Terra Mohamed, Baklola Mohamed, Mansour Lena Said, Darwish Nour Edin, Badr Mennatallah Elsayed, Alghazali Amira A, Almumtin Jinan Ali A, Fahmy Fayrouz Mohamed, El-Gilany Abdel-Hady
Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Internal Medicine Department, Damanhour Teaching Hospital, Damanhour, 22511, Egypt.
BMC Psychiatry. 2024 Dec 12;24(1):895. doi: 10.1186/s12888-024-06313-x.
Health anxiety (HA) is a prevalent concern among medical students, potentially impacting their academic performance and Quality of Life (QoL). This study aims to assess the prevalence of HA and its predictors among medical students in Egypt and its correlation with the Quality of Life.
A descriptive cross-sectional study was conducted during the 2022-2023 academic year across ten Egyptian medical schools. A total of 1,173 students participated by completing an online questionnaire, which included the Short Health Anxiety Inventory (SHAI) and the 12-Item Short Form Survey (SF-12). Data were analyzed using SPSS 25. Chi-square tests, crude odds ratios (COR) with 95% confidence intervals, and Pearson's correlation coefficients were utilized for statistical analysis. A p-value ≤ 0.05 was considered statistically significant.
This study found that 15.7% of participants experienced clinically significant HA. Female students (17.5%) and students dissatisfied with their academic performance (18%) exhibited a significantly higher prevalence of HA. A significant negative correlation was observed between HA and QoL (r = -0.393, p ≤ 0.05), with students experiencing HA reporting lower QoL scores. Key predictors of HA included female gender (OR = 1.41, 95% CI: 1.01-1.96) and lack of academic satisfaction (OR = 1.43, 95% CI: 1.04-1.96).
Health anxiety (HA) is a notable issue among Egyptian medical students, particularly affecting females and those dissatisfied with their academic performance and is closely linked to reduced quality of life. Effective interventions could enhance the overall educational experience, helping students improve their well-being and manage HA's impacts on their personal and academic lives.
健康焦虑（HA）是医学生中普遍存在的问题，可能会影响他们的学业成绩和生活质量（QoL）。本研究旨在评估埃及医学生中HA的患病率及其预测因素，并探讨其与生活质量的相关性。
在2022 - 2023学年期间，对埃及十所医学院校进行了一项描述性横断面研究。共有1173名学生通过完成一份在线问卷参与研究，问卷包括简短健康焦虑量表（SHAI）和12项简短形式调查（SF - 12）。使用SPSS 25对数据进行分析。采用卡方检验、95%置信区间的粗比值比（COR）以及Pearson相关系数进行统计分析。p值≤0.05被认为具有统计学意义。
本研究发现，15.7%的参与者经历了具有临床意义的HA。女生（17.5%）和对学业成绩不满意的学生（18%）的HA患病率显著更高。HA与生活质量之间存在显著负相关（r = - 0.393，p≤0.05），经历HA的学生生活质量得分较低。HA的关键预测因素包括女性性别（OR = 1.41，95% CI：1.01 - 1.96）和缺乏学业满意度（OR = 1.43，95% CI：1.04 - 1.96）。
健康焦虑（HA）是埃及医学生中一个值得关注的问题，尤其影响女性和那些对学业成绩不满意的学生，并且与生活质量下降密切相关。有效的干预措施可以改善整体教育体验，帮助学生提高幸福感并应对HA对其个人和学术生活的影响。
