新冠疫情期间中国医学研究生身体活动与心理健康的关联
The association between physical activity and mental health in medical postgraduates in China during COVID-19 pandemic.
作者信息
Yue Cai-Ling, Ge Xing, Liu Man, Zhang Beibei, Koda Stephane, Yan Chao
机构信息
Personnel Division of Xuzhou Medical University, Xuzhou, China.
Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Laboratory of Infection and Immunity, Department of Pathogenic Biology and Immunology, Xuzhou Medical University, Xuzhou, China.
出版信息
Front Psychiatry. 2022 Dec 2;13:1036414. doi: 10.3389/fpsyt.2022.1036414. eCollection 2022.
BACKGROUND
Chinese medical postgraduates (CMPs) are a special subpopulation that has a great risk of mental health due to high workload, and heavy academic and clinical pressure during the COVID-19 pandemic. Physical activity has been demonstrated to be positive for the mental health of human being. However, little is known about the risks to mental health among CMPs as well as the potential effects of physical activity on mental health in CMPs during the COVID-19 pandemic.
AIMS
In the present study, the aims are to (1) investigate the levels of PA and mental health that CMPs had; (2) to identify the potential factors that contribute to mental health among CMPs; (3) to explore the potential effects of PA on the mental health in CMPs.
METHODS
The survey was conducted online across 25 provinces of mainland China in 28 medical colleges or universities with structured questionnaires. Physical Activity Rating Scale-3 (PARS-3), Depression, Anxiety, Stress Scales (DASS-21), and General Self-Efficacy Scale (GSES) were employed to assess the levels of PA, Negative emotional states, and self-efficacy of the participants, respectively. Resilience was evaluated using Connor-Davidson Resilience Scale (CD-RISC). The chi-square and Wilcoxon rank-sum tests were used to compare inter-group differences in demographic data and mental health conditions. Spearman's rank correlation test and partial correlation analysis were used to assess associations between exercise scores and mental health.
RESULTS
We found some socio-demographic variables such as the location, education levels of parents and the levels of degrees they are training had potential effects on outcomes of mental health among 2,217 CMPs ( < 0.05); furthermore, we also found that PA was negatively correlated with the negative emotion ( = -0.045, < 0.05) such as depression ( = -0.052, < 0.05), anxiety and stress, ( = -0.051, < 0.05) but positively correlated with the self-efficacy ( = 0.143, < 0.001) and resilience ( = 0.192, < 0.001) among Chinese postgraduate medical students.
CONCLUSION
We concluded that for Chinese postgraduate medical students, taking part in physical activity would depress negative emotions such as depression, anxiety, and stress, but improve their self-efficacy and resilience, which will benefit them in completing their studies and training.
背景
中国医学研究生是一个特殊的亚群体，由于工作量大，且在新冠疫情期间面临沉重的学业和临床压力，他们存在较大的心理健康风险。体育活动已被证明对人类心理健康有益。然而，对于新冠疫情期间中国医学研究生的心理健康风险以及体育活动对其心理健康的潜在影响，我们知之甚少。
目的
在本研究中，目的是：（1）调查中国医学研究生的体育活动水平和心理健康状况；（2）确定影响中国医学研究生心理健康的潜在因素；（3）探索体育活动对中国医学研究生心理健康的潜在影响。
方法
通过结构化问卷在中国大陆25个省份的28所医学院校进行在线调查。分别采用体育活动等级量表-3（PARS-3）、抑郁、焦虑、压力量表（DASS-21）和一般自我效能量表（GSES）来评估参与者的体育活动水平、负面情绪状态和自我效能感。使用Connor-Davidson韧性量表（CD-RISC）评估韧性。采用卡方检验和Wilcoxon秩和检验比较人口统计学数据和心理健康状况的组间差异。使用Spearman秩相关检验和偏相关分析评估运动得分与心理健康之间的关联。
结果
我们发现一些社会人口学变量，如所在地、父母教育水平以及他们正在攻读的学位水平，对2217名中国医学研究生的心理健康结果有潜在影响（<0.05）；此外，我们还发现，在中国医学研究生中，体育活动与抑郁（=-0.052，<0.05）、焦虑和压力等负面情绪（=-0.051，<0.05）呈负相关，但与自我效能感（=0.143，<0.001）和韧性（=0.192，<0.001）呈正相关。
结论
我们得出结论，对于中国医学研究生来说，参加体育活动会减轻抑郁、焦虑和压力等负面情绪，但会提高他们的自我效能感和韧性，这将有助于他们完成学业和培训。
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