在 COVID-19 大流行期间，医学生的学术拖延与焦虑症状之间的关系：探讨韧性和社会支持的调节中介作用。

The relationship between academic procrastination and anxiety symptoms among medical students during the COVID-19 pandemic: exploring the moderated mediation effects of resilience and social support.

机构信息

Department of Health Economics, College of Health Management, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning Province, 110122, P.R. China.

Department of Nursing, Shengjing Hospital of China Medical University, Shenyang, P.R. China.

出版信息

BMC Psychiatry. 2024 Nov 26;24(1):850. doi: 10.1186/s12888-024-06202-3.

DOI:10.1186/s12888-024-06202-3

PMID:39592979

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11590521/

Abstract

BACKGROUND

Medical students have experienced increased anxiety symptoms during the pandemic of COVID-19. However, there is a paucity of investigation on the effect of academic procrastination, and personal resources (such as social support and resilience) on anxiety symptoms among this population.

OBJECTIVE

The main objective of this research was to evaluate the link between academic procrastination and anxiety symptoms among medical students during the pandemic of COVID-19 and clarify how resilience and social support mediate or moderate the relations between academic procrastination and anxiety symptoms.

METHODS

With a cross-sectional stratified sampling, 595 participants completed a self-administered questionnaire to assess anxiety symptoms and associated factors. The study used the Generalized Anxiety Disorder 7-item Scale (GAD-7 cutoff ≥ 10), the Academic Procrastination Scale (PASS), Connor Davidson Resilience Scale (CD-RISC),and Perception Social Support Scale for measurements.

RESULTS

The results of the study showed that 26.4% (157/595) of medical students exhibited symptoms of anxiety. Regression analysis revealed an inverse relationship between resilience, social support, and anxiety symptoms (β = -0.058, P < 0.05). As revealed by the analysis results, the study found a total effect of 0.338, a direct effect of 0.270, and resilience exhibited a mediating effect of 0.068. The direct effect (0.270) accounted for 79.59% of the total effect (0.338), while the mediating effect (0.068) contributed to 20.12% of the total effect (0.338). This further supports the role of psychological resilience in mediating the link between academic procrastination and anxiety symptoms.

CONCLUSION

The study implies that promoting resilience may be an effective intervention to lessen the detrimental consequences of academic procrastination on anxiety symptoms, and social support might provide a defense against the negative influence of academic procrastination on anxiety symptoms.

摘要

背景

在 COVID-19 大流行期间，医学生经历了焦虑症状的增加。然而，对于学术拖延对这一人群的焦虑症状的影响，以及个人资源（如社会支持和适应力）的研究很少。

目的

本研究的主要目的是评估 COVID-19 大流行期间医学生的学术拖延与焦虑症状之间的关系，并阐明适应力和社会支持如何调节或中介学术拖延与焦虑症状之间的关系。

方法

采用横断面分层抽样法，595 名参与者完成了一份自我管理的问卷，以评估焦虑症状和相关因素。研究使用了广泛性焦虑障碍 7 项量表（GAD-7 截断值≥10）、学术拖延量表（PASS）、Connor-Davidson 适应力量表（CD-RISC）和感知社会支持量表进行测量。

结果

研究结果表明，26.4%（157/595）的医学生表现出焦虑症状。回归分析显示，适应力、社会支持与焦虑症状呈负相关（β=-0.058，P<0.05）。分析结果显示，总效应为 0.338，直接效应为 0.270，适应力表现出 0.068 的中介效应。直接效应（0.270）占总效应（0.338）的 79.59%，中介效应（0.068）占总效应（0.338）的 20.12%。这进一步支持了心理适应力在调节学术拖延与焦虑症状之间关系的中介作用。