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Lu L, Ye C, Xu R, Feng H, Liu B. Psychological resilience and perceived stress among Chinese medical students: mediation between optimistic intelligence quotient and adversity quotient. BMC MEDICAL EDUCATION 2024; 24:1358. [PMID: 39587588 PMCID: PMC11590519 DOI: 10.1186/s12909-024-06287-0] [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: 03/04/2023] [Accepted: 11/02/2024] [Indexed: 11/27/2024]
Abstract
BACKGROUND Chinese medical students face rigorous academic demands and exacting professional challenges, which lead to significant psychological stress. Understanding perceived stress and psychological resilience is key to enhancing emotional regulation and empathy. This study explores the hypothesis that psychological resilience impacts the perceived stress of medical students, with the Optimistic Intelligence Quotient (OQ) and the Adversity Quotient (AQ) acting as serial mediators, thereby promoting students' mental health. METHODS A questionnaire survey was conducted to assess psychological resilience, perceived stress, OQ, and AQ among students from the top 20 medical colleges in mainland China. Using random sampling, 60 students per institution were selected, yielding 1,024 valid responses from 1,200 distributed questionnaires. Data were analyzed using correlation and mediation analysis. RESULTS The results showed a significant negative correlation between psychological resilience and perceived stress. OQ was significantly associated with reduced stress and enhanced overall well-being, while AQ was related to stress management skills.A serial mediation pathway was identified from psychological resilience to OQ and AQ, forming a chain influencing perceived stress. CONCLUSIONS This study highlights the current psychological stress among Chinese medical students and the serial mediating roles of OQ and AQ. Tailored interventions in medical education should focus on enhancing psychological resilience to reduce perceived stress. Future research should explore alternative frameworks in positive psychology and develop new stress management intervention models.
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Affiliation(s)
- Lu Lu
- Tin Ka Ping Moral Education Research Center, College of Education, Zhejiang Normal University, Jinhua, China
- Institute of Medical Humanities, Wenzhou Medical University, Wenzhou, China
| | - Chenlu Ye
- School of medical humanities and management,Wenzhou Medical University, Wenzhou, China
| | - Runshu Xu
- School of medical humanities and management,Wenzhou Medical University, Wenzhou, China
| | - Haoqing Feng
- Tin Ka Ping Moral Education Research Center, College of Education, Zhejiang Normal University, Jinhua, China.
| | - Bojing Liu
- Institute of Medical Humanities, Wenzhou Medical University, Wenzhou, China.
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Song G, Han H, Park S, Sa S, Chung W, Lee BY. Effects of GSH on Alcohol Metabolism and Hangover Improvement in Humans: A Randomized Double-Blind Placebo-Controlled Crossover Clinical Trial. Nutrients 2024; 16:3262. [PMID: 39408229 PMCID: PMC11479010 DOI: 10.3390/nu16193262] [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: 08/26/2024] [Revised: 09/15/2024] [Accepted: 09/24/2024] [Indexed: 10/20/2024] Open
Abstract
BACKGROUND The definition of alcohol hangovers refers to a combination of mental and physical side effects that occur after drinking. One of the ways that hangovers can be ameliorated is by promoting the rapid and effective elimination of acetaldehyde to alleviate the discomfort it causes. This study aimed to investigate the effects of GSH (yeast extract containing 50 mg of glutathione) on the hangover-relieving effect. METHODS A randomized double-blind placebo-controlled crossover clinical trial was conducted with 40 participants who reported experiencing hangover symptoms. Participants consumed alcohol at a rate of 0.78 g per kg body weight with 40% whiskey, adjusted according to their weight. Alcohol and acetaldehyde concentrations in serum were analyzed at 0, 0.25, 1, 2, 4, 6, and 15 h after alcohol consumption. RESULTS In the GSH group, the serum alcohol concentration decreased, although this change was not statistically significant. The serum acetaldehyde concentration was significantly lower in the GSH group in comparison to the placebo group (at 0.25, 1, 4, and 6 h (p < 0.01) and at 0.5, 2, and 15 h (p < 0.001) after alcohol consumption). However, there was no significant difference between the two groups on questionnaires such as the Acute Hangover Scale and the Alcohol Hangover Severity Scale. CONCLUSIONS Overall, we consider the discovery that GSH lowered acetaldehyde concentration, a crucial factor in alcohol metabolism, to be more considerable. Therefore, GSH administration effectively reduces acetaldehyde levels in serum. This result suggests that this effect may contribute to the relief of hangover symptoms.
