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

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 start...

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Veröffentlicht in:Psychiatric quarterly Jg. 93; H. 2; S. 419 - 434
Hauptverfasser: Saali, Alexandra, Stanislawski, Emma R., Kumar, Vedika, Chan, Chi, Hurtado, Alicia, Pietrzak, Robert H, Charney, Dennis S., Ripp, Jonathan, Katz, Craig L.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: New York Springer US 01.06.2022
Springer Nature B.V
Schlagworte:
Anxiety
Anxiety disorders
Clinical Clerkship
Coping
Coronaviruses
COVID-19
Depression - psychology
Depressive Disorder, Major
Depressive personality disorders
Disorders
Emotional instability
Generalized anxiety disorder
Humans
Leisure
Medical schools
Medical students
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental health
New York City - epidemiology
Original Paper
Pandemics
Post traumatic stress disorder
Prospective Studies
Protective factors
Psychiatry
Psychological distress
Public Health
Respondents
Risk factors
SARS-CoV-2
Social interactions
Social support
Sociology
Students
Students, Medical - psychology
Symptoms
Trauma
Traumatic life events
New York City
United States > US
New York City New York
Medical education
Depression
Anxiety
Coronavirus
Ptsd
Psychological resilience
ISSN:0033-2720, 1573-6709, 1573-6709
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Zusammenfassung: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.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0033-2720
1573-6709
1573-6709
DOI:10.1007/s11126-021-09955-2