Seo Eun Hyun, Kim Seung-Gon, Lee Jae-Hon, Dickey Chandlee C, Kim Mella Y, Ghumman Ravneet Kaur, Yoon Hyung-Jun
Premedical Science, College of Medicine, Chosun University, Gwangju, Republic of Korea.
Department of Psychiatry, College of Medicine, Chosun University, Gwangju, Republic of Korea.
Psychiatry Investig. 2023 Nov;20(11):1077-1085. doi: 10.30773/pi.2023.0161. Epub 2023 Nov 21.
This study investigated the influence of psychosocial factors on medical students' quality of life (QOL).
A total of 408 medical students participated in this study. We collected data on participants' sociodemographic details, symptoms of depression and Internet addiction, self-esteem, social support, and QOL. QOL was assessed using the World Health Organization Quality of Life-Abbreviated form, which has four domains (physical health, psychological health, social relationships, and environment). A stepwise multiple linear regression model was constructed to identify factors' independent impact on QOL.
Higher levels of depression and Internet addiction were associated with lower scores in all domains of QOL, whereas higher levels of self-esteem and social support were associated with higher scores. Being in third-year versus first-year was associated with higher scores in the physical health and environment domains. Living alone or in dormitories, low or middle socioeconomic status, and insufficient or moderate pocket money were associated with lower scores in the environment domain. Additionally, female students displayed significantly lower scores for physical health, psychological health, and environment than male students, but not for social relationships. There were significant differences in certain domains of QOL due to sociodemographic factors.
This study demonstrates the psychosocial factors influencing medical students' QOL. Educational strategies focusing on strengthening self-esteem and social support as well as preventing depression and Internet addiction may contribute to improving medical students' QOL.
本研究调查了社会心理因素对医学生生活质量（QOL）的影响。
共有408名医学生参与了本研究。我们收集了参与者的社会人口学详细信息、抑郁和网络成瘾症状、自尊、社会支持以及生活质量的数据。生活质量采用世界卫生组织生活质量简表进行评估，该量表有四个领域（身体健康、心理健康、社会关系和环境）。构建逐步多元线性回归模型以确定各因素对生活质量的独立影响。
较高水平的抑郁和网络成瘾与生活质量所有领域的较低得分相关，而较高水平的自尊和社会支持与较高得分相关。与一年级学生相比，三年级学生在身体健康和环境领域的得分较高。独自居住或住在宿舍、社会经济地位低或中等、零花钱不足或适中与环境领域的较低得分相关。此外，女学生在身体健康、心理健康和环境方面的得分显著低于男学生，但在社会关系方面并非如此。由于社会人口学因素，生活质量的某些领域存在显著差异。
本研究证明了影响医学生生活质量的社会心理因素。注重增强自尊和社会支持以及预防抑郁和网络成瘾的教育策略可能有助于提高医学生的生活质量。