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Affiliation(s)
- Gunju Song
- Department of Food Science and Biotechnology, College of Life Science, CHA University, Seongnam-si 13488, Republic of Korea; (G.S.); (H.H.)
| | - Hyein Han
- Department of Food Science and Biotechnology, College of Life Science, CHA University, Seongnam-si 13488, Republic of Korea; (G.S.); (H.H.)
| | - Seyoung Park
- Food R&D, Samyang Corp., Seongnam-si 13488, Republic of Korea; (S.P.); (S.S.); (W.C.)
| | - Soonok Sa
- Food R&D, Samyang Corp., Seongnam-si 13488, Republic of Korea; (S.P.); (S.S.); (W.C.)
| | - Wookyung Chung
- Food R&D, Samyang Corp., Seongnam-si 13488, Republic of Korea; (S.P.); (S.S.); (W.C.)
| | - Boo Yong Lee
- Department of Food Science and Biotechnology, College of Life Science, CHA University, Seongnam-si 13488, Republic of Korea; (G.S.); (H.H.)
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Pachi A, Kavourgia E, Bratis D, Fytsilis K, Papageorgiou SM, Lekka D, Sikaras C, Tselebis A. Anger and Aggression in Relation to Psychological Resilience and Alcohol Abuse among Health Professionals during the First Pandemic Wave. Healthcare (Basel) 2023; 11:2031. [PMID: 37510472 PMCID: PMC10378977 DOI: 10.3390/healthcare11142031] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 06/27/2023] [Accepted: 07/12/2023] [Indexed: 07/30/2023] Open
Abstract
Mental health problems, behavior changes, and addictive issues have been consistently documented among healthcare workers during the pandemic. The objective of this study was to investigate the levels of anger and aggression in relation to psychological resilience and alcohol abuse among healthcare workers during the first wave of the COVID-19 pandemic. A total of 120 physicians and 123 nurses completed an online survey of the Dimensions of Anger Reactions-5 (DAR-5), the Brief Aggression Questionnaire (BAQ), the Brief Resilience Scale (BRS), and the Alcohol Screening questionnaire CAGE which is an acronym for the focus of the questions (Cutting down, Annoyance by criticism, Guilty feeling, and Eye-openers). Demographic and professional data were also recorded. A total of 53 men and 190 women participated in the study. Almost one-third of the participants had a positive score on the DAR-5 scale and one out of ten respondents presented with current problematic alcohol use. Male participants demonstrated lower scores on the DAR-5 scale compared to females. Individuals with current problematic alcohol use displayed higher scores on the BAQ compared to those without alcohol use disorders. Regression analysis revealed that 16.4% of the variance in the BAQ scores can be attributed to scores on the DAR-5, 5.9% to the BRS scores, 2.1% to the CAGE scores, 1.7% to gender, and 1.2% to years of work experience. Mediation analysis highlighted the role of psychological resilience as a negative mediator in the DAR-5 and BAQ relationship. Professional experience and alcohol abuse emerged as positive and negative risk factors contributing to aggression and psychological resilience. The findings hold practical implications for implementing interventions to strengthen resilience in order to compensate for aggressive tendencies and discourage addictive issues.
