Longitudinal Mental Health Outcomes of Third-year Medical Students Rotating Through the Wards During COVID-19
•74% of third year medical students screened positive for depression, anxiety, or PTSD.•Prevalence of psychiatric symptoms highest in June 2020 for third year medical students.•No differences in mental health outcomes over the academic year.•Psychological distress, childhood abuse, resilience predic...
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| Published in: | Psychiatry research Vol. 320; p. 115030 |
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| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01.02.2023
Published by Elsevier B.V |
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| ISSN: | 0165-1781, 1872-7123, 1872-7123 |
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| Abstract | •74% of third year medical students screened positive for depression, anxiety, or PTSD.•Prevalence of psychiatric symptoms highest in June 2020 for third year medical students.•No differences in mental health outcomes over the academic year.•Psychological distress, childhood abuse, resilience predicted mental health outcomes.•COVID-19 worries and clerkship related events did not impact psychological well-being.
This study investigated third year medical students’ psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the COVID-19 pandemic. All students (n = 147) starting rotations (psychiatry, surgery, obstetrics-gynecology, neurology, pediatrics, and medicine) could participate in quarterly, online, anonymous surveys comprised of validated screeners for: psychological symptoms, risk, coping, and protective factors, demographics, COVID-19 worries, and stressful clerkship-related events. Associations between variables were examined with Chi-squared, Fisher's exact, t-, Wilcoxon Rank Sum, one-way ANOVA, and McNemar tests. Significant univariate predictors of psychological distress were included in stepwise multivariable linear regression models. The baseline survey was completed by 110 (74.8%) students; ninety-two (62.6%) completed at least one other survey. During the year, 68 (73.9%) students screened positive for depression, anxiety, or PTSD. The prevalence of psychiatric symptoms peaked in June 2020 without significant changes in average scores over time. COVID-19 worries decreased over time but did not influence psychological symptoms at year-end. Eighty-three students (90.2%) experienced stressful clerkship-related events, which were traumatic and/or COVID-19-related for 26 (28.3%) and 22 students (24.0%), respectively. Baseline psychological distress, childhood emotional abuse, and resilience predicted depression, anxiety, and/or PTSD by year-end. This study highlights the importance of recognizing psychological distress and implementing interventions to support students’ well-being. |
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| AbstractList | This study investigated third year medical students' psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the COVID-19 pandemic. All students (n = 147) starting rotations (psychiatry, surgery, obstetrics-gynecology, neurology, pediatrics, and medicine) could participate in quarterly, online, anonymous surveys comprised of validated screeners for: psychological symptoms, risk, coping, and protective factors, demographics, COVID-19 worries, and stressful clerkship-related events. Associations between variables were examined with Chi-squared, Fisher's exact, t-, Wilcoxon Rank Sum, one-way ANOVA, and McNemar tests. Significant univariate predictors of psychological distress were included in stepwise multivariable linear regression models. The baseline survey was completed by 110 (74.8%) students; ninety-two (62.6%) completed at least one other survey. During the year, 68 (73.9%) students screened positive for depression, anxiety, or PTSD. The prevalence of psychiatric symptoms peaked in June 2020 without significant changes in average scores over time. COVID-19 worries decreased over time but did not influence psychological symptoms at year-end. Eighty-three students (90.2%) experienced stressful clerkship-related events, which were traumatic and/or COVID-19-related for 26 (28.3%) and 22 students (24.0%), respectively. Baseline psychological distress, childhood emotional abuse, and resilience predicted depression, anxiety, and/or PTSD by year-end. This study highlights the importance of recognizing psychological distress and implementing interventions to support students' well-being. •74% of third year medical students screened positive for depression, anxiety, or PTSD.•Prevalence of psychiatric symptoms highest in June 2020 for third year medical students.•No differences in mental health outcomes over the academic year.