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全球疫情后沙特阿拉伯医学和牙医学学生的心理健康:一项横断面研究。

Psychological well-being of medical and dental students in Saudi Arabia post worldwide pandemic: a cross sectional study.

作者信息

Jabali Ahmad Hassan

机构信息

Department of Restorative Dental Sciences, Consultant & Associate Professor of Endodontics, College of Dentistry, Jazan University, Jazan, Saudi Arabia.

出版信息

BMC Med Educ. 2025 Sep 1;25(1):1238. doi: 10.1186/s12909-025-07817-0.

Abstract

BACKGROUND

Medical and dental students face significant psychological challenges due to rigorous academic demands and clinical responsibilities, which often lead to depression, anxiety, and stress (DAS). The COVID-19 pandemic has worsened these issues internationally, and Saudi Arabia (SA) is not an exclusion. This study aimed to measure the prevalence of DAS among Saudi Arabian medical and dental students and determine significant socio-demographic and academic factors affecting their psychological well-being especially post worldwide pandemics.

METHODS

A cross-sectional survey was carried out among Saudi Arabian medical and dental students in July and August 2021. An online survey that included demographic information and the depression, anxiety, and stress (DASS-21) scale was used to gather data. It was disseminated nationwide via university emails and academic platforms. A total of 715 students participated in the survey, of whom 550 were dental students and 165 were medical students. Statistical analysis, including ordinal regression, was carried out using SPSS to assess the relationships between mental health outcomes and characteristics including study field, academic phase, and geography. Data were documented and statistically analyzed, and statistical significance was set at p < 0.05 for all parameters and tests. Cronbach's alpha scores for all DASS-21 subscales were more than 0.87, confirming the instrument's reliability.

RESULTS

The prevalence rates of stress, anxiety, and depression were 88.5%, 67.3%, and 51.3%, respectively. Medical students reported higher levels of extreme stress (38.2%) and anxiety (42.4%) than dental students (30.4% and 24.7%, respectively). Medical students reported considerably higher stress in their clinical phase compared with their counterparts in preclinical phase. Preclinical dental students showed higher anxiety and depression than clinical students. Socio-demographic characteristics such as living conditions and region showed significant differences (p < 0.05), while gender and marital status exhibited no significant differences.

CONCLUSION

This study reveals a high prevalence of psychological distress among medical and dental students in Saudi Arabia, particularly clinical medical and preclinical dental students. These findings emphasize the need for targeted interventions to address academic stress and enhance mental well-being, emphasizing the importance of collaborative efforts to support students' mental health and resilience.

摘要

背景

由于严格的学业要求和临床责任,医学和牙医学学生面临重大的心理挑战,这常常导致抑郁、焦虑和压力(DAS)。2019冠状病毒病疫情在国际上使这些问题更加恶化,沙特阿拉伯也不例外。本研究旨在衡量沙特阿拉伯医学和牙医学学生中DAS的患病率,并确定影响其心理健康的重要社会人口统计学和学业因素,特别是在全球疫情之后。

方法

2021年7月和8月对沙特阿拉伯医学和牙医学学生进行了一项横断面调查。使用一项包括人口统计学信息以及抑郁、焦虑和压力量表(DASS-21)的在线调查来收集数据。该调查通过大学电子邮件和学术平台在全国范围内传播。共有715名学生参与了调查,其中550名是牙医学学生,165名是医学学生。使用SPSS进行统计分析,包括有序回归,以评估心理健康结果与包括学习领域、学业阶段和地理位置等特征之间的关系。数据被记录并进行统计分析,所有参数和测试的统计学显著性设定为p < 0.05。所有DASS-21子量表的克朗巴哈α系数均超过0.87,证实了该工具的可靠性。

结果

压力、焦虑和抑郁的患病率分别为88.5%、67.3%和51.3%。医学学生报告的极度压力(38.2%)和焦虑水平(42.4%)高于牙医学学生(分别为30.4%和24.7%)。与临床前阶段的医学学生相比,临床阶段的医学学生报告的压力要高得多。临床前牙医学学生表现出比临床阶段学生更高的焦虑和抑郁水平。生活条件和地区等社会人口统计学特征存在显著差异(p < 0.05),而性别和婚姻状况没有显著差异。

结论

本研究揭示了沙特阿拉伯医学和牙医学学生中心理困扰的高患病率,尤其是临床医学生和临床前牙医学学生。这些发现强调了需要有针对性的干预措施来解决学业压力并增强心理健康,强调了共同努力支持学生心理健康和恢复力的重要性。

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