Cultural variations in wellbeing, burnout and substance use amongst medical students in twelve countries

Molodynski, Andrew; Lewis, Thomas H.; Kadhum, Murtaza; Farrell, Sarah; Chelieh, Maha Lemtiri; Almeida, T. Falcão de; Masri, Rawan; Kar, Anindya; Volpe, Umberto; Moir, Fiona; Torales, Júlio; Castaldelli-Maia, João Maurício; Chau, Steven Wai Ho; Wilkes, Chris; Bhugra, Dinesh

doi:10.1080/09540261.2020.1738064

Cited by 89 publications

(86 citation statements)

References 27 publications

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“…Globally, one in three medical students were found to have anxiety, which was higher than the general population (Tian-Ci Quek et al, 2019). The level of depression, suicidal ideation, suicide rates, substance abuse and mental health disorders were also found to be higher among medical students (Hays, Cheever & Patel, 1996;Molodynski et al, 2020;Schwenk, Davis & Wimsatt, 2010). Although medical students have better access to mental health care, they were less likely to seek mental health help compared to general population, mainly due to stigma surrounding mental health disorders.…”

Section: Introductionmentioning

confidence: 93%

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

Ilango¹,

Jayakumar

Kumar³

et al. 2020

PeerJ

568

348

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Background The COVID-19 pandemic is found to affect the mental health of the population. Undergraduate medical students are especially prone to mental health disorders and hence could be more vulnerable to the impact of the pandemic. Methods A prospective longitudinal study was conducted on 217 undergraduate medical students in a medical college at Chennai, India. Depression, anxiety, and stress levels were recorded using Depression Anxiety Stress Scale 21 Items (DASS21) before and during the COVID-19 outbreak in India in December 2019 and June 2020, respectively. In the follow-up survey, in addition to DASS21, the Pittsburgh Sleep Quality Index to assess sleep quality and a self-administered questionnaire to assess the impact of COVID-19 related stressors were used. The self-administered questionnaire assessed the status of COVID-19 testing, interactions with COVID-19 patients, self-perceived levels of concerns and worries related to academics (COVID-19-AA (academic apprehensions)) and those pertaining to the self and family/friends (COVID-19-GA (general apprehensions)). Cross-sectional and longitudinal comparison of overall scores of depression, anxiety, and stress and scores stratified by gender, year of study, place of residence and monthly family income were performed. Predictors for depression, anxiety, and stress during COVID-19 were investigated using adjusted binary logistic regression analysis and results were expressed as adjusted odds ratio with 95% confidence interval (CI). A P value < 0.05 was considered statistically significant. Results The average scores of depression, anxiety, and stress during the baseline survey were 7.55 ± 7.86, 4.6 ± 6.19 and 7.31 ± 7.34 with the prevalence (95% Cl) of 33.2% [27–39.9%], 21.2% [16–27.2%] and 20.7% [15.5–26.7%]; in follow-up survey, the mean scores were 8.16 ± 8.9, 6.11 ± 7.13 and 9.31 ± 8.18 with the prevalence being 35.5% [29.1–42.2%], 33.2% [27–39.9%] and 24.9% [19.3–31.2%] for depression, anxiety, and stress respectively. There was a significant increase in both the prevalence and levels of anxiety and stress (P < 0.001), with depression remaining unchanged during COVID-19, irrespective of gender, year of study, place of residence and family’s monthly income. Poor sleep quality, higher levels of baseline depression, anxiety, and stress, higher COVID-19-GA, COVID-19 patients in family/friends and direct interactions with COVID-19 patients were found to be significant predictors of negative mental health in undergraduate medical students. COVID-19-AA was not significantly associated with depression, anxiety, and stress. Conclusion The COVID-19 pandemic appears to negatively affect the mental health of the undergraduate medical students with the prevalence and levels of anxiety and stress being increased, and depression symptoms remaining unaltered. Addressing and mitigating the negative effect of COVID-19 on the mental health of this population is crucial.

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Section: Introductionmentioning

confidence: 93%

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

Ilango¹,

Jayakumar

Kumar³

et al. 2020

PeerJ

568

348

View full text Add to dashboard Cite

show abstract

“…Medical students are a vulnerable population globally and according to one study are known to show higher rates of depression, suicidal ideation, and stigmatization around depression and are also less likely to seek support. 1 Another global study assessing the mental health of MS from 12 different countries demonstrated alarming high rates of mental health problems, burnout, substance abuse, and mental stress in MS. 2 It is therefore important to safeguard MS mental health with an effective plan to support their wellness and education.…”

Section: Ms Challenges During Covid-19mentioning

confidence: 99%

Medical Students and COVID-19: Challenges and Supportive Strategies

Chandratre

2020

Journal of Medical Education and Curricular Development

191

162

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As coronavirus disease 2019 (COVID-19) pandemic continues to spread across the world, it is also adversely affecting medical student education. In addition, COVID-19 poses several challenges to medical students’ physical and mental health and their professional identity formation. Medical students are experiencing increasing anxiety due to the COVID-19 disruption. Medical students show higher rates of depression, suicidal ideation, and stigmatization around depression and are less likely to seek support. It is therefore important to safeguard their mental health and implement effective strategies to support their educational, physical, mental, and professional well-being.

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“…Although it is categorized as an occupational phenomenon and not as a medical condition, it seems to be strongly associated with somatic issues such as cardiovascular disorders or chronic pain syndromes [ 12 ]. Furthermore, it strongly correlates with mental disorders such as depression and insomnia, and a recent publication labelled burnout as a possible underlying cause of substance abuse and addiction [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Internet Addiction and Burnout in A Single Hospital: Is There Any Association?

Tóth

Kapus

Hesszenberger

et al. 2021

IJERPH

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The extensive availability of the internet has led to the recognition of problematic internet use, the so-called Internet Addiction (IA), mostly involving adolescents. Burnout can lead to substance abuse or addictive behaviour (such as internet addiction) as a coping method. There are insufficient data about internet addiction and its possible association with burnout in adults, especially among healthcare workers. The aim of our present study was to focus on prevalence and the risk factors of internet addiction and its possible association with burnout among healthcare workers in a single hospital applying a questionnaire-based survey. In total, 49 doctors (10.1%), 198 nurses (40.9%), 123 medical assistant (25.4%), 73 other healthcare workers (15.1%), and 42 (1.7%) healthcare associated workers (cleaning, laundry, etc.) have completed our survey. In a multivariate analysis, IA was associated with age between 18 and 25 (OR: 2.6, p = 0.024), surfing on the internet >5 h daily (OR 25.583, p < 0.001), being single (OR: 4.275, p = 0.006), being childless (OR: 3.81, p = 0.011), working less than five years (OR 2.135, p = 0.048) and job type (being healthcare associated worker, OR: 2.907, p = 0.009). Illicit drug intake (OR 52.494, p < 0.001), and diabetes (OR: 4.122, p = 0.043) were also significantly associated with internet addiction. No association of burnout and IA could be found. A small but significant proportion of our healthcare workers suffered from IA, which was associated with substance abuse and diabetes in multivariate analysis. Our study also draws attention to the risk factors of IA such as younger age, family status, working type and working hours internet use. The possible association of burnout and IA merits further investigation.

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Cultural variations in wellbeing, burnout and substance use amongst medical students in twelve countries

Cited by 89 publications

References 27 publications

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

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

Medical Students and COVID-19: Challenges and Supportive Strategies

Internet Addiction and Burnout in A Single Hospital: Is There Any Association?

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