scholarly journals A longitudinal investigation of mental health, perceived learning environment and burdens in a cohort of first-year German medical students’ before and during the COVID-19 ‘new normal’

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ann-Kathrin Schindler ◽  
Sabine Polujanski ◽  
Thomas Rotthoff
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Learning Environment ◽  
Medical School ◽  
Repeated Measures ◽  
Well Being ◽  
Learning Material ◽  
Perceived Learning ◽  
New Normal ◽  
Study Programme

Abstract Background Medical students’ propensity to develop mental morbidity has been described for decades but remains unresolved. To assess student mental health person-centred and longitudinally, we have been investigating a cohort of German students since October 2019. After their first semester under ‘normal’ conditions, rapid changes became necessary due to the COVID-19 situation. In line with the initial aim, we investigated students’ change of mental health, perceived learning environment and burdens in the ‘new normal’. Methods Students in a newly founded German medical study programme (n = 63) answered a questionnaire each semester (October 2019 = entering medical school; December 2019 = ‘old normal’; June 2020 = ‘new normal’; December 2020 = ‘new normal’) on their well-being (FAHW-12), burnout (Maslach Inventory), depression (PHQ-9), perception of the learning environment (DREEM), burdens and protective attitudes in the ‘new normal’ (items designed for the study). Results Friedman tests reveal overall significant differences (all p < .001) in depression and burnout (emotional exhaustion, depersonalisation, personal accomplishment); changes in well-being were identified as just non-significant (p = .05). The effects were explained by a significant increase in burnout and depression identified post-hoc from October 2019 to December 2019. No increase in severity was identified in the ‘new normal’ semesters. The learning environment was perceived positively even with a significant improvement for June 2020 (repeated measures ANOVA p < .001). Study-related burdens (e.g. procrastination of online-learning material) took on greater relevance than burdens related to physicians’ occupation (e.g. potential for students' recruitment to the healthcare system during their studies). Conclusions The ‘new’ when entering medical school had a greater impact on our students’ mental health than the ‘new normal’. The readiness for change in the context of a newly designed study programme may have been beneficial with regard to students’ positively perceived learning environment during the virtual semesters. Monitoring medical students’ mental health longitudinally should be a concern regardless of a pandemic.

scholarly journals Mandatory physical exercise for the prevention of mental illness in medical students

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Robert A. Bitonte ◽  
Donald Joseph II DeSanto
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Students ◽  
Medical School ◽  
Cost Effective ◽  
Well Being ◽  
Dropping Out ◽  
Training Experience ◽  
Health Counseling ◽  
Positive Effect

Medical students experience higher rates of mental illness than the general population. With competition rising for success in medical school, and residency, increasing incidence of distress are leading this population to experience higher rates of thoughts of dropping out of school, and even suicide. Since many stigmas deter medical students from receiving mental health counseling, such as the perceived inability to handle the stresses of medical school, and the potential lack of competitiveness for residencies if reported, prevention of mental illness may be a better course to take in reducing prevalence in this population. Regular exercise has demonstrated a positive effect on not only promoting physical health, but also mental health. Exercise encourages a healthy mood, positive self esteem, and better cognition, while decreasing the chances of depression, anxiety, and burnout. Implementing exercise time into medical school curriculums, just like the basic sciences, albeit for less time in the day, could provide a feasible way to ensure that all students are taking time to partake in this important activity for their well being. Though medical schools are rigid with attempts to make changes in their curriculum, thirty minutes a day, three to five times a week of exercise of the students’ choice not only is more cost effective than counseling, but it also reduces the chances that they will experience burnout, which if left untreated could transcend into a compromised training experience.

A descriptive study of mental health and burnout among Nigerian medical students

2021 ◽  
pp. 002076402110577
Author(s):  
Olatunde Olayinka Ayinde ◽  
Eniola Racheal Akinnuoye ◽  
Andrew Molodynski ◽  
Oliver Battrick ◽  
Oye Gureje
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Medical Students ◽  
Medical School ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
Health Conditions ◽  
Mental Wellbeing ◽  
Short Version ◽  
Mental Health Conditions

