Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Hearing Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Adv Exp Med Biol. 2021;1321:245-251. doi: 10.1007/978-3-030-59261-5_21.
Aim The COVID-19 was declared a pandemic in early 2020 and is associated with high public anxiety all over the world. The healthcare community is at the highest risk of infection and thereby prone to most distress. The aim of this study was to explore and evaluate the degree of depression, anxiety, and stress levels among medical college students during the COVID-19 epidemic in Iran. Methods A cross-sectional study was conducted in February and March 2020, 3 weeks after the first reported COVID-19 infection was identified in Iran. All medical college students who entered clinical courses were eligible for the study. Depression, stress, and anxiety were evaluated in these students using the DASS-21 questionnaire. Participants were selected by using availability sampling. All statistical analyses were performed using R version 3.5.1. Results The total number of participants was 207, with 143 males and 64 females. More than half of the participants (57.97%) were married. The mean duration of working experience among students with COVID-19 infection and experience in a medical ward was 3.00 ± 1.27 days and 17.40 ± 7.26 months, respectively. The majority of students had 2 or 3 days working experience with COVID-19 infection. The mean anxiety score of participants was 28.56 ± 4.68, the depression score was 29.36 ± 4.42, and the stress score was 28.99 ± 4.53. Our findings indicated that the mean scores of depression were at an "extremely severe" level, while stress and anxiety were at "severe" levels. The prevalence of "severe" symptoms of depression, stress, and anxiety was 69.57%, 60.87%, and 99.04%, respectively. Conclusions There is a high prevalence of anxiety and depression among medical students who were exposed to COVID-19-infected patients. Our results highlight the need to establish psychological support programs, training, and self-care for medical college students in relation to mental health. We recommend incorporation of molecular biomarker tests into an algorithm to aid in assessments and consideration of the appropriate therapeutic responses.
目的 2020 年初，COVID-19 被宣布为大流行，在全球范围内引发了高度公众焦虑。医疗保健界面临着最高的感染风险，因此容易受到最大的困扰。本研究旨在探讨和评估伊朗 COVID-19 疫情期间医学生的抑郁、焦虑和压力水平。
方法 这是一项横断面研究，于 2020 年 2 月至 3 月进行，即在伊朗首次报告 COVID-19 感染后 3 周。所有进入临床课程的医学生均有资格参加这项研究。使用 DASS-21 问卷评估这些学生的抑郁、压力和焦虑程度。采用方便抽样选择参与者。所有统计分析均使用 R 版本 3.5.1 进行。
结果 共有 207 名参与者，其中 143 名男性，64 名女性。超过一半的参与者（57.97%）已婚。COVID-19 感染和在医疗病房工作经验的学生平均工作经验分别为 3.00±1.27 天和 17.40±7.26 个月。大多数学生的 COVID-19 感染工作经验为 2 或 3 天。参与者的平均焦虑评分 28.56±4.68，抑郁评分 29.36±4.42，压力评分 28.99±4.53。研究结果表明，抑郁的平均得分处于“极度严重”水平，而压力和焦虑处于“严重”水平。抑郁、压力和焦虑的“严重”症状发生率分别为 69.57%、60.87%和 99.04%。
结论 接触过 COVID-19 感染患者的医学生中，焦虑和抑郁的发生率较高。我们的研究结果强调，有必要为医学生建立心理健康方面的心理支持计划、培训和自我保健。我们建议将分子生物标志物测试纳入算法，以帮助评估并考虑适当的治疗反应。
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