from the hospital were 2.6 times (95% CI 1.35–5.25, p = 0.005) more likely to have anxiety than those who received 5 or fewer on-calls in a month. Conclusions The factors seemingly responsible for anxiety symptoms in this sample of resident physicians are those that are typically associated with poor work-life balance and unhealthy lifestyles. Pending further scrutiny, these results could be used to lay the groundwork for the identification of those who will require more protracted help during their training in Oman and in other culturally similar Middle Eastern countries.
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Prevalence of pharmacological and non-pharmacological coping mechanisms for anxiety management during the COVID-19 pandemic: investigating the transition to online learning among medical students. BMC Psychiatry 2022; 22:704. [PMID: 36376882 PMCID: PMC9662775 DOI: 10.1186/s12888-022-04372-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Accepted: 11/07/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic had a devastating effect on college students worldwide. Here, the authors aimed to determine the prevalence of anxiety and its related coping strategies, provide a theoretical basis for understanding self-prescription, and identify the factors contributing to stress and anxiety in medical students during the pandemic. METHODS The authors conducted a cross-sectional study among medical students in Saudi Arabia from September to November 2020. They assessed anxiety using the GAD-7 scale based on seven core symptoms. The authors also examined perceived psychological stress using a single-item measure of stress, the factors contributing to stress during the transition to online learning and examinations, and related coping strategies. The Statistical Package for Social Sciences (SPSS) version 26.0 was used to examine the data for both descriptive and inferential analyses. Chi-square test, one-way ANOVA, and univariate linear regression were used to test the research hypotheses. RESULTS The authors collected and analyzed data from 7116 medical students distributed across 38 medical colleges. Among them, 40% reported moderate to severe anxiety symptoms. Pre-clinical and female students experienced more stress than clinical and male students. 12.19% (n = 868) of respondents reported using medication during their college years. Among those, 58.9% (n = 512) had moderate to severe anxiety, and the most commonly used drug was propranolol (45.4%, n = 394). Among the studied sample, 40.4% (n = 351) decreased their medication use after switching to online teaching. Most students used these medications during the final exam (35.8%, n = 311) and before the oral exam (35.5%, n = 308). In terms of coping strategies, males were much more likely to use substances than females, who mainly resorted to other strategies. CONCLUSIONS This study provides a national overview of the impact of COVID-19 on the mental health of medical students. The results indicated that the pandemic is associated with highly significant levels of anxiety. These findings can provide theoretical evidence for the need for supportive psychological assistance from academic leaders in this regard.
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Albikawi ZF. Predictors of Anxiety, Depression, and Stress among Female University Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study in Saudi Arabia. J Pers Med 2022; 12:jpm12111887. [PMID: 36579619 PMCID: PMC9693451 DOI: 10.3390/jpm12111887] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/24/2022] [Accepted: 11/07/2022] [Indexed: 11/12/2022] Open
Abstract
Background: Students at universities increasingly struggle with mental health issues such as anxiety, depression, and stress. The present prevalence of these diseases may arise in the event of a crisis such as the coronavirus disease 2019 (COVID-19) pandemic. Aim: To estimate the level of anxiety, depression, and stress in female university nursing students, and to identify predictors for students' anxiety, depression, and stress during the COVID-19 pandemic. Methods: An online cross-sectional descriptive study was conducted using a convenient sample of 115 female university nursing students. The Depression Anxiety Stress Scale (DASS-21) questionnaire was used to assess symptoms of anxiety, depression, and stress. Multivariate linear regression was used to identify predictors of anxiety, depression, and stress. Results: Stress, anxiety, and depression had prevalence rates of 23.7%, 18.5%, and 34.6%, respectively. Significant anxiety predictors included family support, family salary, being diagnosed with chronic illness, and being exposed to patients with COVID-19. Significant correlations were found between family support, family salary, family history of mental illness, and fear of being infected with COVID-19 and depression in female university nursing students. Students' levels of stress were predicted by family support. Conclusion: The level of anxiety, depression, and stress among female university nursing students was determined to be moderate. It is advised that university nursing students receive interventions that support their mental health.
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Affiliation(s)
- Zainab Fatehi Albikawi
- King Khalid University, Nursing College, Community and Psychiatric/Mental Health Nursing Department, Khamis Mushait 39746, Saudi Arabia
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Effects of Physical Activity on College Students' Subjective Well-Being During COVID-19. J Epidemiol Glob Health 2022; 12:441-448. [PMID: 36197597 PMCID: PMC9533984 DOI: 10.1007/s44197-022-00062-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Accepted: 09/04/2022] [Indexed: 12/03/2022] Open
Abstract
Background The COVID-19 outbreak has caused widespread psychological distress to Chinese college students. To explore the beneficial psychological effects of physical activity, this study accessed the relationship of Physical Activity (PA) and Subjective Well-being (SWB) among Chinese college students during the pandemic. Methods A total of 1198 college students (aged between 17 and 40) from 8 universities in Wuhan, China, volunteered to finish the online questionnaire survey from February 17 to 20, 2020. General Well-Being Schedule (GWBS) was used to evaluate SWB, and Physical Activity Rating Scale-3 (PARS-3) was used to measure PA. The Mann–Whitney U test, χ2 test, t test, and analysis of variance were used to compare the differences between groups based on different data types. A multi-factor linear regression analysis was performed on the factors affecting college students' participation in physical activity during the pandemic. Differences were considered statistically significant when p < .05. Results It found that: (1) The quality of physical activity during COVID-19 significantly and positively predicted subjective well-being (B = 2.512, p < .001), indicating that physical activity can effectively alleviate adverse mental health effects caused by the pandemic. (2) The pandemic has had a greater impact on the mental health of specific groups (such as seniors and rural college students). Supporting and encouraging them to participate in a certain level of sports activities can improve their subjective well-being, which is helpful for countering the pandemic’s adverse effects. (3) People should be encouraged to participate in sports at moderate or high levels. Conclusion PA can effectively alleviate the negative psychological impact of the pandemic. In general, during major public health emergencies, people should be supported and encouraged to regularly participate in physical activities at moderate or higher levels, to improve their subjective well-being, and maintain positive anti-pandemic attitudes and behavior.
