Assessing the Psychological Impacts of COVID-19 in Undergraduate Medical Students
Medical education has been uniquely affected by the Novel Coronavirus Disease 2019 (COVID-19). As the pandemic's psychological impacts on medical students remain unclear, this study assessed COVID-19's impacts on undergraduate medical students' stress and anxiety. A nationwide, online...
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Veröffentlicht in: | International journal of environmental research and public health 2021-03, Vol.18 (6), p.2952 |
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description | Medical education has been uniquely affected by the Novel Coronavirus Disease 2019 (COVID-19). As the pandemic's psychological impacts on medical students remain unclear, this study assessed COVID-19's impacts on undergraduate medical students' stress and anxiety. A nationwide, online survey was administered via email chains between June-August 2020 to first-fourth year medical students in the United States. Demographics, 4-point Perceived Stress Scale that measures stress, 7-point Generalized Anxiety Disorder Scale that measures anxiety, and the impacts of social, health, and academic stressors due to COVID-19 were collected. Of the 852 students who participated, 66.1% experienced mild, moderate, or severe anxiety. Mean PSS-4 score was 7.25/16. Stress was highest in second- through fourth-year students. Students with preexisting mental health conditions had significantly higher stress and anxiety scores, and higher percentage of stress attributed to COVID-19. Trust in government institutions during COVID-19 was the highest stressor in first- and second-year students. Delay/availability of standardized exams was the highest stressor for third-year students. Impact on rotations/residencies was the highest stressor for fourth-year students. Understanding how students' anxiety and stress have changed due to COVID-19 will allow educators to identify students in need and guide recommendations on the implementation of psychological interventions and support strategies. |
doi_str_mv | 10.3390/ijerph18062952 |
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As the pandemic's psychological impacts on medical students remain unclear, this study assessed COVID-19's impacts on undergraduate medical students' stress and anxiety. A nationwide, online survey was administered via email chains between June-August 2020 to first-fourth year medical students in the United States. Demographics, 4-point Perceived Stress Scale that measures stress, 7-point Generalized Anxiety Disorder Scale that measures anxiety, and the impacts of social, health, and academic stressors due to COVID-19 were collected. Of the 852 students who participated, 66.1% experienced mild, moderate, or severe anxiety. Mean PSS-4 score was 7.25/16. Stress was highest in second- through fourth-year students. Students with preexisting mental health conditions had significantly higher stress and anxiety scores, and higher percentage of stress attributed to COVID-19. Trust in government institutions during COVID-19 was the highest stressor in first- and second-year students. Delay/availability of standardized exams was the highest stressor for third-year students. Impact on rotations/residencies was the highest stressor for fourth-year students. Understanding how students' anxiety and stress have changed due to COVID-19 will allow educators to identify students in need and guide recommendations on the implementation of psychological interventions and support strategies.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18062952</identifier><identifier>PMID: 33805787</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Anxiety - epidemiology ; Anxiety Disorders ; Coronaviruses ; COVID-19 ; Demography ; Disease transmission ; Generalized anxiety disorder ; Humans ; Learning ; Medical students ; Mental disorders ; Mental health ; Mental health care ; Osteopathic medicine ; Pandemics ; Personal protective equipment ; SARS-CoV-2 ; Schools ; Social distancing ; Stress ; Stress, Psychological - epidemiology ; Students ; Students, Medical</subject><ispartof>International journal of environmental research and public health, 2021-03, Vol.18 (6), p.2952</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). 