Hafen McArthur, Reisbig Allison M J, White Mark B, Rush Bonnie R
College of Veterinary Medicine, Kansas State University, Manhattan, KS 66506 USA.
J Vet Med Educ. 2008 Spring;35(1):102-9. doi: 10.3138/jvme.35.1.102.
The present study evaluated the impact of academic and non-academic stressors on depression levels in a longitudinal investigation of 78 first-year veterinary medical students enrolled at Kansas State University (KSU). Students completed the Center for Epidemiological Studies Depression Scale during their first and second semesters to evaluate the dependent variable, depression. Students provided information about specific stressors and relevant demographic variables that yielded independent variables. One-third of veterinary medical students surveyed in their first and second semesters reported depression levels above the clinical cut-off; 15% of the sample experienced an increase in depression of at least one standard deviation, despite the apparent stability of the proportion of students experiencing significant depressive symptoms. Students whose depression scores increased by one standard deviation or who maintained scores above the clinical cut-off score were identified as struggling. Struggling students reported more first-semester homesickness and academic concerns, along with difficulty fitting in with peers and poorer perceived physical health during the second semester. This study helped to identify those students most prone to develop or maintain concerning depression scores. The discussion section addresses specific suggestions for intervening with struggling students.
本研究在对堪萨斯州立大学(KSU)录取的78名一年级兽医专业学生进行的纵向调查中,评估了学术和非学术压力源对抑郁水平的影响。学生们在第一学期和第二学期完成了流行病学研究中心抑郁量表,以评估因变量——抑郁。学生们提供了有关特定压力源和产生自变量的相关人口统计学变量的信息。在第一学期和第二学期接受调查的兽医专业学生中,三分之一报告其抑郁水平高于临床临界值;尽管经历显著抑郁症状的学生比例看似稳定,但15%的样本抑郁程度至少增加了一个标准差。抑郁得分增加一个标准差或保持得分高于临床临界值的学生被确定为存在困扰。存在困扰的学生报告称,第一学期有更多的思乡情绪和学业担忧,以及第二学期难以融入同龄人且自我感觉身体健康较差。这项研究有助于识别那些最容易出现或维持令人担忧的抑郁得分的学生。讨论部分针对干预存在困扰的学生提出了具体建议。