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Huang Z, Zhang L, Wang J, Wang T, Xu L, Yang X, Lu H. Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms. Heliyon 2022; 8:e10803. [PMID: 36247164 PMCID: PMC9557898 DOI: 10.1016/j.heliyon.2022.e10803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 07/25/2022] [Accepted: 09/22/2022] [Indexed: 11/19/2022] Open
Abstract
Purpose This research aims to develop a Nomogram for exact anxiety symptoms prediction in postgraduate medical students so that they may be identified as high-risk individuals early and get focused care. Methods Using a convenient sampling method, for case-control matching, 126 participants with anxiety symptoms and 774 participants of the same age and gender but without anxiety symptoms were designated as the case group and control group, respectively. Multivariable logistic regression analysis was utilized to identify influencing factors for anxiety symptoms, then used to design and verify a Nomogram of anxiety symptoms. Results Multivariate logistic regression analysis showed that lack of social support (OR = 0.95, 95%CI: 0.91-0.99), low life satisfaction (OR = 0.91, 95%CI: 0.86-0.95), low subjective well-being (OR = 0.58, 95%CI: 0.41-0.83) and frequent tobacco and alcohol use (OR = 1.75, 95%CI: 1.10-2.80) were independent predictors of anxiety symptoms in postgraduate medical students (P < 0.05). The Nomogram risk prediction model based on the above four independent prediction factors was established, and the verified C-index (Concordance index) is 0.787 (95%CI: 0.744-0.803, P < 0.001). Conclusions Anxiety symptoms in postgraduate medical students are influenced by various variables. The Nomogram prediction model has high accuracy, validity, and reliability, which can provide reference for predicting anxiety symptoms in postgraduate medical students.
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Affiliation(s)
- Zewen Huang
- Department of Psychosomatic Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Lejun Zhang
- School of Psychology, South China Normal University, Guangzhou, Guangdong, China
| | - Junyu Wang
- School of Cyberspace, Hangzhou Dianzi University, Hangzhou, Zhejiang, China
| | - Tingting Wang
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Lu Xu
- School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
| | - Xialing Yang
- Graduate Department, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Heli Lu
- Department of Psychosomatic Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
- Corresponding author.
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Dalky HF, Aljawarneh YM, Rajab LM, Almas S, Mazemi FA, Ali LA, Abdulghani S, Shamsi SA. Assessment and Evaluation of Psychological Status of Undergraduate College Students during COVID-19 Pandemic: A Cross-Sectional Study in the United Arab Emirates. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12487. [PMID: 36231786 PMCID: PMC9564378 DOI: 10.3390/ijerph191912487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/12/2022] [Accepted: 09/16/2022] [Indexed: 06/16/2023]
Abstract
The COVID-19 pandemic caused by the novel coronavirus instigated a worldwide lockdown that affected students mitigating various psychological issues including depression, stress, and anxiety. This study aimed to assess the impact of COVID-19 pandemic on undergraduate university students' psychological status in terms of depression, anxiety, and stress. A total of 206 students from the Higher College of Technology (HCT), Sharjah Campuses participated in this descriptive cross-sectional study. Data were collected between March and May 2021. Participants completed an online survey including a demographic data questionnaire and the depression, anxiety, stress scale (DASS-21). The mean depression, stress, and anxiety scores were 15.56 (±11.573), 17.13 (±10.946), and 14.90 (±10.523) respectively. Categorically, most students (33.3%) reported no depression, while 26.1% of students reported moderate depression. For stress, the majority (44.4%) experienced no stress, while 19.8% reported moderate stress. Strikingly, 36.7% of students reported extreme severe anxiety, with 28% reporting no anxiety. Students with history of depression, stress, and anxiety symptoms reported a statistically significant mean difference in depression, stress, and anxiety compared with those with no previous history of those symptoms. We conclude with a recommendation to expand mental health screening among undergraduate university students and design appropriate therapeutic modalities.
