Research Article
BibTex RIS Cite

The Psychological Impact of COVID-19 on Medical Students: A Cross-Sectional Study.

Year 2024, , 46 - 52, 14.08.2024
https://doi.org/10.5281/zenodo.13309868

Abstract

Objective: The coronavirus disease 2019 (COVID-19) pandemic has intensified anxiety levels among medical students, who are predisposed to anxiety. Understanding the impact of the pandemic on future physicians is crucial for preparing medical education processes for potential future pandemics. This study aimed to assess pandemic-induced anxiety levels among medical students and their influence on their professional attitudes and to establish a theoretical framework for psychological interventions.
Methods: This descriptive study surveyed 1,273 medical students from Terms 1 to 5 during the second semester of the 2020 academic year. Using an online platform via a distance education center, participants completed the Coronavirus Anxiety Scale (CAS) along with researcher-designed questions.
Results: Among the participants, 51% were female and 49% male. Of these, 21.7% attained a score of ≥9 on the CAS, with 60.4% of those being female, representing a statistically significant disparity. Notably, 86.1% of the Term-1 students who lacked prior medical coursework had registered scores ≤8. Within Period 4, 29.1% surpassed the CAS threshold, indicating heightened anxiety compared with other periods. Families of students with CASs ≥9 presented a notably higher COVID-19 incidence rate, at 37.3%. During the pandemic, 31% of the students expressed apprehension regarding their chosen profession, with 46% surpassing the CAS threshold and 27% scoring ≤8.
Conclusion: During the pandemic, 21.7% of the students experienced heightened anxiety, which was influenced by remote learning and family COVID-19 cases. The students who experienced anxiety questioned their professional path and considered changing their specialty. This highlights the need to prioritize protective measures and educational support for medical students during future crises.

