The Psychiatric Burden on Medical Students in New York City Entering Clinical Clerkships During the COVID-19 Pandemic.


Journal

The Psychiatric quarterly
ISSN: 1573-6709
Titre abrégé: Psychiatr Q
Pays: United States
ID NLM: 0376465

Informations de publication

Date de publication:
06 2022
Historique:
accepted: 11 09 2021
pubmed: 8 10 2021
medline: 30 4 2022
entrez: 7 10 2021
Statut: ppublish

Résumé

For medical students first entering the clinical space in July 2020, the unique challenges related to the coronavirus pandemic threatened to amplify the psychological distress associated with clerkship rotations. This study aimed to characterize the mental health of third-year medical students starting clinical clerkships in the midst of a pandemic by assessing symptoms of major depressive disorder (MDD), generalized anxiety disorder (GAD), and posttraumatic stress disorder (PTSD) as well as risk, coping, and protective factors associated with psychological outcomes. Of 147 third-year medical students at the Icahn School of Medicine at Mount Sinai in New York City, 110 (75%) participated in this prospective survey-based study with 108 included in the final analysis. 43 (39.8%) respondents screened positive for symptoms of either MDD, GAD, or PTSD. Multiple regression analyses revealed that greater overall symptom severity was associated with more avoidant coping, more traumatic events witnessed, poorer student and leisure functioning, lower trait emotional stability, and lower social support. Worries related to COVID-19 did not significantly influence outcome variables. To better understand the role of the pandemic on psychological outcomes in third-year medical students, additional research should focus on the trajectory of these outcomes over the year during the coronavirus pandemic.

Identifiants

pubmed: 34618278
doi: 10.1007/s11126-021-09955-2
pii: 10.1007/s11126-021-09955-2
pmc: PMC8495188
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

419-434

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Alexandra Saali (A)

Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Emma R Stanislawski (ER)

Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA. emma.stanislawski@gmail.com.
Department of Psychiatry, Maine Medical Center, Portland, ME, USA. emma.stanislawski@gmail.com.

Vedika Kumar (V)

Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Psychiatry, Zucker Hillside Hospital, New York, NY, USA.

Chi Chan (C)

Mental Illness Research Education and Clinical Center, James J. Peters VA Medical Center, Bronx, NY, USA.
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Alicia Hurtado (A)

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Robert H Pietrzak (RH)

Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, CT, USA.

Dennis S Charney (DS)

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Jonathan Ripp (J)

Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.

Craig L Katz (CL)

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

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