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Affiliation(s)
- Heyam F. Dalky
- Community and Mental Health Department, Faculty of Nursing, Jordan University of Science & Technology, P.O. Box 3030, Irbid 22110, Jordan
| | - Yousef M. Aljawarneh
- Health Sciences Division, Nursing Program, Higher Colleges of Technology, P.O. Box 1626, Fujairah 15825, United Arab Emirates
| | - Lubna M. Rajab
- Health Sciences Division, Nursing Program, Higher Colleges of Technology, P.O. Box 1626, Fujairah 15825, United Arab Emirates
| | - Salma Almas
- Health Sciences Division, Nursing Program, Higher Colleges of Technology, P.O. Box 1626, Fujairah 15825, United Arab Emirates
| | - Feddah Al Mazemi
- Health Sciences Division, Nursing Program, Higher Colleges of Technology, P.O. Box 1626, Fujairah 15825, United Arab Emirates
| | - Latifa Al Ali
- Health Sciences Division, Nursing Program, Higher Colleges of Technology, P.O. Box 1626, Fujairah 15825, United Arab Emirates
| | - Sana Abdulghani
- Health Sciences Division, Nursing Program, Higher Colleges of Technology, P.O. Box 1626, Fujairah 15825, United Arab Emirates
| | - Shamma Al Shamsi
- Health Sciences Division, Nursing Program, Higher Colleges of Technology, P.O. Box 1626, Fujairah 15825, United Arab Emirates
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Arora M, Waikhom P, Azad S, Thakker V, Azad RK, Srivastava RK. Impact of COVID-19 on postgraduate medical education: Cross sectional survey from an Indian Medical College. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:294. [PMID: 36439019 PMCID: PMC9683443 DOI: 10.4103/jehp.jehp_1698_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 01/23/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND The corona virus disease (COVID-19) pandemic has caused widespread effect on the lives of health care professionals. The postgraduate medical students, who are the major pillars of medical institutions had to bear multitude of setbacks due to the pandemic involving academic, research and well-being issues. MATERIALS AND METHODS This was a cross sectional feedback based online survey done in the month of October 2021 to study the effect of COVID-19 pandemic induced changes in the postgraduate medical education; amongst 78 students pursuing MD/MS degree in all departments of a tertiary medical institute in Himalayan foothills of North India. The questionnaire consisted of ten questions; each of which needed to be answered on a five point Likert scale ranging from strongly disagree to strongly agree. Results were assessed for the most common answers of each question (represented by mode) and association between various components of the questionnaire analyzed by Spearman's rho correlation coefficient. RESULTS The internal consistency of the questionnaire as tested by Cronbach's Alpha (0.82) was good. Most number or respondents were from surgical branches (n = 31, 39.74%). There was a generalized agreement towards preference of resumption of onsite education (75.64%), the lack of variety of cases causing hampering of thesis work (88.46%) and increased mental stress during the pandemic (58.9%). While more time for self-study was seen as the only consensual positive aspect of online teaching (64%), most students opined that technical glitches are a major roadblock in online education (80.76%). Significant positive correlation was seen between disciplinary ease and punctuality in online teaching (R = 0.543, P < 0.001), lack of interaction and its effect on learning and mental health (R = 0.471; P < 0.001) and the lack of diversity in cases and difficulties in dissertation work (R = 0.351; P < 0.05). Negative correlation was observed between the satisfaction from overall learning through online teaching and the desire of resumption of offline classes (R = -0.491; P < 0.001). CONCLUSION COVID-19 pandemic and its effects on medical education are long lasting. A comprehensive approach is required to rebuild the medical education curriculum, inculcating both traditional and newer virtual methods of education. A consistent support in academics and overall growth needs to be provided to medical postgraduate residents who have been the first line fighters in face of the massive disaster compromising their basic needs and education.
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Affiliation(s)
- Manali Arora
- Department of Radiodiagnosis, SGRRIM and HS, Dehradun, Uttarakhand, India
| | - Premila Waikhom
- Department of Paediatrics, SGRRIM and HS, Dehradun, Uttarakhand, India
| | - Sheenam Azad
- Department of Pathology, SGRRIM and HS, Dehradun, Uttarakhand, India
| | - Vishal Thakker
- Department of Radiodiagnosis, SGRRIM and HS, Dehradun, Uttarakhand, India
| | - Rajiv Kumar Azad
- Department of Radiodiagnosis, SGRRIM and HS, Dehradun, Uttarakhand, India
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Zhang L, Du J, Chen T, Sheng R, Ma J, Ji G, Yu F, Ye J, Li D, Li Z, Zhu C, Wang K. Longitudinal changes in mental health among medical students in China during the COVID-19 epidemic: depression, anxiety and stress at 1-year follow -up. PSYCHOL HEALTH MED 2022:1-11. [PMID: 36164806 DOI: 10.1080/13548506.2022.2128193] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
This study aimed to evaluate the influence of COVID-19 on the mental health of Chinese medical students at 1-year of follow-up. From 2 February 2020 to 23 February 2021, we conducted three waves of research online (T1 = during outbreak, T2 = controlling period, T3 = 1 year after outbreak). The survey collected demographic data and several self reporting questionnaires to measure the depressive, anxiety and stress symptoms. A total of 4002 participants complete the whole research phases. The study major, grade level and gender were the main factors related to psychological distress caused by the COVID-19 crisis. Importantly, medical knowledge has a protective effect on medical students' psychological distress during the COVID-19 period.
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Affiliation(s)
- Lei Zhang
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Jinmei Du
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Tingting Chen
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Rongrong Sheng
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Juncheng Ma
- Graduate School, Anhui Medical University, Hefei, China
| | - Gongjun Ji
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Fengqiong Yu
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Jianguo Ye
- Graduate School, Anhui Medical University, Hefei, China
| | - Dandan Li
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Zhenjing Li
- Graduate School, Anhui Medical University, Hefei, China
| | - Chunyan Zhu
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
| | - Kai Wang
- Department of Neurology, The First Affiliated Hospital of Anhui Medical University, The School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China.,Institute of Artificial Intelligence, Hefei Comprehensive National Science Center, Hefei, China. 230088.,Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, China.,Collaborative Innovation Center for Neuropsychiatric Disorders and Mental Health, Anhui Medical University, Hefei, China
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Ghanim M, Rabayaa M, Atout S, Al-Othman N, Alqub M. Prevalence of anxiety and depression among Palestinian university students: a cross-sectional study during COVID-19 pandemic. MIDDLE EAST CURRENT PSYCHIATRY 2022. [PMCID: PMC9483326 DOI: 10.1186/s43045-022-00238-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Anxiety and depression are more common among university students than in the general population. It is reported internationally that the COVID-19 pandemic increased the prevalence of anxiety and depression among students. This study aimed to measure the prevalence of anxiety and depression among university students in Palestine and to explore the association between anxiety and depression during the COVID-19 pandemic. A cross-sectional questionnaire-based descriptive study was carried out on university students. The Generalized Anxiety Disorder Scale (GAD-7) and the Center for Epidemiological Studies Depression (CES-D) scale were used to evaluate anxiety and depression, respectively. Chi-square was used to evaluate the risk factors associated with the levels of anxiety and depression. The association between anxiety and depression was evaluated using Pearson correlation. Results A total of 1049 students were enrolled in the study. The prevalence of depression among them was 55.8%, 26.4%, and 9.8% for severe, moderate, and mild depression, respectively. Depression symptoms were significantly variable based on students’ field and year of study, sleeping period, smoking, and food source. The prevalence of anxiety was 16.1%, 30.7%, and 36.1% for severe, moderate, and mild anxiety, respectively. Anxiety symptoms were significantly variable based on students’ gender, year of study, sleeping period, smoking, and place of residence. A strong positive correlation was observed between the CES-D and GAD-7 scores (R = 0.707). Conclusion Palestinian university students suffer from elevated levels of anxiety and depression during the COVID-19 pandemic. This necessitates the need for strategies by stakeholders to take immediate and appropriate interventions.
