Impact of COVID-19 related stressors on mental health in junior medical students (original) (raw)
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Psychological Impact of COVID-19 Pandemic on Medical Students
2021
Objective: To ascertain the prevalence of stress and anxiety disorder affecting the learning behaviors on Medical students during pandemic of COVID-19, so that strategies to cope would be streamlined. Methods: This Cross-sectional study was carried out at AL-Aleem Medical College, Lahore attached with Gulab Devi Educational Complex, over a period of three months from September 2020 to November 2020 after approval from Institutional Review Board. Non probability convenience sampling technique was used, a total of 150 willing medical students 50 from each class (1, 2 and 3) were included in this study. The Data was collected by handing over “The 7item Generalized Anxiety Disorder Scale (GAD-7)” Perfprma, it was entered and then analyzed with SPSS version 23. Results: Total prevalence of stress and anxiety disorders in medical students was 81%, it was more prevalent in host élite 68.20% and in females 69%, the P-Value between female /male was 0.016 that is statistically significant. Th...
Anxiety, depression, and academic stress among medical students during the COVID-19 pandemic
Frontiers in Psychology
BackgroundThe social distancing policies implemented by the health authorities during the COVID-19 pandemic in Mexico and elsewhere led to major changes in teaching strategies for college undergraduates. So far, there is limited data regarding the impact of the lockdown on the academic stress and mental health of these students.ObjectiveTo assess the occurrence of academic difficulties, anxiety, depression, and academic stressors resulting in somatization with subsequent coping strategies linked to the pandemic.Materials and methodsA cross-sectional study was conducted with 728 medical students (years 1–5). A purposely designed questionnaire to assess academic difficulties associated with the pandemic was administered electronically. The validated Goldberg anxiety and depression scale was also used, as well as the SISCO-II inventory on academic stress.ResultsScreening for anxiety and depression led to a prevalence of 67.9 and 81.3%, respectively. Most relevant stressors, reported al...
Anxiety in medical students, during a COVID-19 pandemic
CIERMMI Women in Science Medicine and Health Sciences Handbooks T-XIII, 2021
Know the presence of anxiety in medical students from a private university in Colombia, during the COVID-19 pandemic. Non-experimental, quantitative, exploratory cross-sectional study; applied the DASS-21 scale. Cronbach's alpha of the total scale was 0 .79. Descriptive analysis was carried out in statistical package spss v21, data collection was by google forms during the month of December 2020, with prior informed consent. The convenience sample consisted of 115 students from the medical school of a private university in the city of Cartagena, Colombia. Of this, 60 were women and 55 men. 80 students were anxious (medium, moderate, severe, and very severe). Very severe and severe anxiety was more frequently expressed in women. It is concluded that during the COVID-19 pandemic, 80 of 115 medical students from a private university in Cartagena Colombia presented anxiety.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2022
Introduction: COVID-19 pandemic has impacted the mental health of medical students due to multiple factors like the fear of getting infected, the stress of maintaining the preventive measures, the demands of the online classes, and the uncertainty of the future. Aim: To assess the anxiety levels of the medical students and strategies, they used to cope up with the anxiety during the pandemic. Materials and Methods: A cross-sectional study was carried out among all the first and final year MBBS students of a Women’s Medical College and Teaching Hospital in Hyderabad, Telangana, India. The questionnaire contained a total of 25 questions- three questions to collect the demographic data, a 7-item Generalised Anxiety Disorder Scale (GAD), and 15 questions assessing their coping strategies; was distributed to all the study participants as a Google form. Data from completed questionnaires were entered into an excel sheet and analysed using Jamovi software version 1.6.23.0. Results: A total...
Springer Nature, 2022
Introduction: Coronavirus disease 2019 (COVID-19) pandemic has continued relentlessly for over one and half years now, causing a threat to life, fear of falling sick, helplessness, anxiety, depression and, pessimism about the future. There has been an increasing concern over student mental health in higher education. Our study was designed to measure current mental health status and its relationship with sociodemographic variables and level of knowledge about COVID-19 in Saudi Arabia. Method: A cross-sectional survey was conducted among laboratory medicine students of Makkah city, Saudi Arabia from October, 2020 to January, 21. A semi-structured questionnaire was circulated through mail and What's App. Data collected included sociodemographic details and level of knowledge towards the COVID-19 among the students. Depression anxiety and stress-21 item (DASS 21) was used to assess psychological status. Result: Our study reported 51.4% depressive symptoms, 57.9% anxiety symptoms, and 48.5% stress in the study participants. History of being hospitalized with COVID-19 and ICU reported high anxiety (p = 0.0003) and depression scores (p = 0.04). Respiratory droplet as a mode of transmission revealed higher scores on anxiety subscale (p = 0.007), whereas surface contamination reported high score of stress (p = 0.004) and anxiety (p = 0.002). Knowing that COVID-19 can also clinically present with gastrointestinal symptoms was found to show high stress (p = 0.005) and anxiety (p = 0.01) scores than any other way of clinical presentation. Conclusion: COVID-19 is likely to cause negative effect on the psychological health of students.
