Medical University Vienna/Medizinische Universität Wien, Vienna, Austria.
Acad Psychiatry. 2020 Aug;44(4):380-387. doi: 10.1007/s40596-020-01193-1. Epub 2020 Feb 20.
Up to 90% of medical students experience stress. Studies have observed a relationship between stress and depression. Coping strategies to deal with stress and depression are of great interest. This study aimed to evaluate the prevalence of stress and depression and the efficacy of coping strategies in undergraduate medical students.
This survey was conducted with 589 second-year and sixth-year students in 2017 at the Medical University of Vienna. The questionnaire included a stress and coping questionnaire, depression screening, substance use questionnaire, and questionnaire concerning leisure time activities.
The coping strategies were included in a regression model to assess their predictive value for stress and depression screening scores. The most common stressor was performance pressure overload (92.1%). Overall, 52.4% of the participating students reached critical scores in the depression screening. Positive thinking and active coping were associated with lower stress scores. Positive thinking also was a protective factor against depressive symptoms. Less than 2% of all students reached high-risk values for substance use.
Accessible counseling for students in need of psychological care should be provided. Different interventions of positive psychology showed a positive impact on depression screening scores.
多达 90%的医学生都经历过压力。研究已经观察到压力与抑郁之间存在关联。应对压力和抑郁的策略引起了广泛关注。本研究旨在评估本科生医学生的压力和抑郁发生率，以及应对策略的效果。
本调查于 2017 年在维也纳医科大学对 589 名二年级和六年级学生进行。问卷包括压力和应对问卷、抑郁筛查、物质使用问卷以及休闲活动问卷。
将应对策略纳入回归模型，以评估其对压力和抑郁筛查评分的预测价值。最常见的压力源是表现压力过载（92.1%）。总体而言，参与研究的学生中有 52.4%达到了抑郁筛查的临界分数。积极思考和积极应对与较低的压力得分相关。积极思考也是预防抑郁症状的保护因素。只有不到 2%的学生达到了物质使用的高风险值。
应向有心理需求的学生提供可及的咨询服务。积极心理学的不同干预措施对抑郁筛查评分有积极影响。