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Ketata N, Ben Ayed H, Trigui M, Maamri H, Ben Hmida M, Ben Jemaa M, Baklouti M, Yaich S, Kassis M, Feki H, Damak J. Knowledge, attitudes, practices, and their associated factors against the growing threat of COVID-19 among medical students. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2022. [DOI: 10.29333/ejgm/12465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Saeed A, Zaffar M, Abbas MA, Quraishi KS, Shahrose A, Irfan M, Huneif MA, Abdulwahab A, Alduraibi SK, Alshehri F, Alduraibi AK, Almushayti Z. A Turf-Based Feature Selection Technique for Predicting Factors Affecting Human Health during Pandemic. Life (Basel) 2022; 12:life12091367. [PMID: 36143404 PMCID: PMC9502730 DOI: 10.3390/life12091367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 08/22/2022] [Accepted: 08/24/2022] [Indexed: 11/30/2022] Open
Abstract
Worldwide, COVID-19 is a highly contagious epidemic that has affected various fields. Using Artificial Intelligence (AI) and particular feature selection approaches, this study evaluates the aspects affecting the health of students throughout the COVID-19 lockdown time. The research presented in this paper plays a vital role in indicating the factor affecting the health of students during the lockdown in the COVID-19 pandemic. The research presented in this article investigates COVID-19’s impact on student health using feature selections. The Filter feature selection technique is used in the presented work to statistically analyze all the features in the dataset, and for better accuracy. ReliefF (TuRF) filter feature selection is tuned and utilized in such a way that it helps to identify the factors affecting students’ health from a benchmark dataset of students studying during COVID-19. Random Forest (RF), Gradient Boosted Decision Trees (GBDT), Support Vector Machine (SVM), and 2- layer Neural Network (NN), helps in identifying the most critical indicators for rapid intervention. Results of the approach presented in the paper identified that the students who maintained their weight and kept themselves busy in health activities in the pandemic, such student’s remained healthy through this pandemic and study from home in a positive manner. The results suggest that the 2- layer NN machine-learning algorithm showed better accuracy (90%) to predict the factors affecting on health issues of students during COVID-19 lockdown time.
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Affiliation(s)
- Alqahtani Saeed
- Department of Surgery, Faculty of Medicine, Najran University, Najran 61441, Saudi Arabia
| | - Maryam Zaffar
- Faculty of Computer Sciences, IBADAT International University, Islamabad 44000, Pakistan
- Correspondence:
| | - Mohammed Ali Abbas
- Faculty of Computer Sciences, IBADAT International University, Islamabad 44000, Pakistan
| | - Khurrum Shehzad Quraishi
- Department of Chemical Engineering, Pakistan Institute of Engineering and Applied Sciences (PIEAS), Islamabad 44000, Pakistan
| | - Abdullah Shahrose
- Department of Computer Science, HITEC University, Taxila 47080, Pakistan
| | - Muhammad Irfan
- Electrical Engineering Department, College of Engineering, Najran University Saudi Arabia, Najran 61441, Saudi Arabia
| | - Mohammed Ayed Huneif
- Department of Pediatrics, College of Medicine, Najran University, Najran 61441, Saudi Arabia
| | - Alqahtani Abdulwahab
- Department of Pediatrics, College of Medicine, Najran University, Najran 61441, Saudi Arabia
| | | | - Fahad Alshehri
- Department of Radiology, College of Medicine, Qassim University, Buraidah 52571, Saudi Arabia
| | - Alaa Khalid Alduraibi
- Department of Radiology, College of Medicine, Qassim University, Buraidah 52571, Saudi Arabia
| | - Ziyad Almushayti
- Department of Radiology, College of Medicine, Qassim University, Buraidah 52571, Saudi Arabia
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Çimen İD, Alvur TM, Coşkun B, Şükür NEÖ. Mental health of Turkish medical students during the COVID-19 pandemic. Int J Soc Psychiatry 2022; 68:1253-1262. [PMID: 34961373 DOI: 10.1177/00207640211066734] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND The coronavirus disease emerged in 2019, spread in Turkey as all over the world rapidly. In this process, young people began to experience some mental problems due to the fear of contagion, as well as some changes in their lifestyles. AIMS In this study it is aimed to investigate anxiety and depression levels of medical school students and the factors associated with these mental problems. METHOD The forms were sent over the internet to the officials responsible for medical education at universities in various regions of Turkey. A total of 2,778 medical faculty students were included in the study. Students were asked to fill out the sociodemographic data form, the Patient Health Questionnaire - 9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7) Test. RESULTS Students' 67.3% were female and 31.7% were male. About 90.2% of the students in the PHQ-9 scale had depressive symptoms in the major depressive disorder (MDD) dimension, and 44.5% in the GAD-7 scale had moderate/severe anxiety symptoms. Gender, being a preclinical student, history of psychiatric treatment in the past, currently receiving psychiatric treatment, death of someone due to pandemic, economic and health situation, perception of mental health were found associated with MDD and Moderate/Severe Anxiety symptoms. Students with Anxiety and MDD reported significantly more anxiety about contamination and negative beliefs about precautions' sufficiency. CONCLUSIONS It was determined that medical school students in our country showed anxiety and depression at a remarkable level during the pandemic. Examining the underlying causes of these high rates will be beneficial in terms of taking precautions during the long-term pandemic. In literature, there are a limited number of studies on this subject in our country, we believe that our study will be useful in future studies to determine the underlying causes of mental illnesses and what can be done to help students.