Background: Increasing attention is being paid to medical students’ mental wellbeing globally due in part to their exposure to stressors inherent in medical education and the numerous reports of elevated rates of mental health conditions in this population. Aims: This study aimed to identify stressors and determine prevalence rates of psychiatric morbidity, substance use and burnout in a sample of Nigerian medical students. Methods: In a cross-sectional online survey, 505 medical students from 25 Nigerian medical schools completed a socio-demographic questionnaire, short version of the General Health Questionnaire (GHQ-12), the CAGE questionnaire and the Oldenburg Burnout Inventory (OLBI). Result: The most commonly reported sources of stress were study (75.6%), money (52.3%) and relationships (30.1%). Nine students (1.8%) had received a mental health diagnosis prior to medical school but this number had increased to 29 (5.7%) whilst in medical school, with the majority being cases of anxiety and depressive disorders. The prevalence of psychological distress was 54.5%, but <5% of affected students had received any help for their mental health conditions. Twenty five students (5%) met criteria for problematic alcohol use and 6% had used cannabis. The proportions of students who met criteria for disengagement and exhaustion domains of the OLBI were 84.6% and 77.0% respectively. Conclusion: The prevalence of psychological distress and burnout is high among medical students. Interventions for medical students’ well-being should be tailored to their needs and should target risk factors related to personal, organisational and medical school academic structure attributes.

scholarly journals Mandatory physical exercise for the prevention of mental illness in medical students

2014 ◽  
Vol 6 (2) ◽  
pp. 43-44
Author(s):  
Robert A. Bitonte ◽  
Donald Joseph DeSanto
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Students ◽  
Medical School ◽  
Cost Effective ◽  
Well Being ◽  
Dropping Out ◽  
Training Experience ◽  
Health Counseling ◽  
Positive Effect

Medical students experience higher rates of mental illness than the general population. With competition rising for success in medical school, and residency, increasing incidence of distress are leading this population to experience higher rates of thoughts of dropping out of school, and even suicide. Since many stigmas deter medical students from receiving mental health counseling, such as the perceived inability to handle the stresses of medical school, and the potential lack of competitiveness for residencies if reported, prevention of mental illness may be a better course to take in reducing prevalence in this population. Regular exercise has demonstrated a positive effect on not only promoting physical health, but also mental health. Exercise encourages a healthy mood, positive self esteem, and better cognition, while decreasing the chances of depression, anxiety, and burnout. Implementing exercise time into medical school curriculums, just like the basic sciences, albeit for less time in the day, could provide a feasible way to ensure that all students are taking time to partake in this important activity for their well being. Though medical schools are rigid with attempts to make changes in their curriculum, thirty minutes a day, three to five times a week of exercise of the students' choice not only is more cost effective than counseling, but it also reduces the chances that they will experience burnout, which if left untreated could transcend into a compromised training experience.

Medical students’ attitudes towards mental health disclosure: a qualitative study

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ryan Christy
Keyword(s):  
Mental Health ◽  
Medical Student ◽  
Medical Students ◽  
Medical School ◽  
Mental Health Problems ◽  
Medical Curriculum ◽  
Well Being ◽  
Health Problems ◽  
Medical Council ◽  
Content Type

Purpose In 2013, the General Medical Council conducted research into best practice for supporting medical students with mental health concerns, producing a document outlining University’s duty of care. It also outlined reasons as to why medical students are susceptible to mental illness. The purpose of this paper is to explore what factors affected medical students' disclosure of mental health problems and their help-seeking behaviour today and if these differed from the GMC’s findings from 2013. Design/methodology/approach A questionnaire was issued to all University of Glasgow medical student year groups. In total, 72 people responded. All responses were then analysed by the primary researcher using Mayring’s six-step approach of systematic, rule guided qualitative text analysis. Findings Four main barriers to disclosure were revealed: fear of repercussions, medical student “expectations”, judgement and lack of support. Respondents feared being deemed unfit to practise, displaying “weakness” or being treated differently. They believed support provided was inadequate or inaccessible. Less than half felt the Medical School made mental health support easily available and only 11% were even aware of the GMC document. Respondents believed medical students were psychologically vulnerable due to Medical School environment, work load, “expectations” and course content. They perceived the Medical School was “a pressure cooker” for mental health problems and yet student well-being was not prioritised. Originality/value The research highlighted some key areas that universities should address, such as promoting support services available, recognising the unique stresses of the medical curriculum and the need for provision of resources that can be accessed without fear, stigmatisation or uncertainty.

