Department of Obstetrics and Gynaecology, Faculty of Medicine, National University of Malaysia, Universiti Kebangsaan Malaysia Medical Center, Cheras 56000, Malaysia.
Department of Psychiatry, Faculty of Medicine, National University of Malaysia, Universiti Kebangsaan Malaysia Medical Center, Cheras 56000, Malaysia.
Int J Environ Res Public Health. 2020 Nov 17;17(22):8522. doi: 10.3390/ijerph17228522.
The COVID-19 pandemic has resulted in a Movement Control Order (MCO) in Malaysia and the subsequent closure of all educational institutions. We aimed to examine the psychological impact of the MCO among clinical undergraduates. A cross-sectional study was conducted using self-reported questionnaires that were distributed online using the Depression, Anxiety and Stress Scale-21 (DASS 21), Short Warwick Edinburgh Mental Well-Being Scale (SWEMWBS), and the newly designed MCO effect questionnaire. Seven hundred seventy-two students completed the survey. The prevalence of psychological distress was 52.8%, with around 60% of respondents reporting disruption to their daily lives. Older ( = 0.015) and more senior students ( < 0.001) were less likely to be anxious than their younger and junior counterparts, respectively. A greater number of social support (three or more) was linked to a lower score of depression ( = 0.005) and stress ( = 0.045). Undergraduates who received family support demonstrated lower depression scores ( = 0.037) and higher mental wellbeing ( = 0.020) compared to those without. Government support was independently associated with a lesser risk of depressive symptoms (Adjusted odds ratio, AOR 0.68; 95% confidence interval, CI 0.47-0.99) and a greater sense of mental wellbeing (AOR 1.54; 95% CI 1.06-2.22). The present finding provides evidence of a high prevalence of psychological distress among clinical undergraduates during the COVID-19 pandemic. Appropriate social support is important in alleviating anxiety and stress and promoting greater mental wellbeing amongst students during the nationwide quarantine.
新型冠状病毒疫情导致马来西亚实施行动管制令，所有教育机构随后关闭。我们旨在研究行动管制令对临床医学专业本科生的心理影响。采用横断面研究设计，使用在线分发的抑郁、焦虑和压力量表 21 项（DASS 21）、短沃里克-爱丁堡心理健康量表（SWEMWBS）和新设计的行动管制令影响问卷进行自我报告问卷调查。772 名学生完成了调查。心理困扰的患病率为 52.8%，约 60%的受访者报告日常生活受到干扰。年长（ = 0.015）和高年级（ < 0.001）学生比年轻和低年级学生焦虑程度更低。社会支持（3 个或更多）较多与抑郁评分较低（ = 0.005）和压力评分较低（ = 0.045）相关。与没有家庭支持的学生相比，获得家庭支持的本科生抑郁评分较低（ = 0.037），心理健康状况较好（ = 0.020）。与没有获得政府支持的学生相比，获得政府支持的学生出现抑郁症状的风险较小（调整后的优势比，AOR 0.68；95%置信区间，CI 0.47-0.99），心理健康状况较好（AOR 1.54；95% CI 1.06-2.22）。本研究结果表明，在 COVID-19 大流行期间，临床医学专业本科生心理困扰发生率较高。在全国范围内实施隔离期间，适当的社会支持对于减轻学生的焦虑和压力、促进心理健康非常重要。
