Department of Psychiatry, University of Kentucky College of Medicine, Lexington, KY, USA.
Department of Psychiatry, University of Kentucky College of Medicine, Lexington, KY, USA.
Psychiatry Res. 2022 Jul;313:114595. doi: 10.1016/j.psychres.2022.114595. Epub 2022 May 2.
This study aimed to assess the early psychological impacts of the COVID-19 pandemic on United States medical students when compared to graduate students in fields unrelated to healthcare using the perceived stress scale (PSS-10) and the perceived COVID-19-related risk scale (PCRS). This was a cross-sectional study between May and June 2020. We created an anonymous, online questionnaire that was administered to medical students nationwide and local graduate students. We used Student's t-test, Chi-square test, and regression models. We received 425 completed responses. Contrary to similar stress levels in graduate students, medical students on average experienced significantly more stress after coursework suspension than before (20.6 vs 14.7). Female gender and a mental illness diagnosis were associated with statistically significantly elevated PSS-10 scores before and after suspension in medical students. Medical students reported a low PCRS score. Most medical students were confident in their department's infection control measures and willing to report to work. Female gender and a mental illness diagnosis remain two important risk factors for medical students' stress levels during the pandemic. This study highlights the need to foster students' public health competency and safely involve students as non-frontline workers in public health emergency responses for their mental wellbeing.
本研究旨在使用感知压力量表（PSS-10）和感知 COVID-19 相关风险量表（PCRS），评估 COVID-19 大流行对美国医学生的早期心理影响，并与非医疗保健领域的研究生进行比较。这是一项在 2020 年 5 月至 6 月期间进行的横断面研究。我们创建了一个匿名的在线问卷，对全国的医学生和当地的研究生进行了调查。我们使用了学生 t 检验、卡方检验和回归模型。我们收到了 425 份完整的回复。与研究生的压力水平相似，医学生在课程暂停后平均经历了更多的压力，而在暂停前经历了更少的压力（20.6 对 14.7）。女性性别和精神疾病诊断与医学生在课程暂停前后 PSS-10 评分显著升高有关。医学生报告 PCRS 评分较低。大多数医学生对所在部门的感染控制措施有信心，并愿意报告工作。女性性别和精神疾病诊断仍然是医学生在大流行期间压力水平的两个重要危险因素。本研究强调了培养学生公共卫生能力的必要性，并安全地让学生作为非一线工作人员参与公共卫生应急响应，以维护他们的心理健康。
