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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Abstract	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.
AbstractList	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.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. 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.
Author	Charney, Dennis S. Stanislawski, Emma R. Hurtado, Alicia Saali, Alexandra Kumar, Vedika Katz, Craig L. Ripp, Jonathan Chan, Chi Pietrzak, Robert H
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Keywords	Medical education Depression Anxiety Coronavirus Ptsd Psychological resilience
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License	2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
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SubjectTerms	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
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Title	The Psychiatric Burden on Medical Students in New York City Entering Clinical Clerkships During the COVID-19 Pandemic
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