Bilgi Kadir, Aytaş Gamze, Karatoprak Utku, Kazancıoǧlu Rümeyza, Özçelik Semra
Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Front Psychiatry. 2021 Mar 16;12:637946. doi: 10.3389/fpsyt.2021.637946. eCollection 2021.
The coronavirus disease 2019 (Covid-19) pandemic has influenced the whole world, where after the first case was diagnosed in Turkey, educational activities were suspended and partial curfews were implemented. This study was conducted to assess the concerns faced by the medical students about their professional life due to the disrupted educational activities and related psychological effects. This is a cross-sectional survey study, conducted with self-administered questionnaires on Bezmialem Vakif University medical students, during the pandemic. The questionnaire consists of queries about demographics, environmental factors, Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9) scales. A total of 178 students participated in the study, with a female-to-male ratio of 5:2. Of the total respondents, 19.7% were experiencing severe anxiety, 17.4% moderate anxiety, and 37.1% mild anxiety, according to the GAD-7; and 13.5% of the respondents were experiencing severe depression, 21.9% moderate-severe depression, and 23% mild depression according to the PHQ-9. There was no statistically significant difference between the grades in terms of GAD-7 or PHQ-9 scores. Male participants were more likely to have suicidal thoughts ( = 0.013). According to our study, the factors with the highest influence on students were as follows: "Major changes in personal life," "Disruption in educational activities," and "Covid-19 related anxiety of loss of relatives and contamination or infection." On average, women voted higher points for "Covid-19 related anxiety of loss of relatives and contamination." We found that a significant portion of students regardless of their year in medical school were profoundly affected by the pandemic process as is shown by their anxiety and depression scores. The disruption in educational activities is one of the main factors of these effects, and we believe that these should not be ignored, as they could in the future lead to a series of problems for medical education and students alike.
2019年冠状病毒病（Covid-19）大流行影响了整个世界，自土耳其确诊首例病例后，教育活动暂停并实施了部分宵禁。本研究旨在评估医学生因教育活动中断而面临的对其职业生涯的担忧以及相关的心理影响。这是一项横断面调查研究，在大流行期间通过对贝兹米阿勒姆瓦基夫大学医学生进行自填式问卷调查开展。问卷包括有关人口统计学、环境因素、广泛性焦虑障碍-7（GAD-7）量表和患者健康问卷-9（PHQ-9）量表的问题。共有178名学生参与了该研究，男女比例为5:2。根据GAD-7量表，在所有受访者中，19.7%的人经历严重焦虑，17.4%的人经历中度焦虑，37.1%的人经历轻度焦虑；根据PHQ-9量表，13.5%的受访者经历严重抑郁，21.9%的人经历中度至重度抑郁，23%的人经历轻度抑郁。在GAD-7或PHQ-9评分方面，各年级之间没有统计学上的显著差异。男性参与者更有可能有自杀念头（P = 0.013）。根据我们的研究，对学生影响最大的因素如下：“个人生活的重大变化”、“教育活动的中断”以及“与Covid-19相关的失去亲人及感染或被污染的焦虑”。平均而言，女性在“与Covid-1相关失去亲人及感染或被污染的焦虑”方面的得分更高。我们发现，无论在医学院就读的年级如何，很大一部分学生都受到了大流行过程的深刻影响，这从他们的焦虑和抑郁评分中可见一斑。教育活动的中断是这些影响的主要因素之一，我们认为这些因素不应被忽视，因为它们未来可能会给医学教育和学生都带来一系列问题。
