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临床前医学生抑郁、焦虑和压力的心理测量特性

Psychometric Properties of Depression Anxiety and Stress in Preclinical Medical Students.

作者信息

Nimkuntod Porntip, Uengarpon Naporn, Benjaoran Fuangfa, Pinwanna Kwanruan, Ratanakeereepun Karakad, Tongdee Pattama

出版信息

J Med Assoc Thai. 2016 Oct;99 Suppl 7:S111-7.

PMID:29901964
Abstract

BACKGROUND

Medical education and learning outcomes might adversely affect students’ mental health in all axes depression, anxiety, and stress. Faculty has a concern regarding the mental well-being of the medical students.

OBJECTIVE

Explore the prevalence of depressive anxiety and stress symptoms, ways of coping, and their relationships to variables among preclinical medical students.

MATERIAL AND METHOD

A cross-sectional, observational study was conducted in preclinical medical students, Suranaree University of Technology in March 2015. Two hundred thirty medical students (First, second, and third year students) were included and then completed the Self-administered questionnaire, The Depression Anxiety Stress Scale-21 (DASS-21) is a quantitatively measured for distress along the three axes of depression, anxiety, and stress.

RESULTS

At the beginning of the study, 230 students enrolled in the study (43.2% male). The overall response rate among medical students was 92.61% (213/230). The prevalence of mild to moderate degree in depression, anxiety, and stress level was 9.4%, 22.5%, and 5.6%, respectively while the prevalence of severe to extremely severe degree in depression, anxiety, and stress level was 0.9%, 3.2%, and 0%, respectively. The second-year medical students exhibited the highest percentage of depression, anxiety, and stress but there was no significant difference among depression, anxiety, and stress between academic year in preclinical medical students. No burnout and suicidal ideation were reported by either males or females.

CONCLUSION

This present indicated that medical students have a low level of depression, anxiety, and stress, however, the data is useful for further planning of prevention in psychometric risks.

摘要

背景

医学教育和学习成果可能会在抑郁、焦虑和压力的各个方面对学生的心理健康产生不利影响。教师们担心医学生的心理健康状况。

目的

探讨临床前医学生中抑郁、焦虑和压力症状的患病率、应对方式及其与各种变量的关系。

材料与方法

2015年3月,在泰国宋卡王子大学理工学院对临床前医学生进行了一项横断面观察性研究。纳入230名医学生(大一、大二和大三学生),然后他们完成了一份自填问卷,抑郁焦虑压力量表-21(DASS-21)是对抑郁、焦虑和压力三个维度的痛苦程度进行定量测量的工具。

结果

研究开始时,230名学生参与了研究(男性占43.2%)。医学生的总体回应率为92.61%(213/230)。抑郁、焦虑和压力水平处于轻度至中度的患病率分别为9.4%、22.5%和5.6%,而抑郁、焦虑和压力水平处于重度至极重度的患病率分别为0.9%、3.2%和0%。二年级医学生出现抑郁、焦虑和压力的比例最高,但临床前医学生各学年之间在抑郁、焦虑和压力方面没有显著差异。男性和女性均未报告有职业倦怠和自杀意念。

结论

目前的研究表明,医学生的抑郁、焦虑和压力水平较低,然而,这些数据对于进一步规划心理测量风险的预防措施是有用的。

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