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As the pandemic's psychological impacts on medical students remain unclear, this study assessed COVID-19's impacts on undergraduate medical students' stress and anxiety. A nationwide, online survey was administered via email chains between June-August 2020 to first-fourth year medical students in the United States. Demographics, 4-point Perceived Stress Scale that measures stress, 7-point Generalized Anxiety Disorder Scale that measures anxiety, and the impacts of social, health, and academic stressors due to COVID-19 were collected. Of the 852 students who participated, 66.1% experienced mild, moderate, or severe anxiety. Mean PSS-4 score was 7.25/16. Stress was highest in second- through fourth-year students. Students with preexisting mental health conditions had significantly higher stress and anxiety scores, and higher percentage of stress attributed to COVID-19. Trust in government institutions during COVID-19 was the highest stressor in first- and second-year students. Delay/availability of standardized exams was the highest stressor for third-year students. Impact on rotations/residencies was the highest stressor for fourth-year students. Understanding how students' anxiety and stress have changed due to COVID-19 will allow educators to identify students in need and guide recommendations on the implementation of psychological interventions and support strategies.</description><subject>Anxiety - epidemiology</subject><subject>Anxiety Disorders</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Demography</subject><subject>Disease transmission</subject><subject>Generalized anxiety disorder</subject><subject>Humans</subject><subject>Learning</subject><subject>Medical students</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Osteopathic medicine</subject><subject>Pandemics</subject><subject>Personal protective equipment</subject><subject>SARS-CoV-2</subject><subject>Schools</subject><subject>Social distancing</subject><subject>Stress</subject><subject>Stress, Psychological - epidemiology</subject><subject>Students</subject><subject>Students, Medical</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1PwkAQxTdGI4hePZomXrwU96Pd7l5MCH6RYNAoXjfb7QAlpYu7rQn_vUWQgKeZZH7z5k0eQpcEdxmT-Dafg1vOiMCcypgeoTbhHIcRx-R4r2-hM-_nGDMRcXmKWowJHCciaaO3nvfgfV5Og2oGwatfmZkt7DQ3uggGi6U2lQ_sJOiPPgf3IZFBXgbjMgM3dTqrdQXBC2S_8HtVZ1BW_hydTHTh4WJbO2j8-PDRfw6Ho6dBvzcMTUREFVKW0IwmEAEjUlDJcSRZNKGQSmCNZc4kxVokwvAkbUYkzYBKZtIsIpKnhHXQ3UZ3WacLyExz2-lCLV2-0G6lrM7V4aTMZ2pqv5XAjTpNGoGbrYCzXzX4Si1yb6AodAm29orGWMScxfEavf6Hzm3tyuY9RTkVJJZxsqa6G8o4672Dyc4MwWqdljpMq1m42n9hh__Fw34AEZmP1A</recordid><startdate>20210313</startdate><enddate>20210313</enddate><creator>Guo, Alyssa A</creator><creator>Crum, Marissa A</creator><creator>Fowler, Lauren A</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2310-7594</orcidid><orcidid>https://orcid.org/0000-0002-3494-6334</orcidid></search><sort><creationdate>20210313</creationdate><title>Assessing the Psychological Impacts of COVID-19 in Undergraduate Medical Students</title><author>Guo, Alyssa A ; Crum, Marissa A ; Fowler, Lauren A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-2372d27e4e319829604934f2eb9e360163920a878c67b4931bde293cbd4196b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anxiety - epidemiology</topic><topic>Anxiety Disorders</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Demography</topic><topic>Disease transmission</topic><topic>Generalized anxiety disorder</topic><topic>Humans</topic><topic>Learning</topic><topic>Medical students</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Osteopathic medicine</topic><topic>Pandemics</topic><topic>Personal protective equipment</topic><topic>SARS-CoV-2</topic><topic>Schools</topic><topic>Social distancing</topic><topic>Stress</topic><topic>Stress, Psychological - epidemiology</topic><topic>Students</topic><topic>Students, Medical</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guo, Alyssa A</creatorcontrib><creatorcontrib>Crum, Marissa A</creatorcontrib><creatorcontrib>Fowler, Lauren A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guo, Alyssa A</au><au>Crum, Marissa A</au><au>Fowler, Lauren A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the Psychological Impacts of COVID-19 in Undergraduate Medical Students</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2021-03-13</date><risdate>2021</risdate><volume>18</volume><issue>6</issue><spage>2952</spage><pages>2952-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Medical education has been uniquely affected by the Novel Coronavirus Disease 2019 (COVID-19). 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subjects | Anxiety - epidemiology Anxiety Disorders Coronaviruses COVID-19 Demography Disease transmission Generalized anxiety disorder Humans Learning Medical students Mental disorders Mental health Mental health care Osteopathic medicine Pandemics Personal protective equipment SARS-CoV-2 Schools Social distancing Stress Stress, Psychological - epidemiology Students Students, Medical |
title | Assessing the Psychological Impacts of COVID-19 in Undergraduate Medical Students |
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