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Affiliation(s)
- İrem Damla Çimen
- Department of Child and Adolescent Psychiatry, Kocaeli University School of Medicine, Kocaeli, Turkey
| | - Tuncay Müge Alvur
- Department of Family Medicine, Kocaeli University School of Medicine, Kocaeli, Turkey
| | - Bülent Coşkun
- Retired Faculty Member, Department of Psychiatry, Kocaeli University School of Medicine, Kocaeli, Turkey
| | - Nur Ece Öztaş Şükür
- Department of Family Medicine, Kocaeli University School of Medicine, Kocaeli, Turkey
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Baghcheghi N, Koohestani HR, Karimy M, Keshavarzi MH, Ghorbani AA. Perceived Challenges Caused by Covid-19 Outbreak in Students of Medical Sciences. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2022; 27:406-412. [PMID: 36524138 PMCID: PMC9745855 DOI: 10.4103/ijnmr.ijnmr_205_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 11/27/2021] [Accepted: 05/23/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Students of medical sciences are a highly vulnerable group during COVID-19 pandemic who may experience a wide range of challenges and stresses. The aim of this study was to investigate the perceived challenges caused by COVID-19 outbreak in students of medical sciences. MATERIALS AND METHODS A qualitative study was carried out based on conventional qualitative content analysis following Graneheim and Lundman from December 2020 to February 2021. The participants were 17 students of medical sciences and data gathering was done through semistructured interviews. RESULTS Data analyses revealed 5 categories and 12 subcategories. The extracted categories were perceived fear of contracting coronavirus, social limitation, changes in education, neglecting health protocols, and worrying news and information overload. CONCLUSIONS The findings indicated that students of medical sciences had been facing challenges and the COVID-19 had affected the psychological, social, and academic functioning of the health-care students. It is important to take measures to improve their mental health. These measures can prevent medical complications in these students, especially during clinical internship.
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Affiliation(s)
- Nayereh Baghcheghi
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Hamid Reza Koohestani
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Mahmood Karimy
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | | | - Ali Asghar Ghorbani
- Department of Medical Records, School of paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran
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Pelucio L, Simões P, Dourado MCN, Quagliato LA, Nardi AE. Depression and anxiety among online learning students during the COVID-19 pandemic: a cross-sectional survey in Rio de Janeiro, Brazil. BMC Psychol 2022; 10:192. [PMID: 35922866 PMCID: PMC9346054 DOI: 10.1186/s40359-022-00897-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 07/27/2022] [Indexed: 12/20/2022] Open
Abstract
Background The COVID-19 pandemic introduced a global need to explore the potential and challenges of online education.
Objective To evaluate the presence of depression and anxiety in university students and their level of satisfaction with online learning during the period of social isolation caused by the COVID-19 pandemic. Method A cross-sectional design was used to evaluate 152 online learning students from six different university courses: Medicine, Psychology, Law, Engineering, Physiotherapy, and Business. The evaluation of the participants was carried out through an online survey in Rio de Janeiro, Brazil. Also, the Hospital Anxiety and Depression Scale was used to assess participants mental health. Results Most of the participants reported emotional impact, followed by learning impact, financial impact, social impact, and technological impact, with a significant difference in the presence of depressive symptoms, but no significant difference in anxiety. The participants presented moderate anxiety levels, with no significant differences between genders, and mild levels of depressive symptoms with significant differences between genders. Also, younger students were more anxious than older students. In addition, female students with less social contact presented more depressive symtoms. Conclusion From a clinical perspective, the findings provide insights into mental health among university students during the COVID-19 pandemic. These findings may help in the development of effective screening strategies and in the formulation of interventions that improve the mental health of students.
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Affiliation(s)
- Luísa Pelucio
- Institute of Psychiatry, Universidade Federal Do Rio de Janeiro (UFRJ), Rio de Janeiro (RJ), Brazil.
| | - Pedro Simões
- Departament of Sociology and Political Science, Universidade Federal de Santa Catarina (UFSC), Rio de Janeiro (RJ), Brazil
| | | | - Laiana A Quagliato
- Institute of Psychiatry, Universidade Federal Do Rio de Janeiro (UFRJ), Rio de Janeiro (RJ), Brazil
| | - Antonio Egidio Nardi
- Institute of Psychiatry, Universidade Federal Do Rio de Janeiro (UFRJ), Rio de Janeiro (RJ), Brazil
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Almeqbaali M, Ouhbi S, Serhani MA, Amiri L, Jan RK, Zaki N, Sharaf A, Al Helali A, Almheiri E. A Biofeedback-Based Mobile App With Serious Games for Young Adults With Anxiety in the United Arab Emirates: Development and Usability Study. JMIR Serious Games 2022; 10:e36936. [PMID: 35916692 PMCID: PMC9382548 DOI: 10.2196/36936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 04/06/2022] [Accepted: 06/12/2022] [Indexed: 12/03/2022] Open
Abstract
Background Following the outbreak of COVID-19, several studies have reported that young adults encountered a rise in anxiety symptoms, which could negatively affect their quality of life. Promising evidence suggests that mobile apps with biofeedback, serious games, breathing exercises, and positive messaging, among other features, are useful for anxiety self-management and treatment. Objective This study aimed to develop and evaluate the usability of a biofeedback-based app with serious games for young adults with anxiety in the United Arab Emirates (UAE). Methods This study consists of two phases: Phase I describes the design and development of the app, while Phase II presents the results of a usability evaluation by experts. To elicit the app’s requirements during Phase I, we conducted (1) a survey to investigate preferences of young adults in the UAE for mobile games for stress relief; (2) an analysis of serious games for anxiety; and (3) interviews with mental health professionals and young adults in the UAE. In Phase II, five experts tested the usability of the developed app using a set of Nielsen’s usability heuristics. Results A fully functional biofeedback-based app with serious games was co-designed with mental health professionals. The app included 4 games (ie, a biofeedback game, card game, arcade game, and memory game), 2 relaxation techniques (ie, a breathing exercise and yoga videos), and 2 additional features (ie, positive messaging and a mood tracking calendar). The results of Phase II showed that the developed app is efficient, simple, and easy to use. Overall, the app design scored an average of 4 out of 5. Conclusions The elicitation techniques used in Phase I resulted in the development of an easy-to-use app for the self-management of anxiety. Further research is required to determine the app’s usability and effectiveness in the target population.
