Chang Siyuan, Jiang Yafeng, Huang Tianlong, Ho Kaying, Tan Yejun, Zhu Lemei, Nie Yu, Qin Layun, Song Meiyan, Li Fen, Kang Jin
Department of Rheumatology and Immunology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China; Clinical Medical Research Center for Systemic Autoimmune Diseases in Hunan Province, 410011, China.
Department of Hematology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
Public Health. 2025 Feb;239:162-168. doi: 10.1016/j.puhe.2024.11.012. Epub 2025 Jan 21.
This study aimed to explore the characteristics, overall anxiety and depression status, and influencing factors of only-child and non-only-child students by examining a medical student population in the post-COVID-19 era.
This study was a cross-sectional design.
An online questionnaire survey was administered among medical students. The psychological problems related to depression and anxiety were measured using Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder Scale (GAD-7), respectively, which were scored via a Likert-4 scale. Statistical analysis was employed to explore the characteristics and overall differences between only-child and non-only-child students, along with the factors affecting their anxiety and depression.
A total of 1688 participants were enrolled. No significant differences were observed in the prevalence of anxiety (χ = 1.154, P = 0.283) and depression (χ = 0.313, P = 0.576) between only-child and non-only-child students. School level, single status, and desire for only child status are associated with anxiety and depression in the two groups. Region and loneliness are merely related to anxiety and depression among only-child students, while gender, willingness to apply for medical school, and equal treatment are associated with anxiety and depression among non-only-child students.
Our study found the factors that are associated with depression or anxiety inthe only-child and non-only-child medical students jointly and separately, which could provide a new theoretical basis for the psychological intervention of medical students, that is, to identify the high risk factors of depression and anxiety from the perspective of only child and non-only child.
本研究旨在通过对新冠疫情后时代的医学生群体进行调查，探讨独生子女与非独生子女学生的特征、总体焦虑和抑郁状况及其影响因素。
本研究采用横断面设计。
对医学生进行在线问卷调查。分别使用患者健康问卷-9（PHQ-9）和广泛性焦虑障碍量表（GAD-7）测量与抑郁和焦虑相关的心理问题，通过李克特4级量表进行评分。采用统计分析方法探讨独生子女与非独生子女学生的特征和总体差异，以及影响他们焦虑和抑郁的因素。
共纳入1688名参与者。独生子女与非独生子女学生在焦虑患病率（χ² = 1.154，P = 0.283）和抑郁患病率（χ² = 0.313，P = 0.576）方面未观察到显著差异。学校年级、单身状况和对独生子女身份的期望与两组学生的焦虑和抑郁有关。地区和孤独感仅与独生子女学生的焦虑和抑郁有关，而性别、报考医学院的意愿和平等待遇与非独生子女学生的焦虑和抑郁有关。
我们的研究分别和共同发现了与独生子女和非独生子女医学生抑郁或焦虑相关的因素，这可为医学生的心理干预提供新的理论依据，即从独生子女和非独生子女的角度识别抑郁和焦虑的高危因素。
