Chakeeyanun Boonyarit, Wongpakaran Nahathai, Wongpakaran Tinakon, Oon-Arom Awirut
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Healthcare (Basel). 2023 Jan 12;11(2):237. doi: 10.3390/healthcare11020237.
The COVID-19 pandemic disrupted several routine teaching methods in clinical settings which causing psychological distress among medical students. This study aims to explore the association of perceived stress related to the adapted medical education, resilience, and depression among medical students at a medical school in northern Thailand during the COVID-19 outbreak. A total of 437 medical students were recruited in January 2022. Data were obtained using self-administered online questionnaires, including demographic data, perceived challenges in learning online classes, the Resilience Inventory (RI-9), and the Patient Health Questionnaire 9 (PHQ-9). Binary logistic regression analysis was employed to explore factors associated with depression (PHQ-9 ≥ 9). A total of 27% of the participants were identified as having depression. Logistic regression revealed that the presence of previous psychiatric conditions (ß = 2.80, p < 0.05), stress from lack of in-person contact with peers (ß = 1.48, p < 0.05), stress from lack of in-person communication with teachers (ß = 1.49, p < 0.05), and level of resilience (ß = 0.88, p < 0.001) were independently associated factors for depression among medical students. Level of resilience was negatively correlated with depressive symptoms (r = −0.436, p < 0.001). The rate of depression among medical students was higher during the pandemic. Resilience was associated with depression. Strengthening resilience might have an important implication for depression among medical students.
新冠疫情扰乱了临床环境中的几种常规教学方法，这给医学生带来了心理困扰。本研究旨在探讨泰国北部一所医学院的医学生在新冠疫情爆发期间，与适应性医学教育、心理韧性和抑郁相关的感知压力之间的关联。2022年1月共招募了437名医学生。数据通过自填式在线问卷获得，包括人口统计学数据、在线课程学习中感知到的挑战、心理韧性量表（RI - 9）和患者健康问卷9（PHQ - 9）。采用二元逻辑回归分析来探讨与抑郁（PHQ - 9≥9）相关的因素。共有27%的参与者被确定为患有抑郁症。逻辑回归显示，既往有精神疾病史（β = 2.80，p < 0.05）、因缺乏与同龄人面对面接触而产生的压力（β = 1.48，p < 0.05）、因缺乏与教师面对面交流而产生的压力（β = 1.49，p < 0.05）以及心理韧性水平（β = 0.88，p < 0.001）是医学生抑郁的独立相关因素。心理韧性水平与抑郁症状呈负相关（r = -0.436，p < 0.001）。疫情期间医学生的抑郁症发病率较高。心理韧性与抑郁有关。增强心理韧性可能对医学生的抑郁有重要影响。