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Affiliation(s)
- Mariam Almeqbaali
- Department of Computer Science and Software Engineering, College of Information Technology, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
| | - Sofia Ouhbi
- Department of Computer Science and Software Engineering, College of Information Technology, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
| | - Mohamed Adel Serhani
- Department of Information Systems and Security, College of Information Technology, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
| | - Leena Amiri
- Department of Psychiatry, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
| | - Reem K Jan
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Nazar Zaki
- Department of Computer Science and Software Engineering, College of Information Technology, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
| | - Ayman Sharaf
- Department of Computer Science and Software Engineering, College of Information Technology, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
| | - Abdulla Al Helali
- Department of Psychiatry, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
| | - Eisa Almheiri
- Department of Psychiatry, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
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Yang Q, Liu Y, Yang WF, Peng P, Chen S, Wang Y, Wang X, Li M, Wang Y, Hao Y, He L, Wang Q, Zhang J, Ma Y, He H, Zhou Y, Long J, Qi C, Tang YY, Liao Y, Tang J, Wu Q, Liu T. Mental health conditions and academic burnout among medical and non-medical undergraduates during the mitigation of COVID-19 pandemic in China. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:57851-57859. [PMID: 35357650 PMCID: PMC8969817 DOI: 10.1007/s11356-022-19932-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 03/23/2022] [Indexed: 05/09/2023]
Abstract
The outbreak of the novel coronavirus disease 2019 (COVID-19) has posed a great impact on people's mental health, especially for undergraduate students. This study aimed to compare the mental health conditions and academic burnout between medical and non-medical undergraduates in China when the COVID-19 pandemic is mitigating. A cross-sectional online survey was conducted among 4,972 undergraduates between October 2020 and April 2021, when the pandemic was basically under control. The survey included basic demographics information and standardized scales to evaluate depression, anxiety, perceived stress, daytime sleepiness, alcohol abuse/dependence, quality of life, fatigue, and academic burnout. Compared with medical undergraduates, non-medical undergraduates had higher rates of moderate to severe depression symptoms (29.1% vs. 17.9%, P < 0.001), moderate to severe anxiety symptoms (19.7% vs. 8.9%, P < 0.001), alcohol abuse/dependence (16.3% vs.10.3%, P < 0.001), excessive daytime sleepiness (47.4% vs. 43.4%, P = 0.018), high perceived stress (34.7% vs. 22.2%, P < 0.001), high level of fatigue (51.8% vs. 42.2%, P < 0.001), low QOL (35.8% vs. 21.4%, P < 0.001), and higher academic burnout score (59.4 vs. 57.5, P < 0.001). Being non-medical undergraduates, depression, alcohol abuse/dependence, excessive daytime sleepiness, and high perceived stress were positively associated with academic burnout, while high QOL was negatively associated with the burnout (all P < 0.001). Excessive daytime sleepiness was the strongest predictor for academic burnout.
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Affiliation(s)
- Qian Yang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Yueheng Liu
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Winson Fuzun Yang
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX, USA
| | - Pu Peng
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Shubao Chen
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Yunfei Wang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Xin Wang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Manyun Li
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Yingying Wang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Yuzhu Hao
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Li He
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Qianjin Wang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Junhong Zhang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Yuejiao Ma
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Haoyu He
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
| | - Yanan Zhou
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China
- Department of Psychiatry, Hunan Brain Hospital (Hunan Second People's Hospital), Changsha, China
| | - Jiang Long
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Chang Qi
- Department of Psychiatry, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, People's Republic of China
| | - Yi-Yuan Tang
- College of Health Solutions, Arizona State University, Phoenix, AZ, USA
| | - Yanhui Liao
- Department of Psychiatry, School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China
| | - Jinsong Tang
- Department of Psychiatry, School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China
| | - Qiuxia Wu
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China.
| | - Tieqiao Liu
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
- National Clinical Research Center of Mental Disorders, Changsha, Hunan, People's Republic of China.
