Department of Neurosurgery, Mount Sinai Health System, 1468 Madison Ave, New York, NY, 10029, USA.
Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Cerrahpasa, Istanbul, 34098, Turkey.
BMC Med Educ. 2023 Feb 1;23(1):79. doi: 10.1186/s12909-023-04063-0.
In Turkey, most final-year medical students prepare for the Examination for Specialty in Medicine in a high-stress environment. To the best of our knowledge, this is the first study on final-year medical student general psychological distress during preparation for the Examination for Specialty in Turkey. We aim to evaluate psychological distress and understand the variables associated with depression, anxiety, and stress levels among final-year medical students preparing for the Examination for Specialty.
A self-reporting, anonymous, cross-sectional survey with 21 items consisting of demographic variables, custom variables directed for this study, and the DASS-21 was utilized. Survey results were expounded based on univariate analysis and multivariate linear regression analysis.
Our study revealed four variables associated with impaired mental wellness among final-year medical students during preparation for the examination for Specialty: attendance to preparatory courses, duration of preparation, consideration of quitting studying, and psychiatric drug usage/ongoing psychotherapy.
Considering that physician mental wellness is one of the most crucial determinants of healthcare quality, impaired mental wellness among future physicians is an obstacle to a well-functioning healthcare system. Our study targets researchers and authorities, who should focus on medical student mental wellness, and medical students themselves.
在土耳其，大多数医学生在备考医学专业考试时都处于高度紧张的环境中。据我们所知，这是首次在土耳其针对备考医学专业考试的医学生的一般心理困扰进行的研究。我们旨在评估心理困扰，并了解与抑郁、焦虑和压力水平相关的变量，这些变量与准备医学专业考试的医学生有关。
我们使用了一份包含 21 个项目的自我报告、匿名、横断面调查，其中包括人口统计学变量、针对本研究的定制变量以及 DASS-21。根据单变量分析和多变量线性回归分析来阐述调查结果。
我们的研究揭示了四个与备考医学专业考试的医学生心理健康受损相关的变量：参加预备课程、准备时间、考虑放弃学习以及使用精神科药物/正在接受心理治疗。
考虑到医生的心理健康是医疗质量的最重要决定因素之一，未来医生的心理健康受损是一个健全医疗体系的障碍。我们的研究针对研究人员和当局，他们应该关注医学生的心理健康，以及医学生自己。
