Jaffri Sira, Kassas Kenan, Farjalla Mohamed, Yousuf Dr Junaid
University of Windsor, Windsor, Canada.
St. George's University, Grenada.
Med Teach. 2025 Jun;47(6):1029-1036. doi: 10.1080/0142159X.2024.2407965. Epub 2024 Oct 2.
Medical students are highly susceptible to distress and burnout, raising concern about how this can carry over into their careers, impacting wellness, professionalism, and patient care. The aims of this study are to assess the mental health and wellness status of medical students in Ontario. This study electronically surveyed medical students across M1-M4 attending a medical school in Ontario, Canada, using the Brief COPE, DASS21, and Copenhagen Burnout Inventory (CBI) to examine their coping mechanisms, levels of stress, anxiety, and depression, the prevalence of personal, work-related, and patient-related burnout, and perceived support. Participants were recruited through mass email containing a survey link. BriefCOPE results show that students tend to rely on self-distraction, emotional support, instrumental support, and acceptance as coping mechanisms. DASS21 demonstrates that M4 students report severe stress and anxiety and mild depression. Results of CBI show moderate personal and work-related burnout, and low patient-related burnout. Qualitative analysis of students' opinion on how the institution can enhance their wellness resulted in three themes: enhanced student scheduling, more communication from the administration, and more elective wellness sessions and social events. The data presented in this study will provide insight into the overall mental health and wellness of medical students studying in Ontario and may have important implications for medical education, healthcare institutions, and health policymaking.
医学生极易产生困扰和职业倦怠，这引发了人们对其如何延续至职业生涯、影响健康、职业素养和患者护理的担忧。本研究的目的是评估安大略省医学生的心理健康和幸福状况。本研究通过电子方式对加拿大安大略省一所医学院的M1至M4年级医学生进行了调查，使用简短应对方式问卷（Brief COPE）、抑郁焦虑压力量表21（DASS21）和哥本哈根倦怠量表（CBI）来考察他们的应对机制、压力、焦虑和抑郁水平、个人、工作相关和患者相关倦怠的患病率以及感知到的支持。通过包含调查链接的群发邮件招募参与者。简短应对方式问卷结果显示，学生们倾向于依赖自我分心、情感支持、工具性支持和接受作为应对机制。抑郁焦虑压力量表21表明，M4年级学生报告有严重的压力和焦虑以及轻度抑郁。哥本哈根倦怠量表结果显示，个人和工作相关倦怠程度中等，患者相关倦怠程度较低。对学生关于学校如何促进其幸福的意见进行的定性分析得出了三个主题：优化学生课程安排、行政部门加强沟通，以及增加选修的健康课程和社交活动。本研究呈现的数据将为了解安大略省医学生的整体心理健康和幸福状况提供见解，并可能对医学教育、医疗机构和卫生政策制定产生重要影响。
