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英国医学生在 COVID-19 大流行期间的心理健康:一项定性访谈研究。

UK medical students' mental health during the COVID-19 pandemic: a qualitative interview study.

机构信息

Research Department of Medical Education, UCL Medical School, University College London, London, UK

Research Department of Medical Education, UCL Medical School, University College London, London, UK.

出版信息

BMJ Open. 2023 Apr 19;13(4):e070528. doi: 10.1136/bmjopen-2022-070528.

Abstract

OBJECTIVES

To understand the impact of COVID-19 on medical students with mental health problems.

DESIGN

Qualitative study employing in-depth semistructured interviews with medical students which were analysed using reflexive thematic analysis.

SETTING AND PARTICIPANTS

A purposive sample of 20 students originating from 8 geographically spread UK medical schools were selected, representing various mental health issues and demographic characteristics.

RESULTS

Three themes were identified: (1) medical schools' response to the pandemic-schools increased awareness-raising of mental health support and increased flexibility in regards to academic requirements; (2) disruption to the medical degree-COVID-19 brought change and uncertainty to medical education and missed learning opportunities reduced students' confidence and (3) psychological consequences of the pandemic-COVID-19 had a negative impact on mental health, most notably raising stress and anxiety but also triggering new or existing conditions.

CONCLUSIONS

While there were many negative aspects of the pandemic for medical students experiencing mental ill health, there were also positives. Students felt that the increased focus on mental health support during the pandemic had reduced stigma towards mental health. Given stigma has been identified as a key barrier for help-seeking in medical students, future research should investigate the longer-term impacts of the pandemic and whether medical students are more likely to seek help for mental health difficulties postpandemic.

摘要

目的

了解 COVID-19 对有心理健康问题的医学生的影响。

设计

采用深度半结构化访谈的定性研究,对医学生进行分析,采用反思性主题分析。

地点和参与者

从 8 所分布在英国各地的医学院中选择了 20 名有特定目的的学生,他们代表了各种心理健康问题和人口统计学特征。

结果

确定了三个主题:(1)医学院对大流行的反应-学校提高了对心理健康支持的认识,并在学术要求方面提高了灵活性;(2)医学学位中断-COVID-19 给医学教育带来了变化和不确定性,错过了学习机会,降低了学生的信心;(3)大流行的心理后果-COVID-19 对心理健康产生了负面影响,尤其是增加了压力和焦虑,但也引发了新的或现有的疾病。

结论

尽管对于有心理健康问题的医学生来说,大流行有许多负面方面,但也有积极的方面。学生们认为,大流行期间对心理健康支持的关注度增加,减少了对心理健康的污名化。鉴于耻辱感已被确定为医学生寻求帮助的一个关键障碍,未来的研究应调查大流行的长期影响,以及医学生在大流行后是否更有可能寻求心理健康问题的帮助。

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