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本文引用的文献

1
Qualitative study to explore UK medical students' and junior doctors' experiences of occupational stress and mental health during the COVID-19 pandemic.定性研究探索英国医学生和初级医生在 COVID-19 大流行期间的职业压力和心理健康体验。
BMJ Open. 2022 Dec 12;12(12):e065639. doi: 10.1136/bmjopen-2022-065639.
2
Mental Health Among Medical Students During COVID-19: A Systematic Review and Meta-Analysis.COVID-19疫情期间医学生的心理健康:一项系统综述与荟萃分析
Front Psychol. 2022 May 10;13:846789. doi: 10.3389/fpsyg.2022.846789. eCollection 2022.
3
Risk factors associated with student distress in medical school: Associations with faculty support and availability of wellbeing resources.与医学生苦恼相关的风险因素:与教师支持和福利资源的可及性相关。
PLoS One. 2022 Apr 8;17(4):e0265869. doi: 10.1371/journal.pone.0265869. eCollection 2022.
4
Prevalence and associated factors of depression and anxiety symptoms among college students: a systematic review and meta-analysis.大学生抑郁和焦虑症状的患病率及相关因素:系统评价和荟萃分析。
J Child Psychol Psychiatry. 2022 Nov;63(11):1222-1230. doi: 10.1111/jcpp.13606. Epub 2022 Mar 16.
5
Medical student's perception of the COVID-19 pandemic effect on their education and well-being: a cross-sectional survey in the United States.美国一项横断面调查:医学生对 COVID-19 大流行对其教育和健康影响的看法。
BMC Med Educ. 2022 Mar 5;22(1):149. doi: 10.1186/s12909-022-03197-x.
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Medical education and mental health during COVID-19: a survey across 9 countries.新冠疫情期间的医学教育与心理健康:9 国调查。
Int J Med Educ. 2022 Feb 26;13:35-46. doi: 10.5116/ijme.6209.10d6.
7
The impact of the COVID-19 pandemic on the lifestyle and behaviours, mental health and education of students studying healthcare-related courses at a British university.新冠疫情对在一所英国大学学习医护相关课程的学生的生活方式与行为、心理健康和教育的影响。
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8
A qualitative analysis of third-year medical students' reflection essays regarding the impact of COVID-19 on their education.对三年级医学生关于 COVID-19 对其教育影响的反思文章进行的定性分析。
BMC Med Educ. 2021 Sep 9;21(1):481. doi: 10.1186/s12909-021-02906-2.
9
Impact of COVID-19 on medical students' mental wellbeing in Jordan.新冠疫情对约旦医学生心理健康的影响。
PLoS One. 2021 Jun 17;16(6):e0253295. doi: 10.1371/journal.pone.0253295. eCollection 2021.
10
Assessing the Psychological Impacts of COVID-19 in Undergraduate Medical Students.评估 COVID-19 对本科医学生的心理影响。
Int J Environ Res Public Health. 2021 Mar 13;18(6):2952. doi: 10.3390/ijerph18062952.

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.

DOI:10.1136/bmjopen-2022-070528
PMID:37076141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10124246/
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。