Carletto Sara, Lo Moro Giuseppina, Zuccaroli Lavista Vittoria, Soro Giovanna, Siliquini Roberta, Bert Fabrizio, Leombruni Paolo
Department of Neuroscience "Rita Levi Montalcini", University of Torino, Italy; Clinical Psychology Unit, A.O.U. City of Health and Science of Torino, Italy.
Department of Public Health Sciences, University of Torino, Italy.
Psychol Rep. 2024 Apr;127(2):620-648. doi: 10.1177/00332941221127632. Epub 2022 Sep 21.
This study aimed to assess the impact of the COVID-19 pandemic in terms of the prevalence of anxiety, depression and stress symptoms in Italian medical students and to identify the associated factors. A cross-sectional online survey was administered to second-sixth year medical students of the University of Torino, collecting data on the students' sociodemographics, COVID-19 exposure, anxiety, depression and stress symptoms. Three hierarchical regressions adjusted for age, gender and year of study were executed. The sample size was 1359. The prevalence of anxiety, depression symptoms, moderate perceived stress and severe perceived stress was 47.8%, 52.1%, 56.2% and 28.4%, respectively. The factors associated with mental health symptoms were: being a woman, a family history of psychiatric disorders, living off-site, competitive/hostile climates and unsatisfying friendships among classmates, poor relationships with cohabitants, negative judgment of medical school choice, fear of COVID-19 infection, feelings of loneliness, distressing existential reflections, and a worsening psychological condition related to the pandemic. Being in the fourth or sixth year constituted a protective factor for depression symptoms. Mental health in medical students was associated with both COVID-independent and COVID-related factors. Accessibility to effective interventions must be increased to counteract these changes.
本研究旨在评估新冠疫情对意大利医学生焦虑、抑郁和压力症状患病率的影响，并确定相关因素。对都灵大学二至六年级的医学生进行了一项横断面在线调查，收集了学生的社会人口统计学、新冠病毒暴露情况、焦虑、抑郁和压力症状的数据。进行了三项针对年龄、性别和学习年份进行调整的分层回归分析。样本量为1359。焦虑、抑郁症状、中度感知压力和重度感知压力的患病率分别为47.8%、52.1%、56.2%和28.4%。与心理健康症状相关的因素包括：女性、有精神疾病家族史、校外居住、竞争/敌对氛围以及同学间不满意的友谊、与同居者关系不佳、对选择医学院的负面评价、对新冠病毒感染的恐惧、孤独感、痛苦的存在性思考以及与疫情相关的心理状况恶化。处于四年级或六年级是抑郁症状的一个保护因素。医学生的心理健康与新冠疫情无关和与新冠疫情相关的因素均有关。必须增加获得有效干预措施的机会，以应对这些变化。
