医学生抑郁、焦虑与压力的早期观察分析

IF 1.8 Q3 PSYCHOLOGY, CLINICAL Mediterranean Journal of Clinical Psychology Pub Date : 2020-08-13 DOI:10.6092/2282-1619/MJCP-2516
Hajira Ramlan, Norrul Izuhan Shafri, S. Wahab, Mohammad Arif Kamarudin, R. Rajikan, N. Wahab, H. Damanhuri
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引用次数: 6

摘要

攻读医学学位可以为处于临床前或临床阶段的学生创造一个紧张的环境。本研究旨在确定医学课程对马来西亚凯邦萨安大学(UKM)医学生在课程前和课程中抑郁、焦虑和压力水平的影响。一项研究对英国医学院2018/2019学年招收的133名一年级医学生进行了研究。使用经验证的问卷——21项抑郁-焦虑-压力量表(DAS-21)——在两个不同的时间间隔测量抑郁、焦虑和压力水平:迎新周(时间0)和第二学期初(时间1)。所收集的数据使用SPSS v25.0进行Wilcoxon符号秩检验、Mann-Whitney U检验和Kruskal-Wallis H检验的统计评估。医学生包括25.6%(n=34)的男性和74.4%(n=99)的女性。超过一半的人是马来人(60.9%,n=81),其次是印度人(18%,n=24)、华人(12%,n=16)和其他种族(9%,n=12)。英国医学院医学生在开始医学项目后,抑郁(Z=-4.263,p<0.001)、焦虑(Z=-2.235,p=0.025)和压力(Z=-4783,p<0.001)症状显著增加。研究发现,在这两个时间间隔内,与抑郁和压力相比,不健康的焦虑水平非常普遍。在医学项目期间,焦虑与种族之间的相关性似乎很显著(Z=111.694,p=0.009)。医学生在医学项目的6个月内就出现了更高的抑郁、焦虑和压力症状。应及早采取预防措施,保持医学生良好的心理健康。
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Depression, Anxiety and Stress in Medical Students: An Early Observation Analysis
Studying a medical degree can create a stressful environment for students who are in the pre-clinical or clinical phase of their course. This study aims to determine both the effect of a medical programme on levels of depression, anxiety, and stress among Universiti Kebangsaan Malaysia (UKM) medical students before and during the course. A study was conducted with 133 first-year medical students enrolled in the 2018/2019 academic session in UKM. Levels of depression, anxiety and stress were measured using a validated questionnaire—the 21-item Depression Anxiety Stress Scale (DASS-21)—at two different time intervals: during orientation week (time 0) and early in the second semester (time 1). The collected data undergo statistical assessment with Wilcoxon Signed Ranks Test, Mann-Whitney U Test and Kruskal-Wallis H Test using SPSS v25.0. The medical students comprised 25.6% (n = 34) males and 74.4% (n = 99) females. More than half were Malay (60.9%, n = 81), followed by Indian (18%, n = 24), Chinese (12%, n = 16) and other races (9%, n = 12). There was a significant increase in depression (Z = -4.263, p < 0.001), anxiety (Z = -2.235, p = 0.025) and stress (Z = -4.783, p < 0.001) symptoms among UKM medical students after starting the medical programme. Unhealthy level of anxiety was found to be highly prevalent compared with depression and stress, at both time intervals. The association between anxiety and race during the medical programme appeared to be significant (Z = 11.694, p = 0.009). The medical students experienced higher depression, anxiety, and stress symptoms as early as 6 months during the medical programme. Preventive measures should be taken at an early stage to maintain medical students’ good psychological health.
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来源期刊
CiteScore
4.10
自引率
53.80%
发文量
0
审稿时长
4 weeks
期刊介绍: The MJCP is an Open Access Peer-Reviewed International Journal in Clinical Psychology. MJCP accepts research related to innovative and important areas of clinical research: 1. Clinical studies related to Clinical Psychology, 2. Psychopathology and Psychotherapy; 3. Basic studies pertaining to clinical psychology field as experimental psychology, psychoneuroendocrinology and psychoanalysis; 4. Growing application of clinical techniques in clinical psychology, psychology of health, clinical approaches in projective methods; 5. Forensic psychology in clinical research; 6. Psychology of art and religion; 7. Advanced in basic and clinical research methodology including qualitative and quantitative research and new research findings.
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