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Shreevastava AK, Mavai M, Mittal PS, Verma R, Kaur D, Bhandari B. Assessment of the psychological impact of COVID-19 pandemic on undergraduate medical students in India. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:214. [PMID: 36177404 PMCID: PMC9514277 DOI: 10.4103/jehp.jehp_1273_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Accepted: 12/13/2021] [Indexed: 06/16/2023]
Abstract
BACKGROUND Medical students who are prone to psychological stress due to their overburdened curriculum, are at an increased risk of getting adversely affected by the pandemic. The present study was planned to assess the anxiety level among undergraduate medical students across the country using generalized anxiety disorder scale (GAD-7). MATERIALS AND METHODS In this online survey, anonymous data was collected through Google forms from undergraduate students from all the phases of MBBS course across the country from August 15, 2020, to October 15, 2020. Section I collected various demographic information, section II included GAD-7 questionnaire for assessing anxiety and section III had open- ended questions about their impending fear, uncertainties, and apprehensions. The data was expressed in percentage and association among the variables was determined using Chi-square test. Thematic analysis of the open-ended responses was done. RESULTS Among the sample of 1208 students, 81% were from urban areas. During the pandemic, 77% were residing with their parents and 71% parents having stable jobs. Eighty percent students had no relative diagnosed with COVID-19, whereas 52% students had family members with comorbidity. The GAP score showed mild, moderate, and severe anxiety in 27, 24, and 16% students, respectively. Anxiety was significantly associated with rural setting and with COVID-19 positive or comorbid family member (P < 0.05). Open ended responses revealed that majority of the students were finding it difficult to cope with the academic stress at home but still did not want to join back. CONCLUSION With such a high incidence of anxiety among medical students, it is pertinent to safeguard the mental health and implement efficient approaches to upkeep the scholastic, physical, emotional, and professional well-being of medical students during such vulnerable times.
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Affiliation(s)
- Amit Kumar Shreevastava
- Department of Anatomy, All India Institute of Medical Sciences, Raibareilly, Uttar Pradesh, India
| | - Manisha Mavai
- Department of Physiology, Government Medical College, Bharatpur, Rajasthan, Uttar Pradesh, India
| | - Pragati Sheel Mittal
- Department of Anatomy, Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, India
| | - Ranjana Verma
- Department of Anatomy, Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, India
| | - Daljit Kaur
- Department of Transfusion Medicine, All India Institute of Medical Sciences, Raibareilly, Uttar Pradesh, India
| | - Bharti Bhandari
- Department of Physiology, Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, India
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47
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Kaur W, Balakrishnan V, Chen YY, Periasamy J. Mental Health Risk Factors and Coping Strategies among Students in Asia Pacific during COVID-19 Pandemic-A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:8894. [PMID: 35897264 PMCID: PMC9329973 DOI: 10.3390/ijerph19158894] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 07/13/2022] [Accepted: 07/16/2022] [Indexed: 02/05/2023]
Abstract
The impact of COVID-19 has forced higher education institutes to go into lockdown in order to curb the situation. This sudden change caused students within the institutions to forgo traditional face to face classroom settings and to attend immediate online classes. This review aims to summarize the evidence of the social demographic mental health impacts of the COVID-19 pandemic on students in higher education institutes within the Asia Pacific region and identify the coping mechanisms adopted during these times. A systematic literature search was conducted using three databases (PubMed, Google Scholar, and Scopus), out of which 64 studies met the inclusion/exclusion criteria. The findings revealed that the social demographic groups most at risk were female students, those who were in the final years of their studies (i.e., students who were almost graduating), and postgraduate students as well as students studying medical fields (nursing, dental, medicine, health sciences etc.). The majority of the studies identified that students were relying on mobile devices and extended screen time to cope with the pandemic. Having proper social support, be it through a network of friends or positive family cohesion, can be a good buffer against the mental impacts of COVID-19. Students in higher education institutes are at risk of mental consequences due to COVID-19. By reducing their screen time, finding a healthier coping system, increasing the availability of support within the family and community, as well as actively engaging in beneficial activities students may be able to alleviate general negative emotions, specifically during the pandemic.
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Affiliation(s)
- Wandeep Kaur
- Faculty of Information Science & Technology, Universiti Kebangsaan Malaysia, Bangi 43600, Malaysia
| | - Vimala Balakrishnan
- Faculty of Computer Science and Information Technology, Universiti Malaya, Kuala Lumpur 50603, Malaysia;
| | - Yoke Yong Chen
- Department of Psychological Medicine, Faculty of Medicine and Health Science, Universiti Malaysia Sarawak, Kota Samarahan 94300, Malaysia;
| | - Jeyarani Periasamy
- Faculty of Data Science and Information Technology, INTI International University, Nilai 71800, Malaysia;
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Meyer A, Stosch C, Klatt AR, Streichert T. The impact of COVID-19 on medical students' practical skills and hygiene behavior regarding venipuncture: a case control study. BMC MEDICAL EDUCATION 2022; 22:558. [PMID: 35850715 PMCID: PMC9294821 DOI: 10.1186/s12909-022-03601-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 07/04/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Despite their importance to current and future patient care, medical students' hygiene behaviors and acquisition of practical skills have rarely been studied in previous observational study. Thus, the aim of this study was to investigate the potential impact of the COVID-19 pandemic on medical student's hygiene and practical skills. METHODS This case-control study assessed the effect of the COVID-19 pandemic on hygiene behavior by contrasting the practical skills and hygiene adherence of 371 medical students post the pandemic associated lockdown in March 2020 with that of 355 medical students prior to the SARS-CoV-2 outbreak. Students' skills were assessed using an objective structured clinical examination (OSCE). Their skills were then compared based on their results in hygienic venipuncture and the total OSCE score. RESULTS During the SARS-CoV-2 pandemic, medical students demonstrated an increased level of compliance regarding hand hygiene before (prior COVID-19: 83.7%; during COVID-19: 94.9%; p < 0.001) and after patient contact (prior COVID-19: 19.4%; during COVID-19: 57.2%; p = 0.000) as well as disinfecting the puncture site correctly (prior COVID-19: 83.4%; during COVID-19: 92.7%; p < 0.001). Prior to the pandemic, students were more proficient in practical skills, such as initial venipuncture (prior COVID-19: 47.6%; during COVID-19: 38%; p < 0.041), patient communication (prior COVID-19: 85.9%; during COVID-19: 74.1%; p < 0.001) and structuring their work process (prior COVID-19: 74.4%; during COVID-19: 67.4%; p < 0.024). CONCLUSION Overall, the COVID-19 pandemic sensitized medical students' attention and adherence to hygiene requirements, while simultaneously reducing the amount of practice opportunities, thus negatively affecting their practical skills. The latter development may have to be addressed by providing additional practice opportunities for students as soon as the pandemic situation allows.