Research Square (Research Square), 2022
Purpose: To assess prevalence and risk factors for stress, depression and anxiety (SDA) in medical students during quarantine by COVID-19. Methods: A cross-sectional observational study of medical students using the DASS-21 questionnaire. Risk factors for SDA were assessed based on epidemiologic questions related to COVID-19. Receiver Operating Characteristics (ROC) curves were calculated for each predictor, as well as sensitivity and speci city. Results: responses were received, with a 77.5% prevalence of any SDA disorder, 63% being severe. Prior diagnosis of psychiatric disorder was the factor with higher OR (OR 2.78 CI95% 1.44-14.25, p=0.044) for anxiety, as well as for depression (OR 3.37 CI95% 1.98-6.02, p<0.001). Prior psychiatric illness (OR 3.70 CI95% 2.21-6.44, p= 0.001), having a chronic illness (OR 2.09, CI95% 1.19-3.83, p=0.013) and male gender (OR 0.56 CI95% 0.37-0.86, p=0.009) were independently associated with the outcome for stress. Conclusion: The COVID-19 pandemic had effects on the mental health of medical students, with previous psychiatric disorder and the presence of chronic illness being the main risk factors. this, the student receives responsibilities, duties, and deadlines, which most of the time they were not used to 10,11. This change leads to break family ties and are forced to create new social bonds 9-13. In studies conducted with medical students, it has been shown that rates of stress and depression are higher in this audience than in the general population 10-15. The pandemic of COVID-19 (SARS-CoV-2) may be an aggravating factor for the worsening of this reality, since the teaching institutions had to use new teaching methods, and the students, with their singularities and di culties, had to adapt to have access to education and ful ll the proposed activities 16-18. Based on these facts, our study hypothesized that our students became more depressed, anxious and stressed, mainly due social, epidemiological and educational factors that were forced to change dure to the pandemic COVID-19. In this regard, it is important to understand the roots and main factors that in uence this context of the rise of mental issues, thus being able to act through health promotion and prevention, collective health programs, early diagnosis and treatment 19. Therefore, this study aimed to establish relationships between the pandemic and the mental health of medical students, understanding how in uences occur and how each element is affected. This study assessed mental health and teaching aspects in medical students during quarantine imposed due to the SARS-CoV-2 pandemic. Methods This is a cross-sectional observational study with a non-probability convenience sampling design. After approval by the Research Ethics Committee (CAAE 35666820.2.0000.0068), medical students regularly enrolled in higher education institutions were invited to participate. The survey was disseminated digitally, including mailings to WhatsApp® groups, which contained medical students or professors from medical schools, and emailed to medical societies that had some interface with academics. Each participant was asked to forward to fellow medical students enrolled in Brazilian medical schools. After 30 days of the rst dissemination, a new dissemination was made. The collection of responses was conducted until no more responses were received for a period longer than seven days, which meant opening on August 10, 2020 and closing on October 5, 2020 (55 days). Participants answered the DASS-21 form (21 items) (Appendix 1) and the epidemiological questions (16 items) (Appendix 2), which covered issues related to mental health during quarantine by COVID-19 and social and academic aspects. The questionnaire used to assess stress, anxiety and depression was the reduced version of the DASS scale 20 .
Anxiety Levels of Undergraduate and Clerkship Medical Students during the COVID-19 Pandemic
Ulum Islamiyyah
The COVID-19 pandemic has brought a devastating impact on the world. Medical students who belong to psychologically vulnerable groups also share more burdens due to the medical education academic demands, curriculum transition to virtually-delivered format, and the risk of being infected by the disease during clinical settings. This study aims to identify the anxiety level of undergraduate and clerkship medical students to create proper and effective strategies to build good mental status among medical students during the COVID-19 pandemic. It is a cross-sectional study. The survey was conducted using an online questionnaire to assess respondents’ identity, demographic data, family history, perceptions about online/offline learning, and the researchers used the Taylor Manifest Anxiety Scale (TMAS) test to measure the anxiety level of the subjects. The subjects of this study were 164 medical students, divided into two groups, 94 final year undergraduate students and 70 final year cle...