•Psychological distress, childhood abuse, resilience predicted mental health outcomes.•COVID-19 worries and clerkship related events did not impact psychological well-being. This study investigated third year medical students’ psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the COVID-19 pandemic. All students (n = 147) starting rotations (psychiatry, surgery, obstetrics-gynecology, neurology, pediatrics, and medicine) could participate in quarterly, online, anonymous surveys comprised of validated screeners for: psychological symptoms, risk, coping, and protective factors, demographics, COVID-19 worries, and stressful clerkship-related events. Associations between variables were examined with Chi-squared, Fisher's exact, t-, Wilcoxon Rank Sum, one-way ANOVA, and McNemar tests. Significant univariate predictors of psychological distress were included in stepwise multivariable linear regression models. The baseline survey was completed by 110 (74.8%) students; ninety-two (62.6%) completed at least one other survey. During the year, 68 (73.9%) students screened positive for depression, anxiety, or PTSD. The prevalence of psychiatric symptoms peaked in June 2020 without significant changes in average scores over time. COVID-19 worries decreased over time but did not influence psychological symptoms at year-end. Eighty-three students (90.2%) experienced stressful clerkship-related events, which were traumatic and/or COVID-19-related for 26 (28.3%) and 22 students (24.0%), respectively. Baseline psychological distress, childhood emotional abuse, and resilience predicted depression, anxiety, and/or PTSD by year-end. This study highlights the importance of recognizing psychological distress and implementing interventions to support students’ well-being. This study investigated third year medical students' psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the COVID-19 pandemic. All students (n = 147) starting rotations (psychiatry, surgery, obstetrics-gynecology, neurology, pediatrics, and medicine) could participate in quarterly, online, anonymous surveys comprised of validated screeners for: psychological symptoms, risk, coping, and protective factors, demographics, COVID-19 worries, and stressful clerkship-related events. Associations between variables were examined with Chi-squared, Fisher's exact, t-, Wilcoxon Rank Sum, one-way ANOVA, and McNemar tests. Significant univariate predictors of psychological distress were included in stepwise multivariable linear regression models. The baseline survey was completed by 110 (74.8%) students; ninety-two (62.6%) completed at least one other survey. During the year, 68 (73.9%) students screened positive for depression, anxiety, or PTSD. The prevalence of psychiatric symptoms peaked in June 2020 without significant changes in average scores over time. COVID-19 worries decreased over time but did not influence psychological symptoms at year-end. Eighty-three students (90.2%) experienced stressful clerkship-related events, which were traumatic and/or COVID-19-related for 26 (28.3%) and 22 students (24.0%), respectively. Baseline psychological distress, childhood emotional abuse, and resilience predicted depression, anxiety, and/or PTSD by year-end. This study highlights the importance of recognizing psychological distress and implementing interventions to support students' well-being.This study investigated third year medical students' psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the COVID-19 pandemic. All students (n = 147) starting rotations (psychiatry, surgery, obstetrics-gynecology, neurology, pediatrics, and medicine) could participate in quarterly, online, anonymous surveys comprised of validated screeners for: psychological symptoms, risk, coping, and protective factors, demographics, COVID-19 worries, and stressful clerkship-related events. Associations between variables were examined with Chi-squared, Fisher's exact, t-, Wilcoxon Rank Sum, one-way ANOVA, and McNemar tests. Significant univariate predictors of psychological distress were included in stepwise multivariable linear regression models. The baseline survey was completed by 110 (74.8%) students; ninety-two (62.6%) completed at least one other survey. During the year, 68 (73.9%) students screened positive for depression, anxiety, or PTSD. The prevalence of psychiatric symptoms peaked in June 2020 without significant changes in average scores over time. COVID-19 worries decreased over time but did not influence psychological symptoms at year-end. Eighty-three students (90.2%) experienced stressful clerkship-related events, which were traumatic and/or COVID-19-related for 26 (28.3%) and 22 students (24.0%), respectively. Baseline psychological distress, childhood emotional abuse, and resilience predicted depression, anxiety, and/or PTSD by year-end. This