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Affiliation(s)
- Annika Meyer
- Faculty of medicine and university hospital, department of clinical chemistry, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
| | - Christoph Stosch
- Faculty of medicine and university hospital, Interprofessional Skills Lab and Simulation center (KISS), University of Cologne, Joseph-Stelzmann-Straße 9a, 50931, Cologne, Germany
| | - Andreas R Klatt
- Faculty of medicine and university hospital, department of clinical chemistry, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany
| | - Thomas Streichert
- Faculty of medicine and university hospital, department of clinical chemistry, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany
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Wang F, Gao S, Chen B, Liu C, Wu Z, Zhou Y, Sun Y. A Study on the Correlation Between Undergraduate Students' Exercise Motivation, Exercise Self-Efficacy, and Exercise Behaviour Under the COVID-19 Epidemic Environment. Front Psychol 2022; 13:946896. [PMID: 35859845 PMCID: PMC9292573 DOI: 10.3389/fpsyg.2022.946896] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 06/13/2022] [Indexed: 11/14/2022] Open
Abstract
The outbreak of COVID-19 epidemic has influenced human beings from various aspects including physical exercise behaviours. This study aims to explore the influence of the COVID-19 epidemic on exercise self-efficacy and exercise behaviour, as well as the intermediary effects of exercise motivation. A sample of 1,115 undergraduate students was investigated using the physical exercise behaviour scale, exercise self-efficacy scale, and exercise motivation scale, combined with the COVID-19 epidemic environment as an influencing factor. SPSS was used for statistical analysis and AMOS for the prediction model building. Logical analysis was undertaken to sort out and analyse the data. The structural equation model reveals that exercise self-efficacy has a positive effect on exercise motivation and exercise behaviour. Meanwhile, the COVID-19 epidemic environment negatively influences exercise behaviour through the intermediary role of exercise self-efficacy and exercise motivation. Moreover, the intermediary effect of exercise self-efficacy is greater than that of exercise self-efficacy and exercise motivation. This study provides both theoretical implications and practical guidelines for society and undergraduate students to improve their exercise behaviour during epidemic.
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Affiliation(s)
- Fang Wang
- School of Physical Education, Sichuan University, Chengdu, China
| | - Shiying Gao
- School of Physical Education, Sichuan University, Chengdu, China
| | - Baoxia Chen
- School of Physical Education, Sichuan University, Chengdu, China
| | - Chenyu Liu
- Department of MA Filmmaking, University for the Creative Arts, Farnham, United Kingdom
| | - Zhusheng Wu
- School of Physical Education, Sichuan University, Chengdu, China
| | - Yan Zhou
- School of Physical Education, Sichuan University, Chengdu, China
| | - Yan Sun
- Cyberspace Institute of Advanced Technology, Guangzhou University, Guangzhou, China
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50
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Barakat M, Farha RA, Muflih S, Al-Tammemi AB, Othman B, Allozi Y, Fino L. The era of E-learning from the perspectives of Jordanian medical students: A cross-sectional study. Heliyon 2022; 8:e09928. [PMID: 35874065 PMCID: PMC9304731 DOI: 10.1016/j.heliyon.2022.e09928] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Revised: 05/12/2022] [Accepted: 07/07/2022] [Indexed: 12/23/2022] Open
Abstract
Introduction Online learning is becoming a crucial part of the educational process worldwide, especially after the recent COVID-19 pandemic. This study was designed to assess medical students’ perception toward online learning and their perceived preparedness and barriers during the COVID-19 pandemic. Methods An electronic-based, cross-sectional survey was used to recruit eligible students in Pharmacy, Doctor of Pharmacy, Medicine, Nursing, Dentistry, and Veterinary Medicine programs at various Jordanian universities (public and private). Descriptive and linear regression analysis were conducted using S.P.S.S. software. The perception score was calculated based on a 5-point Likert scale. Results A total of 939 students agreed to participate in this study. The prominent category was females (n = 691, 73.6%), the median age of students was 22.0 years (IQR = 2.0), and around 56% of the students study in private universities (n = 520, 55.6%). More than half of the students reported that their experiences were unsatisfactory or very unsatisfactory (n = 510, 54.3%). The majority of students preferred face-to-face communication with their professors and colleagues and considered it more effective (n = 682, 72.6%). The median of the mean perception score was 2.4 (IQR = 1.1). Regarding challenges and barriers, more than 70% reported weak internet connection, E-learning boredom, and lack of motivation (n = 723, 77.0%). Conclusion This study reported inadequate satisfaction and perception towards the current experience in E-learning during the COVID-19 pandemic. It also discussed the barriers and challenges hindering this transition, such as weak internet connection and the lack of motivation, indicating a need for implementing new pedagogies to enhance students’ experiences regarding online education.
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Affiliation(s)
- Muna Barakat
- Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, 11931 Amman, Jordan
- Corresponding author.
| | - Rana Abu Farha
- Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, 11931 Amman, Jordan
| | - Suhaib Muflih
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid 22110, Jordan
| | - Ala’a B. Al-Tammemi
- Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Bayan Othman
- Department of Pharmaceutical Sciences and Pharmaceutics, Faculty of Pharmacy, Applied Science Private University, Amman 1931, Jordan
| | - Yasmin Allozi
- Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, 11931 Amman, Jordan
| | - Leen Fino
- Department of Pharmaceutical Sciences and Pharmaceutics, Faculty of Pharmacy, Applied Science Private University, Amman 1931, Jordan
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