References

  • Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public: a systematic review and meta-analysis. Psychiatry Res. 2020;291:113190. doi:10.1016/j.psychres.2020.113190
  • Giorgi G, Lecca LI, Alessio F, et al. COVID-19-related mental health effects in the workplace: a narrative review. Int. J. Environ. Res. Public Health. 2020;17(21):7857. doi:10.3390/ijerph17217857
  • Puangsri P, Jinanarong V, Wattanapisit A. Impacts on and care of psychiatric patients during the outbreak of COVID-19. Clin Pract Epidemiol Ment Health. 2021;17:52-60. doi:10.2174/1745017902117010052
  • Lui L, Lee Y, McIntyre R. Economic, physical and social determinants of health during the COVID-19 lockdown: a call for renewed societal responses. COVID-19. 2021. doi:10.1183/2312508x.10024720
  • Soriano JB, Infante A. Epidemiology: global spread, risk factors for disease incidence, severity and mortality. In: Fabre A, Hurst JR, Ramjug S, eds. COVID-19, ERS Monograph. Sheffield, European Respiratory Society; 2021:14-27. doi:10.1183/2312508X.10025420.
  • Ye J. Pediatric mental and behavioral health in the period of quarantine and social distancing with COVID-19. JMIR Pediatr Parent. 2020;3:e19867. doi:10.2196/19867
  • Temsah MH, Al-Sohime F, Alamro N, et al. The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country. J Infect Public Health. 2020;13(6):877-882. doi:10.1016/j.jiph.2020.05.021
  • Tian-Ci Quek T, Wai-San Tam W, X. Tran B, Zhang M, Zhang Z, Su-Hui Ho C, Chun-Man Ho R. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int. J. Environ. Res. Public Health. 2019; 16(15):2735. https://doi.org/10.3390/ijerph16152735
  • Hill MR, Goicochea S, Merlo LJ. In their own words: stressors facing medical students in the millennial generation. Med Educ Online. 2018;23(1):1530558. doi:10.1080/10872981.2018.1530558.
  • Kuman Tunçel Ö, Taşbakan SE, Gökengin D, et al. The deep impact of the COVID-19 pandemic on medical students: An online cross-sectional study evaluating Turkish students' anxiety. Int J Clin Pract. 2021;75(6):e14139. doi:10.1111/ijcp.14139
  • Çalışkan F, Mıdık Ö, Baykan Z, et al. The knowledge level and perceptions toward COVID-19 among Turkish final year medical students. Postgrad Med. 2020;132(8):764-772. doi:10.1080/00325481.2020.1795486
  • Saraswathi I, Saikarthik J, Senthil Kumar K, et al. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: a prospective longitudinal study. PeerJ. 2020;8:e10164. doi:10.7717/peerj.10164
  • Bose M, Misra D, Das S, et al. Impact of the COVID-19 pandemic on the mental health of medical undergraduates of a tertiary care teaching hospital in Eastern Odisha: A cross-sectional study. Al-Rafidain J Med Sci. 2023;5(1S) doi:10.54133/ajms.v5i1S.278
  • Guo AA, Crum MA, Fowler LA. Assessing the Psychological Impacts of COVID-19 in Undergraduate Medical Students. Int. J. Environ. Res. Public Health. 2021; 18(6):2952. doi:10.3390/ijerph18062952
  • Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393-401. doi:10.1080/07481187.2020.1748481
  • Biçer İ, Çakmak C, Demir H, Kurt ME. Koronavirüs Anksiyete Ölçeği Kısa Formu: Türkçe Geçerlik ve Güvenirlik Çalışması. Anadolu Klin Tıp Bilimleri Dergisi. 2020;25(Özel sayı 1):216-225. doi:10.21673/anadoluklin.731092
  • Essangri H, Sabir M, Benkabbou A, et al. Predictive Factors for Impaired Mental Health among Medical Students during the Early Stage of the COVID-19 Pandemic in Morocco. Am J Trop Med Hyg. 2021;104(1):95-102. doi:10.4269/ajtmh.20-1302
  • Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi:10.1016/j.psychres.2020.112934
  • Deng J, Zhou F, Hou W, et al. The prevalence of depressive symptoms, anxiety symptoms and sleep disturbance in higher education students during the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res. 2021;301:113863. doi:10.1016/j.psychres.2021.113863
  • Dyrbye LN, Massie FS, Eacker A, et al. Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students. JAMA. 2010;304(11):1173–1180. doi:10.1001/jama.2010.1318
  • Nabila AA, Mahmuda INN, Sulistyani, Herdaetha A. Anxiety Levels of Undergraduate and Clerkship Medical Students during the COVID-19 Pandemic. Ulum Islamiyyah. 2021;33(3):91-102. doi:10.33102/uij.vol33no3.364.
  • Xu T, Wang H. High prevalence of anxiety, depression, and stress among remote learning students during the COVID-19 pandemic: Evidence from a meta-analysis. Front Psychol. 2023;13:1103925. doi:10.3389/fpsyg.2022.1103925.
  • Tsang JTY, So MKP, Chong ACY, Lam BSY, Chu AMY. Higher Education during the Pandemic: The Predictive Factors of Learning Effectiveness in COVID-19 Online Learning. Education Sciences. 2021; 11(8):446. https://doi.org/10.3390/educsci11080446
Year 2024, , 46 - 52, 14.08.2024
https://doi.org/10.5281/zenodo.13309868

