Rohilla Jitendra, Tak Pinki, Jhanwar Shubham, Hasan Shazia, Gaykwad Rameshwer, Yadav Ravi, Kumar Pawan
Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of Medicine, Jawaharlal Nehru Medical College, Ajmer, Rajasthan, India.
J Educ Health Promot. 2020 Dec 29;9:356. doi: 10.4103/jehp.jehp_491_20. eCollection 2020.
It is common among medical students to falsely attribute bodily sensations/symptoms and holds a belief of having a medical illness with varying level of conviction. We studied and compared this condition known as "medical student syndrome", a type of hypochondriasis, between preclinical and clinical years students.
This research was a descriptive study where a total of 100 students were approached and were asked to complete a short form of health anxiety inventory (SHAI) which has Cronbach's alpha 0.855. No personal identifiers were included in the study questionnaires. All statistical analyses were performed using the SPSS statistical software package (IBM SPSS Statistics Version 23, SPSS Inc., Chicago, IL, USA).
The response rate among participants was 88% (42 from preclinical and 48 from clinical years of training). Health-related anxiety (SHAI main section score ≥ 18) was found in 14.77% of students with a higher proportion in preclinical than clinical, 16.66% and 13.04%, respectively. The difference was not significant between the two groups ( = 0.429 [1], = 0.766). Students having medical professional in family had lower rate of health-related anxiety, (1, = 88) = 0.228, = 0.633. The association between family or personal history of psychiatry or medical illness was not significant with SHAI scores. No relation was noted between current health anxiety (SHAI score) and the number of visits to the doctor per year before entering the medical course (χ = 0.174, = 0.112).
Every seventh medical student was found to have health-related anxiety. It was not affected by personal and family history of either psychiatric or medical illness.
医学生常常错误地将身体感觉/症状归因于某种疾病，并坚信自己患有某种疾病，且这种坚信程度各不相同。我们对这种被称为“医学生综合征”（一种疑病症）的情况，在临床前和临床阶段的学生中进行了研究和比较。
本研究为描述性研究，共邀请了100名学生，要求他们完成一份简短的健康焦虑量表（SHAI），该量表的克朗巴哈系数为0.855。研究问卷中未包含个人身份识别信息。所有统计分析均使用SPSS统计软件包（IBM SPSS Statistics版本23，SPSS公司，美国伊利诺伊州芝加哥）进行。
参与者的回应率为88%（临床前阶段42人，临床阶段48人）。在学生中，14.77%存在与健康相关的焦虑（SHAI主要部分得分≥18），临床前阶段的比例高于临床阶段，分别为16.66%和13.04%。两组之间的差异不显著（χ² = 0.429 [1]，P = 0.766）。家庭中有医学专业人员的学生与健康相关焦虑的发生率较低，F(1, = 88) = 0.228，P = 0.633。精神疾病或内科疾病的家族史或个人史与SHAI得分之间的关联不显著。当前的健康焦虑（SHAI得分）与进入医学课程前每年看医生的次数之间没有关系（χ² = 0.174，P = 0.112）。
发现每七名医学生中就有一名存在与健康相关的焦虑。它不受精神疾病或内科疾病的个人史和家族史影响。
