Faculty of Basic Medical Sciences, Kunming Medical University, Kunming, China.
School of Pharmaceutical Science, Department of Zoology and Yunnan Key Laboratory of Pharmacology for Natural Products, Kunming Medical University, Kunming, China.
Front Public Health. 2022 Sep 7;10:957597. doi: 10.3389/fpubh.2022.957597. eCollection 2022.
An isolation strategy was used to control the transmission and rapid spread of COVID-19 in Yunnan. As a result, students were supposed to stay at home and disrupted their outside activities. It led to a detrimental influence on students' mental health. The purpose of this study was to investigate the prevalence and risk factors of depression and anxiety among medical students and to provide ideas for the prevention of depression and anxiety in medical students. A cross-sectional survey was conducted among 2,116 medical students at Kunming Medical University from July 8 to July 16, 2020. Participants' demographic and living conditions were collected. Depression and anxiety were measured using the Patient Health Questionnaire 9 and General Anxiety Disorder-7, respectively. Uni- and multivariate logistic regression analyses were performed to detect risk factors associated with depression and anxiety. The prevalence rates of depression and anxiety among medical students were 52.5 and 29.6%, respectively. Depression was more likely to be caused by low grades, lack of physical exercise, drug use, irregular diet, extensive screen time on mobile phones, being greatly affected by the COVID-19 pandemic, and inadaptability to offline courses. Anxiety was more likely to be caused by lack of physical exercise, drug use, irregular diet, and inadaptability to offline courses. Depression and anxiety are highly comorbid. Our study showed predictive factors for depression and anxiety and identified a major mental health burden on medical students during the COVID-19 outbreak. More targeted measures should be taken to improve the mental state of students to reduce the incidence of depression and anxiety.
云南采用隔离策略来控制 COVID-19 的传播和快速蔓延，这导致学生被迫待在家里，中断了他们的校外活动，对学生的心理健康产生了不利影响。本研究旨在调查医学生抑郁和焦虑的患病率和危险因素，为预防医学生抑郁和焦虑提供思路。采用横断面调查方法，于 2020 年 7 月 8 日至 7 月 16 日对昆明医科大学 2116 名医学生进行调查，收集学生的人口统计学和生活条件资料，采用患者健康问卷 9 项和广泛性焦虑障碍 7 项分别评估抑郁和焦虑状况。采用单因素和多因素 logistic 回归分析检测与抑郁和焦虑相关的危险因素。医学生抑郁和焦虑的患病率分别为 52.5%和 29.6%。低绩点、缺乏体育锻炼、使用药物、饮食不规律、手机屏幕时间过长、受 COVID-19 大流行影响较大以及不适应线下课程更易导致抑郁，而缺乏体育锻炼、使用药物、饮食不规律和不适应线下课程更易导致焦虑。抑郁和焦虑高度共病。本研究显示了抑郁和焦虑的预测因素，并确定了 COVID-19 大流行期间医学生的主要心理健康负担。应采取更有针对性的措施改善学生的精神状态，以降低抑郁和焦虑的发生率。