The Influence of Religiosity and Spirituality on the Happiness, Optimism, and Pessimism of Brazilian Medical Students

2021 ◽  
pp. 109019812110575
Author(s):  
Luciano Magalhães Vitorino ◽  
Mariana Fernandes Cazerta ◽  
Natália Roriz Corrêa ◽  
Emanuelle dos Passos Foresto ◽  
Marcia Ap. F. de Oliveira ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Medical School ◽  
Health Care Professionals ◽  
Mental Health Problems ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Religiosity And Spirituality

Background Mental health problems are very common among medical students, becoming a concern for health care professionals and educators. Despite the fact that there is a growing body of literature supporting the role of religiosity and spirituality (RS) on mental health and on positive psychology outcomes, little evidence is available among medical students, a population subjected to important distress. Aims This study aimed to investigate the role of RS on the levels of optimism, pessimism, and happiness among Brazilian medical students. Methods This is a cross-sectional study including medical students from the first to the eighth semester of a private medical school. The instruments used were: TOT-R for optimism and pessimism, Lyubomirsk and Lepper subjective happiness scale, and sociodemographic profile. The independent variables were Brazilian Portuguese Duke University Religiosity Scale for religiosity, Brief Spiritual Religious Coping (SRC) for negative and positive SRC; and Facit-Sp for spiritual well-being. Results A total of 353 medical students were included (response rate 97.51%). Higher levels of intrinsic religiosity and peace were associated with greater happiness and optimism. However, negative SRC was associated with lower levels of happiness and optimism and higher levels of pessimism. Conclusion Medical students tend to use their RS as a resource for dealing with the challenges of medical school, influencing their happiness and optimism. In this context, it seems that religiousness acts in two different ways, not only have positive but also negative outcomes among the participants.

BECOMING A PHYSICIAN: A QUALITATIVE ANALYSIS OF MEDICAL STUDENTS’ PERSPECTIVES ON THEIR ACADEMIC ENVIRONMENT, WELL-BEING AND MENTAL HEALTH

2021 ◽  
Vol 9 (2) ◽  
pp. 29-47
Author(s):  
Tamires Martins Bastos ◽  
Carolina Stopinski Padoan ◽  
Vanina Lima Monteiro ◽  
Márcia Mocellin Raymundo ◽  
Cristina Plentz Pessi ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Research ◽  
Medical Students ◽  
Medical School ◽  
Well Being ◽  
Academic Environment ◽  
Medical Culture ◽  
Institutional Rules ◽  
Excessive Competition ◽  
Depth Interviews

Background: Medical students are a population at higher risk for psychological distress and mental health disorders when compared to the general population. Evidence-based interventions to promote well-being are available, but the rates of anxiety, burnout, depression, and suicide are not decreasing as expected. This scenario can lead to poor academic outcomes and lower assistance capability. Students are frequently targeted in interventions, but the academic environment itself is seldomly a target. Qualitative research is an insightful approach in deriving a deeper understanding of phenomena that are suitable to culture-sensitive interventions. Objective: To explore student’s perception of medical school and their understanding of which factors underly the path from well-being to impaired mental health. Methods: A qualitative exploratory study was performed. Focus groups and in-depth interviews were conducted, comprising students from all medical school years. Grounded theory was used to analyze data, and Consolidated Criteria for Reporting Qualitative Research were followed. Feedback from participants and through external supervision were conducted in ensuring saturation, reliability, and coherence. Results: Five main categories were identified: socioeconomic aspects, university environment (including culture, institutional functioning, and relationships), training issues, career demands, and mental health. Both personal and environmental factors were highlighted as contributors and stressors. Conclusion: A medical career appears to be related to a culture of omnipotence where excellence is frequently misconstrued as perfection. The complex relations between personal and environmental factors demand comprehensive strategies. Institutional rules could be adapted to avoid enhancing excessive competition. In some cases, individual assistance is needed. Inclusion of the academic community’s perspective and targeting the negative aspects of the medical culture seem essential to move forward in the field of mental health and person-centered learning.

Meditation buffers medical student compassion from the deleterious effects of depression.

2017 ◽  
Author(s):  
Jennifer S Mascaro ◽  
Sean Kelley ◽  
Alana Darcher ◽  
Lobsang Negi ◽  
Carol Worthman ◽  
...  
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Medical School ◽  
Well Being ◽  
Daily Functioning ◽  
Wait List ◽  
School Students ◽  
Social Emotions ◽  
The Face ◽  
Second Year

Increasing data suggest that for medical school students the stress of academic and psychologicaldemands can impair social emotions that are a core aspect of compassion and ultimately physiciancompetence. Few interventions have proven successful for enhancing physician compassion inways that persist in the face of suffering and that enable sustained caretaker well-being. To addressthis issue, the current study was designed to (1) investigate the feasibility of cognitively-basedcompassion training (CBCT) for second-year medical students, and (2) test whether CBCT decreasesdepression, enhances compassion, and improves daily functioning in medical students. Comparedto the wait-list group, students randomized to CBCT reported increased compassion, and decreasedloneliness and depression. Changes in compassion were most robust in individuals reporting highlevels of depression at baseline, suggesting that CBCT may benefit those most in need by breakingthe link between personal suffering and a concomitant drop in compassion