Abstract

References

  • Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public: a systematic review and meta-analysis. Psychiatry Res. 2020;291:113190. doi:10.1016/j.psychres.2020.113190
  • Giorgi G, Lecca LI, Alessio F, et al. COVID-19-related mental health effects in the workplace: a narrative review. Int. J. Environ. Res. Public Health. 2020;17(21):7857. doi:10.3390/ijerph17217857
  • Puangsri P, Jinanarong V, Wattanapisit A. Impacts on and care of psychiatric patients during the outbreak of COVID-19. Clin Pract Epidemiol Ment Health. 2021;17:52-60. doi:10.2174/1745017902117010052
  • Lui L, Lee Y, McIntyre R. Economic, physical and social determinants of health during the COVID-19 lockdown: a call for renewed societal responses. COVID-19. 2021. doi:10.1183/2312508x.10024720
  • Soriano JB, Infante A. Epidemiology: global spread, risk factors for disease incidence, severity and mortality. In: Fabre A, Hurst JR, Ramjug S, eds. COVID-19, ERS Monograph. Sheffield, European Respiratory Society; 2021:14-27. doi:10.1183/2312508X.10025420.
  • Ye J. Pediatric mental and behavioral health in the period of quarantine and social distancing with COVID-19. JMIR Pediatr Parent. 2020;3:e19867. doi:10.2196/19867
  • Temsah MH, Al-Sohime F, Alamro N, et al. The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country. J Infect Public Health. 2020;13(6):877-882. doi:10.1016/j.jiph.2020.05.021
  • Tian-Ci Quek T, Wai-San Tam W, X. Tran B, Zhang M, Zhang Z, Su-Hui Ho C, Chun-Man Ho R. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int. J. Environ. Res. Public Health. 2019; 16(15):2735. https://doi.org/10.3390/ijerph16152735
  • Hill MR, Goicochea S, Merlo LJ. In their own words: stressors facing medical students in the millennial generation. Med Educ Online. 2018;23(1):1530558. doi:10.1080/10872981.2018.1530558.
  • Kuman Tunçel Ö, Taşbakan SE, Gökengin D, et al. The deep impact of the COVID-19 pandemic on medical students: An online cross-sectional study evaluating Turkish students' anxiety. Int J Clin Pract. 2021;75(6):e14139. doi:10.1111/ijcp.14139
  • Çalışkan F, Mıdık Ö, Baykan Z, et al. The knowledge level and perceptions toward COVID-19 among Turkish final year medical students. Postgrad Med. 2020;132(8):764-772. doi:10.1080/00325481.2020.1795486
  • Saraswathi I, Saikarthik J, Senthil Kumar K, et al. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: a prospective longitudinal study. PeerJ. 2020;8:e10164. doi:10.7717/peerj.10164
  • Bose M, Misra D, Das S, et al. Impact of the COVID-19 pandemic on the mental health of medical undergraduates of a tertiary care teaching hospital in Eastern Odisha: A cross-sectional study. Al-Rafidain J Med Sci. 2023;5(1S) doi:10.54133/ajms.v5i1S.278
  • Guo AA, Crum MA, Fowler LA. Assessing the Psychological Impacts of COVID-19 in Undergraduate Medical Students. Int. J. Environ. Res. Public Health. 2021; 18(6):2952. doi:10.3390/ijerph18062952
  • Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393-401. doi:10.1080/07481187.2020.1748481
  • Biçer İ, Çakmak C, Demir H, Kurt ME. Koronavirüs Anksiyete Ölçeği Kısa Formu: Türkçe Geçerlik ve Güvenirlik Çalışması. Anadolu Klin Tıp Bilimleri Dergisi. 2020;25(Özel sayı 1):216-225. doi:10.21673/anadoluklin.731092
  • Essangri H, Sabir M, Benkabbou A, et al. Predictive Factors for Impaired Mental Health among Medical Students during the Early Stage of the COVID-19 Pandemic in Morocco. Am J Trop Med Hyg. 2021;104(1):95-102. doi:10.4269/ajtmh.20-1302
  • Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi:10.1016/j.psychres.2020.112934
  • Deng J, Zhou F, Hou W, et al. The prevalence of depressive symptoms, anxiety symptoms and sleep disturbance in higher education students during the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res. 2021;301:113863. doi:10.1016/j.psychres.2021.113863
  • Dyrbye LN, Massie FS, Eacker A, et al. Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students. JAMA. 2010;304(11):1173–1180. doi:10.1001/jama.2010.1318
  • Nabila AA, Mahmuda INN, Sulistyani, Herdaetha A. Anxiety Levels of Undergraduate and Clerkship Medical Students during the COVID-19 Pandemic. Ulum Islamiyyah. 2021;33(3):91-102. doi:10.33102/uij.vol33no3.364.
  • Xu T, Wang H. High prevalence of anxiety, depression, and stress among remote learning students during the COVID-19 pandemic: Evidence from a meta-analysis. Front Psychol. 2023;13:1103925. doi:10.3389/fpsyg.2022.1103925.
  • Tsang JTY, So MKP, Chong ACY, Lam BSY, Chu AMY. Higher Education during the Pandemic: The Predictive Factors of Learning Effectiveness in COVID-19 Online Learning. Education Sciences. 2021; 11(8):446. https://doi.org/10.3390/educsci11080446
There are 23 citations in total.

Details

Primary Language English
Subjects Medical Education
Journal Section Research Article
Authors

Pınar Daylan Koçkaya 0000-0002-0116-8986

Publication Date August 14, 2024
Submission Date June 20, 2024
Acceptance Date August 5, 2024
Published in Issue Year 2024

Cite

Vancouver Daylan Koçkaya P. The Psychological Impact of COVID-19 on Medical Students: A Cross-Sectional Study. J Med Educ Family Med. 2024;1(2):46-52.

Content of this journal is licensed under a Creative Commons Attribution NonCommercial 4.0 International License

30617