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医学生在医学本科教育期间应对心理健康障碍的有效应对策略:范围综述。

Effective coping strategies utilised by medical students for mental health disorders during undergraduate medical education-a scoping review.

机构信息

Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

出版信息

BMC Med Educ. 2022 Feb 23;22(1):121. doi: 10.1186/s12909-022-03185-1.

Abstract

BACKGROUND

Coping denotes cognitive, emotional and behavioural struggles to tackle a troubled person-environment association. Therefore, coping strategies (CSs) are vital for mental well-being. Widespread research studies have explored this domain, targeting caregivers, nurses, physicians and medical teachers, but limited research has been done to explore the common CSs utilised by medical students at the undergraduate medical education level. Therefore, we aimed to identify the frequently occurring CSs and their effects on mental health disorders (MHDs) through the evidence available in the existing literature.

METHODS

For this scoping review, we searched the available literature (articles published from January 1, 1986, to March 31, 2021) on CSs at Google Scholar, PubMed and Scopus using the terms coping, medical students and undergraduate medical education. We included in our search all peer-reviewed journal articles whose central topics were the CSs employed by undergraduate medical students of any age, nationality, race and gender.

RESULTS

From among the 2,134 articles that were found, 24 were ultimately included in the study. The articles were authored in 14 countries, allowing us to gather broader data to answer our research question. The first identified theme (MHDs) had four subthemes: stress (55% of the articles), depression (30%), anxiety (25%) and burnout (15%). The second theme (CSs), on the other hand, had eight subthemes: support seeking (60%), active coping (40%), acceptance (40%), avoidance/denial (40%), substance abuse (35%), faith/religion (25%), sports (25%) and miscellaneous (40%).

CONCLUSIONS

Themes and subthemes were identified about the most common CSs utilised by undergraduate medical students to tackle common MHDs in the context of medical education. Among the most used CSs was support (social and emotional) seeking. Teaching medical students how to cope with challenging times is essential.

摘要

背景

应对是指为应对困扰的人与环境的关系而进行的认知、情感和行为上的努力。因此,应对策略(CSs)对于心理健康至关重要。广泛的研究已经探索了这个领域,针对的是护理人员、护士、医生和医学教师,但针对医学生在本科医学教育阶段使用的常见应对策略的研究有限。因此,我们旨在通过现有文献中的证据,确定经常出现的应对策略及其对心理健康障碍(MHDs)的影响。

方法

为了进行本次范围界定综述,我们在 Google Scholar、PubMed 和 Scopus 上使用“应对、医学生和本科医学教育”等术语,搜索了 1986 年 1 月 1 日至 2021 年 3 月 31 日发表的有关 CSs 的现有文献。我们的搜索纳入了所有同行评议的期刊文章,这些文章的中心主题是任何年龄段、国籍、种族和性别的本科医学生所采用的应对策略。

结果

在 2134 篇文章中,最终有 24 篇被纳入研究。这些文章的作者来自 14 个国家,使我们能够收集更广泛的数据来回答我们的研究问题。第一个确定的主题(MHDs)有四个子主题:压力(55%的文章)、抑郁(30%)、焦虑(25%)和倦怠(15%)。另一方面,第二个主题(CSs)有八个子主题:寻求支持(60%)、积极应对(40%)、接受(40%)、回避/否认(40%)、滥用物质(35%)、信仰/宗教(25%)、运动(25%)和杂项(40%)。

结论

在医学教育背景下,我们确定了本科医学生应对常见 MHDs 时最常使用的应对策略的主题和子主题。最常使用的应对策略是寻求(社会和情感)支持。教授医学生应对困难时期的方法至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18c6/8864870/099c9d4c5700/12909_2022_3185_Fig1_HTML.jpg

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