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探索伊朗一所大学医学生心理健康、职业倦怠与学业因素之间的联系:横断面问卷调查研究

Exploring Connections Between Mental Health, Burnout, and Academic Factors Among Medical Students at an Iranian University: Cross-Sectional Questionnaire Study.

作者信息

Faghihzadeh Elham, Eghtesad Ali, Fawad Muhammad, Xu Xiaolin

机构信息

Department of Biostatistics and Epidemiology, Zanjan University of Medical Sciences, Zanjan, Iran.

School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

JMIR Med Educ. 2025 May 15;11:e58008. doi: 10.2196/58008.

Abstract

BACKGROUND

Medical students face high levels of burnout and mental health issues during training. Understanding associated factors can inform supportive interventions.

OBJECTIVE

This study aimed to examine burnout, psychological well-being, and related demographics among Iranian medical students.

METHODS

A cross-sectional survey was conducted among 131 medical students at an Iranian University. The instruments used included the Maslach Burnout Inventory-Student Survey and the Symptom Checklist-90-Revised. Descriptive statistics, multivariate regression, and tests for group differences were used to analyze the data.

RESULTS

The MBI-SS subscale scores indicated moderate emotional exhaustion, mean 15.00 (SD 7.08) and academic efficacy, mean 14.98 (SD 6.29), with lower cynicism, mean 10.85 (SD 5.89). The most commonly reported mental health issues were depression and obsessive-compulsive disorder. Poor psychological well-being was associated with higher overall burnout, but no significant gender differences were found. Burnout levels varied by academic year across all Maslach Burnout Inventory-Student Survey domains.

CONCLUSIONS

Despite their health education, medical students in this study reported significant burnout and mental health distress, with strong associations between the two. These issues may impact student retention and post-graduation practice plans. Supporting well-being during training is critical for positive student and physician outcomes.

摘要

背景

医学生在培训期间面临高水平的职业倦怠和心理健康问题。了解相关因素可为支持性干预措施提供依据。

目的

本研究旨在调查伊朗医科学生的职业倦怠、心理健康状况及相关人口统计学特征。

方法

对伊朗一所大学的131名医科学生进行了横断面调查。使用的工具包括马氏职业倦怠量表-学生版和症状自评量表-90修订版。采用描述性统计、多元回归分析和组间差异检验对数据进行分析。

结果

马氏职业倦怠量表-学生版各分量表得分显示,情绪耗竭程度中等,平均分为15.00(标准差7.08),学业效能感平均分为14.98(标准差6.29),玩世不恭程度较低,平均分为10.85(标准差5.89)。最常报告的心理健康问题是抑郁症和强迫症。心理健康状况不佳与总体职业倦怠程度较高有关,但未发现显著的性别差异。在马氏职业倦怠量表-学生版的所有维度中,职业倦怠水平因学年而异。

结论

尽管接受了健康教育,但本研究中的医科学生仍报告了显著的职业倦怠和心理健康困扰,且两者之间存在密切关联。这些问题可能会影响学生的留校率和毕业后的执业计划。在培训期间支持学生的心理健康对于学生和医生取得积极成果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3406/12097282/455c92e6831d/mededu-v11-e58008-g001.jpg

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