Vagiri Rajesh, Mphasha Mabitsela, Bangalee Varsha, Grootboom Wandisile, Makhele Letlhogonolo, Padayachee Neelaveni
Department of Pharmacy, Faculty of Health Sciences, University of Limpopo, Mankweng, Limpopo Province 0727, South Africa.
Department of Public Health, Faculty of Health Sciences, University of Limpopo, Mankweng, Limpopo Province 0727, South Africa.
Dialogues Health. 2024 Aug 31;5:100188. doi: 10.1016/j.dialog.2024.100188. eCollection 2024 Dec.
Medical education presents significant challenges for medical students' mental health. Medical students are a vulnerable group, experiencing higher rates of mental health disorders, which can have implications for their well-being and academic performance. Consequently, evaluating Positive mental health (PMH) has become significant in a contemporary and demanding society, particularly among university students.
This study aimed to assess the levels of PMH and identify the association between PMH domains and socio-demographic and health related variables among medical students enrolled at a university in South Africa.
This quantitative, descriptive, and cross-sectional survey was conducted with 144 undergraduate medical students. Data were collected using a multi-dimensional PMH instrument and a sociodemographic and health related questionnaire, from 144 undergraduate medical students. The university's Research and Ethics Committee granted ethical clearance for the study. : The data were analysed using IBM SPSS version 29. The majority of the students were older than 20 years (79.2 %, = 114), had no prior history of psychiatric illness, and had not previously taken any psychiatric medication (94.4 %, = 136). More than half of the participants were single (66 %, = 95), identified as Christians (76.4 %, = 110), received a bursary (78.5 %, = 113), had families living in rural areas (71.5 %, = 103) and resided in the university housing (73.6 %, = 106). Gender ( = 0.01), age ( = 0.02), religious affiliation ( = 0.03), history of psychiatric illness ( = 0.05) and treatment for psychiatric illness (p = 0.05) had a significant influence on the Total PMH score. Male participants reported higher mean scores in most PMH domains, excluding emotional support and spirituality domains. Participants aged between 22 and 23 years reported lower mean scores in Total PMH and most PMH domains. There is a significant difference in mean scores with gender ( = 0.02) and religious affiliation ( = 0.00) in the spirituality domain.
The study results emphasised the complex nature of mental health and provided a rationale for assessing the various aspects of PMH in university students. By implementing evidence-based strategies and providing adequate support, medical schools can better support the mental health and well-being of their students, ultimately cultivating a healthier and more resilient future healthcare workforce.
医学教育给医学生的心理健康带来了重大挑战。医学生是一个弱势群体，心理健康障碍发生率较高，这可能会影响他们的幸福感和学业成绩。因此，在当代这个要求苛刻的社会中，评估积极心理健康（PMH）变得尤为重要，尤其是在大学生群体中。
本研究旨在评估南非一所大学的医学生的积极心理健康水平，并确定积极心理健康各领域与社会人口统计学及健康相关变量之间的关联。
对144名本科医学生进行了这项定量、描述性横断面调查。使用多维积极心理健康量表和一份社会人口统计学及健康相关问卷收集了144名本科医学生的数据。该大学的研究与伦理委员会批准了该研究的伦理许可。使用IBM SPSS 29版对数据进行分析。大多数学生年龄超过20岁（79.2%，n =114），无精神疾病史，且此前未服用过任何精神科药物（94.4%，n =136）。超过一半的参与者为单身（66%，n =95），为基督教徒（76.4%，n =110），获得助学金（78.5%，n =113），家人居住在农村地区（71.5%，n =103），居住在大学宿舍（73.6%，n =106）。性别（p =0.01）、年龄（p =0.02）、宗教信仰（p =0.03）、精神疾病史（p =0.05）和精神疾病治疗史（p =0.05）对积极心理健康总分有显著影响。男性参与者在大多数积极心理健康领域的平均得分较高，但情感支持和精神性领域除外。年龄在22至23岁之间的参与者在积极心理健康总分及大多数积极心理健康领域的平均得分较低。在精神性领域，平均得分在性别（p =0.02）和宗教信仰（p =0.00）方面存在显著差异。
研究结果强调了心理健康的复杂性，并为评估大学生积极心理健康的各个方面提供了依据。通过实施循证策略并提供充分支持，医学院校可以更好地支持学生的心理健康和幸福感，最终培养出更健康、更有韧性的未来医疗 workforce。 （原文此处“workforce”翻译为“劳动力”不太准确，结合语境推测可能是想说“医疗队伍”之类的意思，但按照要求不添加解释，保留原文）