Kesehatan Mental Mahasiswa Fakultas Kedokteran Di Masa Pandemi COVID-19

2021 ◽  
Vol 2 (4) ◽  
pp. 113-120
Author(s):  
Athaya Taufiqy
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Literature Review ◽  
World Health ◽  
Vulnerable Groups ◽  
Future Research ◽  
Learning Material ◽  
Learning Programs ◽  
Learning Platforms ◽  
Health Organization

December 2019, COVID-19 was first reported in Wuhan, Hubei Province, China. March 11, 2020, the World Health Organization declared COVID-19 a worldwide pandemic. The COVID-19 pandemic has focused attention on the mental health of the various affected populations, medical students being one of the more vulnerable groups. Therefore, this literature review aims to find out how the mental health of Faculty of Medicine students during the COVID-19 pandemic, so that it can be used as learning material to always maintain mental health stability. The method used in this study is a literature review and literature search which was carried out by collecting several electronic journals such as PubMed, NCBI and Google Scholar. Conducted by reviewing journals related to the mental health of medical faculty students during the COVID-19 pandemic. This study involved 49 library sources from 2018-2020. From 7,143 students, 0.9% of them experienced severe anxiety, 2.7% moderate, and 21.3% experienced mild anxiety. In addition, delay in academic activities is a risk factor for experiencing symptoms of anxiety. 40% of students also experience financial difficulties, in terms of e-learning platforms, this problem is a challenge for medical students because financial and social factors can be an obstacle to the development and implementation of effective online learning programs. Future research is urgently needed to provide a better explanation of the tips needed for students in adapting to the changes that occur in order to lead a mentally healthy life in the midst of the COVID-19 pandemic.

scholarly journals Effects of Touch on Students’ Stress, Happiness, and Well-Being During Animal-Assisted Activities

2021 ◽  
Vol 5 (1) ◽  
pp. 111
Author(s):  
Laura Sokal ◽  
Brianne Bartel ◽  
Taylor Martin
Keyword(s):  
Mental Health ◽  
North America ◽  
Secondary Students ◽  
Repeated Measures ◽  
Research Study ◽  
Well Being ◽  
Post Secondary ◽  
College And University ◽  
Positive Effects ◽  
Repeated Measures Design

Post-secondary institutions across North America have adopted animal-assisted activities as a way to promote better mental health in their students. The current research study of 242 Canadian college and university students sought to contribute to our collective understanding of the aspects of the programs and characteristics of students that are related to promotion of better mental health in post-secondary students including decreased stress, and increased happiness and well-being. Results of a repeated measures design showed that students demonstrated greater positive effects on stress, happiness, and well-being when they touched dogs as compared to when they observed them. Furthermore, positive mental health outcomes were correlated with greater durations of contact as well as with higher levels of animal affiliation in students. Implications for post-secondary institutions are discussed. 

scholarly journals Mental Health and Well-Being During the First vs. Second COVID-19 Pandemic Lockdown in Cyprus

2021 ◽  
Vol 80 (1-2) ◽  
pp. 40-49 ◽  
Author(s):  
Danae Papageorgiou ◽  
Angelos P. Kassianos ◽  
Marios Constantinou ◽  
Demetris Lamnisos ◽  
Christiana Nicolaou ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Health ◽  
Repeated Measures ◽  
Online Survey ◽  
Perceived Social Support ◽  
Psychological Impact ◽  
Well Being ◽  
Positive And Negative Affect ◽  
Similar Survey ◽  
Health And Well Being

Abstract. Introduction: Following the onset of the COVID-19 pandemic, most countries imposed strict governmental lockdowns. Research investigating the psychological impact of pandemic-induced lockdowns is accumulating, though to date no study has examined the psychological health and associated parameters of well-being in countries that underwent additional lockdowns as the pandemic continued into resurgence “waves.” Aim: The present study provides an overview of the psychological impact of COVID-19 across the two lockdowns in the Cypriot population. Methods: In total, 957 participants completed an online survey during the first lockdown, 134 of whom completed a similar survey again during the second lockdown. The outcomes assessed included stress, positive and negative affect, and well-being. Results: The results indicated no population-wide severe reactions in the participants. Repeated measures analyses showed similar mental health levels during both the first and the second lockdowns. Further inspection of participants’ scores indicated that, for all mental health variables, approximately half of the participants improved, while the other half deteriorated. Discussion: Perceived social support and psychological flexibility predicted most psychological outcomes during both lockdowns. Further research is necessary to understand the continuing effects of the pandemic and associated lockdowns on mental health.

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