NETSOL: New Trends in Social and Liberal Sciences, 2021
Covid-19 is a communicable infective disease and has been the major current health challenge since it emerged in China in late 2019. Although earlier data analyses of Dawei Wang etc. from 138 hospital of China had shown that its mortality rate is less than 5%, shown (4.3%), major concern is its widespread transmission. The Covid-19 pandemic has adversely affected economics and the mental health of millions worldwide. Fear is the one of the psychological outcomes of pandemic, but the psychological impact of the pandemic was overshadowed by financial and economic impact, which are interrelated. Conducted through an online questionnaire, this study evaluates the anxiety level of medical students of Nishtar Medical University and Multan and Quaide-Azam Medical College (QAMC) Bahawalpur in southern Punjab of Pakistan by using fear Covid-19 scale. The research employs the fear scale developed by Ahorsu et al. based on unidimensional 7 items, 5-point Likert scale. This scale is a valid and reliable tool and has been used to assess the fear for Covid-19 in general population. This scale has been used internationally by many researchers to measure anxiety levels. The research correlated the socio demographic variables, such as age, sex, education level and living surroundings, with anxiety levels that would help to redesign curriculum for education and to plan programs to enhance the knowledge of medical students for preventive measures against Covid-19. 577 male and female students from 1 st to 5 th year of bachelor's in medicine and bachelor's in surgery (MBBS) with ages ranging from 17 to 25 years participated in this study. Conclusion: Our study shows that the Covid-19 has created fear and phobia that is affecting the mental health of medical students. Health programs is a basic requirement at the time to minimize the psychological impact of phobia in medical students.
Impact of the covid 19 pandemic on anxiety levels of medical students in pakistan pp
Covid-19 is a communicable infective disease and has been the major current health challenge since it emerged in China in late 2019. Although earlier data analyses of Dawei Wang etc. from 138 hospital of China had shown that its mortality rate is less than 5%, shown (4.3%), major concern is its widespread transmission. The Covid-19 pandemic has adversely affected economics and the mental health of millions worldwide. Fear is the one of the psychological outcomes of pandemic, but the psychological impact of the pandemic was overshadowed by financial and economic impact, which are interrelated. Conducted through an online questionnaire, this study evaluates the anxiety level of medical students of Nishtar Medical University and Multan and Quaide-Azam Medical College (QAMC) Bahawalpur in southern Punjab of Pakistan by using fear Covid-19 scale. The research employs the fear scale developed by Ahorsu et al. based on unidimensional 7 items, 5-point Likert scale. This scale is a valid and reliable tool and has been used to assess the fear for Covid-19 in general population. This scale has been used internationally by many researchers to measure anxiety levels. The research correlated the socio demographic variables, such as age, sex, education level and living surroundings, with anxiety levels that would help to redesign curriculum for education and to plan programs to enhance the knowledge of medical students for preventive measures against Covid-19. 577 male and female students from 1 st to 5 th year of bachelor's in medicine and bachelor's in surgery (MBBS) with ages ranging from 17 to 25 years participated in this study. Conclusion: Our study shows that the Covid-19 has created fear and phobia that is affecting the mental health of medical students. Health programs is a basic requirement at the time to minimize the psychological impact of phobia in medical students.
International Journal of Clinical Practice, 2021
Aim: Coronavirus Disease 2019 (COVID-19) changed the delivery of medical education in Turkey by moving to an emergency remote teaching system and led to many challenges for future doctors. In this study, we aimed to explore the impact of the COVID-19 pandemic on medical students, to assess their anxiety level and their main anxiety sources related to this pandemic. Methods: A Google Form was distributed to medical students using the virtual snowball sampling method. The form included the Beck Anxiety Inventory and additional 19 questions on sociodemographic characteristics, perceived level of knowledge about the epidemic, self-risk perceptions of COVID-19 and their anxiety levels about some other topics related to COVID-19. Results: Overall, 3105 medical students with a mean age of 22.37 ± 2.46, took the survey. Amongst the participants, only 32% of the students defined their knowledge about the precautions that should be taken during an epidemic disease as acceptable. Students reported highest anxiety level for the continuing spread of COVID-19 in Turkey and transmitting coronavirus to another person. Clinically significant anxiety prevalence was 23.2%. Regression analysis revealed that factors that increased the risk of being anxious included being female, being other than a 5th-year student, thinking that being a medical student would increase the risk of coronavirus transmission or being uncertain about it, being exposed to a patient with COVID-19 or being uncertain about it, being anxious about the continuing spread of COVID-19 in Turkey, being anxious about acquiring COVID-19, being anxious for graduating and being on active duty, being anxious about a medical training interruption. Conclusion: Our results suggest that anxiety is prevalent amongst Turkish medical students during the COVID-19 pandemic and they have a weak preparedness for a pandemic such as COVID-19. Based on our results, new strategies should be implemented for medical education and for alleviating students' anxiety levels. 9 (1-10) 8 (1-10) P < .001 ** , Z = −8.963 Anxiety level for transmitting coronavirus to another person, as you have undiagnosed COVID-19, Median (minimum-maximum) 9 (1-10) 8 (1-10) P < .001 ** , Z = −6.680 Anxiety level for having an interruption in their medical training, Median (minimum-maximum) 8 (1-10) 7 (1-10) P < .001 ** , Z = −6.649 Anxiety level for getting COVID-19, Median (minimum-maximum) 6 (1-10) 4 (1-10) P < .001 ** , Z = −11.622 Notes: a-b: results of the statistical analysis of comparing group a from group b; a-c: results of the statistical analysis of comparing group a from group c; b-c: results of the statistical analysis of comparing group b from group c.