study highlights the importance of recognizing psychological distress and implementing interventions to support students' well-being. This study investigated third year medical students’ psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the COVID-19 pandemic. All students (n=147) starting rotations (psychiatry, surgery, obstetrics-gynecology, neurology, pediatrics, and medicine) could participate in quarterly, online, anonymous surveys comprised of validated screeners for psychological symptoms, risk, coping, and protective factors, demographics, COVID-19 worries, and stressful clerkship-related events. Associations between variables were examined with Chi-squared, Fisher's exact, t-, Wilcoxon Rank Sum, one-way ANOVA, and McNemar tests. Significant univariate predictors of psychological distress were included in stepwise multivariable linear regression models. The baseline survey was completed by 110 (74.8%) students; ninety-two (62.6%) completed at least one other survey. During the year, 68 (73.9%) students screened positive for depression, anxiety, or PTSD. The prevalence of psychiatric symptoms peaked in June 2020 without significant changes in average scores over time. COVID-19 worries decreased over time but did not influence psychological symptoms at year-end. Eighty-three students (90.2%) experienced stressful clerkship-related events, which were traumatic and/or COVID-19-related for 26 (28.3%) and 22 students (24.0%), respectively. Baseline psychological distress, childhood emotional abuse, and resilience predicted depression, anxiety, and/or PTSD by year-end. This study highlights the importance of recognizing psychological distress and implementing interventions to support students’ well-being. |
| ArticleNumber | 115030 |
| Author | Charney, Dennis S. Stanislawski, Emma R. Hurtado, Alicia Deshpande, Richa Saali, Alexandra Magill, Elizabeth B. Kumar, Vedika Katz, Craig L. Ripp, Jonathan Chan, Chi |
| Author_xml | – sequence: 1 givenname: Emma R. surname: Stanislawski fullname: Stanislawski, Emma R. email: emma.stanislawski@gmail.com organization: Department of Psychiatry, 22 Bramhall Street, Maine Medical Center, Portland, ME, United States of America – sequence: 2 givenname: Alexandra surname: Saali fullname: Saali, Alexandra organization: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America – sequence: 3 givenname: Elizabeth B. surname: Magill fullname: Magill, Elizabeth B. organization: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America – sequence: 4 givenname: Richa orcidid: 0000-0003-2843-3337 surname: Deshpande fullname: Deshpande, Richa organization: Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America – sequence: 5 givenname: Vedika surname: Kumar fullname: Kumar, Vedika organization: Department of Psychiatry, Zucker Hillside Hospital, 75-59 263rd St, Glen Oaks, New York, United States of America – sequence: 6 givenname: Chi surname: Chan fullname: Chan, Chi organization: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America – sequence: 7 givenname: Alicia surname: Hurtado fullname: Hurtado, Alicia organization: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America – sequence: 8 givenname: Dennis S. surname: Charney fullname: Charney, Dennis S. organization: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America – sequence: 9 givenname: Jonathan surname: Ripp fullname: Ripp, Jonathan organization: Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America – sequence: 10 givenname: Craig L. surname: Katz fullname: Katz, Craig L. organization: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36623426$$D View this record in MEDLINE/PubMed |
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| Keywords | Medical education Depression Anxiety Ptsd Coronavirus Resilience |
| Language | English |
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| Snippet | •74% of third year medical students screened positive for depression, anxiety, or PTSD.•Prevalence of psychiatric symptoms highest in June 2020 for third year... This study investigated third year medical students' psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the... This study investigated third year medical students’ psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the... |
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| SubjectTerms | Anxiety Anxiety - epidemiology Anxiety - psychology Child Coronavirus COVID-19 - epidemiology Depression Depression - epidemiology Depression - psychology Hospitals Humans Medical education Outcome Assessment, Health Care Pandemics Ptsd Resilience Students, Medical - psychology |
| Title | Longitudinal Mental Health Outcomes of Third-year Medical Students Rotating Through the Wards During COVID-19 |
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