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Affiliation(s)
- Argyro Pachi
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Evgenia Kavourgia
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Dionisios Bratis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Konstantinos Fytsilis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Styliani Maria Papageorgiou
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Dimitra Lekka
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Christos Sikaras
- Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece;
| | - Athanasios Tselebis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
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Verster JC, Donders JA, Boogaard AS, Bruce G. Predictors of Hangover Frequency and Severity: The Impact of Alcohol Consumption, Mental Resilience, Personality, Lifestyle, Coping and Mood. J Clin Med 2023; 12:3811. [PMID: 37298006 PMCID: PMC10253648 DOI: 10.3390/jcm12113811] [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: 04/11/2023] [Revised: 05/25/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023] Open
Abstract
Mental resilience is the ability to bounce back from daily life stressors such as divorce or losing a job. Extensive research has demonstrated a negative relationship between mental resilience and alcohol consumption. That is, both the quantity and frequency of alcohol consumption are greater in individuals with lower levels of mental resilience. There has, however, been little scientific attention paid to the relationship between mental resilience and alcohol hangover severity. The objective of this study was to evaluate psychological factors that may impact the frequency and severity of alcohol hangovers, including alcohol intake itself, mental resilience, personality, baseline mood, lifestyle, and coping mechanisms. An online survey was conducted among Dutch adults (N = 153) who had a hangover after their heaviest drinking occasion in the period before the start of the COVID-19 pandemic (15 January to 14 March 2020). Questions were asked about their alcohol consumption and hangover severity on their heaviest drinking occasion. Mental resilience was assessed with the Brief Mental Resilience scale, personality with the Eysenck Personality Questionnaire-Revised Short Scale (EPQ-RSS), mood via single item assessments, and lifestyle and coping with the modified Fantastic Lifestyle Checklist. The partial correlation, corrected for estimated peak blood alcohol concentration (BAC), between mental resilience and hangover severity was not significant (r = 0.010, p = 0.848). Furthermore, no significant correlations were found between hangover severity or frequency and personality and baseline mood. For lifestyle and coping factors, a negative correlation was found between the use of tobacco and toxins (i.e., drugs, medicines, caffeine) and the frequency of experiencing hangovers. Regression analysis revealed that hangover severity after the heaviest drinking occasion (31.2%) was the best predictor of hangover frequency, and that subjective intoxication on the heaviest drinking occasion (38.4%) was the best predictor of next-day hangover severity. Mood, mental resilience, and personality were not relevant predictors of hangover frequency and severity. In conclusion, mental resilience, personality, and baseline mood do not predict hangover frequency and severity.
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Affiliation(s)
- Joris C. Verster
- Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3584 CG Utrecht, The Netherlands; (J.A.D.); (A.S.B.)
- Centre for Human Psychopharmacology, Swinburne University, Melbourne, VIC 3122, Australia
| | - Julie A. Donders
- Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3584 CG Utrecht, The Netherlands; (J.A.D.); (A.S.B.)
| | - Anne S. Boogaard
- Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3584 CG Utrecht, The Netherlands; (J.A.D.); (A.S.B.)
| | - Gillian Bruce
- Division of Psychology and Social Work, School of Education and Social Sciences, University of the West of Scotland, Paisley PA1 2BE, UK;
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Hudson F, Gunn C. Does Personality, Trait Emotion Regulation, and Trait Attentional Control Contribute toward the Experience and Impact of an Alcohol Hangover? Healthcare (Basel) 2023; 11:healthcare11071033. [PMID: 37046960 PMCID: PMC10094614 DOI: 10.3390/healthcare11071033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 03/27/2023] [Accepted: 04/02/2023] [Indexed: 04/08/2023] Open
Abstract
Mixed results have been reported for the relationship between personality and hangover, but recent findings have indicated that regulatory and attentional control processes may relate to hangover severity and the impact of a hangover on completing daily activities. This study aimed to explore how these factors relate to hangover severity, hangover impact, and to unhealthy alcohol use. In total, 108 participants completed a survey, rating the severity and impact of their last-experienced hangover and completing measures of the above factors. Separate multiple linear regressions were conducted to analyse each outcome (severity, impact, unhealthy drinking). For severity, the overall regression was significant (Adj. R2 = 0.46, p < 0.001), with the attentional control factor ‘Focusing’ (B = −0.096, p = 0.011), and personality factor ‘Agreeableness’ (B = 0.072, p = 0.005) predicting severity. For impact, the overall regression was significant (Adj. R2 = 0.41, p < 0.001) with the attentional control factor ‘Shifting’ (B = −0.252, p = 0.021), personality factors ‘Extraversion’ (B = 0.225, p = 0.009) and ‘Agreeableness’ (B = −0.156, p = 0.042), and hangover severity (B = 1.603, p < 0.001) predicting impact. For unhealthy drinking, the overall regression model was significant (Adj. R2 = 0.45, p < 0.001) with emotion dysregulation factors ‘Awareness’ (B = 0.301, p = 0.044) and ‘Impulse Control’ (B = 0.381, p = 0.011) predicting unhealthy drinking. These findings add to our understanding of the heterogeneity of hangover experience and highlight that attentional control, emotion regulation, and personality play important roles in the experience and impact of a hangover.
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Affiliation(s)
- Felicity Hudson
- School of Psychological Science, University of Bristol, Bristol BS8 1TQ, UK
| | - Craig Gunn
- School of Psychological Science, University of Bristol, Bristol BS8 1TQ, UK
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