医学与健康科学专业学生的学业动机与心理健康及生活质量的关系：越南的一项调查

Academic motivation in association with mental health and quality of life among medical and health science students: a survey in Vietnam.

作者信息

Duong Ngoc Le Mai, Nguyen Viet Ha, Ngo Minh Tri, Le Dai Minh, Nguyen Tien Dat, Nguyen Thi Thu Trang, Nguyen Huu Tu, Kim Bao Giang, Pham Thanh Tung

机构信息

Doctor of Medicine, Hanoi Medical University, Hanoi, Vietnam.

College of Health Sciences, VinUniversity, Hanoi, Vietnam.

出版信息

BMC Med Educ. 2025 Jul 1;25(1):986. doi: 10.1186/s12909-025-07368-4.

DOI:10.1186/s12909-025-07368-4

PMID:40598265

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12219361/

Abstract

INTRODUCTION

Academic motivation is crucial in education, it was also found to be associated with various health-relating factors, but it has yet to be well-applied in the admission process of most Vietnamese medical universities. This study aimed to describe students’ academic motivation and investigate the association between it and depression, anxiety, and quality of life at Hanoi Medical University.

METHODS

A cross-sectional study was conducted on first and final year students of doctor and bachelor programs from October to November 2018 via a computer-based questionnaire. Academic motivation was assessed using the AMS-C 28 scale. The relationships between academic motivation and anxiety (screened by GAD-7), depression (screened by PHQ-9), and quality of life (assessed by SF-12) were analyzed using modified Poisson regression with robust error variances and linear regression models.

RESULTS

Among 1723 participants (85.1% response rate), 57.1% were female, 58.4% were first-year, and 75.7% were in doctor programs. The percentage of non-self-determined students was 37.9% (95%CI: 35.3 − 40.5%). The proportion of self-determined students was significantly higher among female compared to male participants (65.1% vs. 58.1%; < 0.001), among first-year compared to final year ones (68.9% vs. 53.0%; < 0.001), and among those in bachelors compared to doctor programs (68.7% vs. 60.2%, < 0.001). Our Poisson regression and linear regression analysis showed a statistically significant association between academic motivation and anxiety disorder (PR = 1.44, 95%CI: 1.03–2.01); depression (PR = 1.62; 95%CI: 1.27–2.06); and quality of life: physical (Coef = -1.47, 95%CI: -2.19 - -0.74) and mental health components (Coef = -2.45, 95%CI: -3.34 - -1.55).

CONCLUSIONS

Female, first-year, and bachelor of health sciences students tended to be more self-determined. More self-determined students were found to have a lower prevalence of depression, anxiety, and higher quality of life. Academic motivation should be further studied to be considered as an admission criterion during the selection process of medical schools to improve the quality of medical education in the future.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1186/s12909-025-07368-4.

摘要

引言

学术动机在教育中至关重要，还被发现与各种健康相关因素有关，但在大多数越南医科大学的招生过程中尚未得到充分应用。本研究旨在描述学生的学术动机，并调查其与河内医科大学学生抑郁、焦虑和生活质量之间的关联。

方法

2018年10月至11月，通过基于计算机的问卷对博士和学士项目的一年级和最后一年学生进行了横断面研究。使用AMS-C 28量表评估学术动机。采用具有稳健误差方差的修正泊松回归和线性回归模型分析学术动机与焦虑（通过GAD-7筛查）、抑郁（通过PHQ-9筛查）和生活质量（通过SF-12评估）之间的关系。

结果

在1723名参与者中（回复率85.1%），57.1%为女性，58.4%为一年级学生，75.7%为博士项目学生。非自主学生的比例为37.9%（95%CI：35.3−40.5%）。与男性参与者相比，女性自主学生的比例显著更高（65.1%对58.1%；<0.001）；与最后一年学生相比，一年级学生自主学生的比例更高（68.9%对53.0%；<0.001）；与博士项目学生相比，学士项目学生自主学生的比例更高（68.7%对60.2%，<0.001）。我们的泊松回归和线性回归分析显示，学术动机与焦虑症（PR = 1.44，95%CI：1.03–2.01）、抑郁症（PR = 1.62；95%CI：1.27–2.06）以及生活质量：身体（系数=-1.47，95%CI：-2.19--0.74）和心理健康成分（系数=-2.45，95%CI：-3.34--1.55）之间存在统计学上的显著关联。