Deliberate self-harm among Chinese medical students: A population-based study

Wu, Dan; Rockett, Ian Richard Hildreth; Yang, Tingzhong; Feng, Xueying; Jiang, Shuhan; Yu, Lie

doi:10.1016/j.jad.2016.05.030

Cited by 43 publications

(59 citation statements)

References 40 publications

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“…For the life satisfaction scale, the total score of the participants ranged from 10 to 33 (the full score was 35), with an average score of 19 (SD=5.5) ( Table 2), which was very similar to the neutral point of the scale (20). For the subjective happiness scale, similar ndings were observed: the participants' sum score ranged from 13 to 24 (the full score was 28), with a mean of 18 (SD=2.8; Table 2), and was located in the average range of the general population score (18)(19)(20)(21)(22). These ndings indicate that the life satisfaction and subjective happiness scales of the participants were in the average range of the general population.…”

Section: Resultssupporting

confidence: 63%

“…It has been reported that over 60% of Chinese medical students suffer different degrees of depressive symptoms and suicide attempts [18,19]. Compared with the general population, they are more susceptible to stress, burning out and anxiety, and have less career satisfaction and self-esteem as compared with their counterparts [18][19][20][21].The psychological well-being of Chinese medical students has become a matter of national concern and needs urgent intervention.…”

Section: Introductionmentioning

confidence: 99%

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Application of a Classroom-Based Positive Psychology Education Course for Chinese Medical Students to Increase Their Psychological Well-Being: A Pilot Study

Zhang

Wang

2020

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Background Anxiety and depression have been increasing among Chinese medical students. The psychological well-being of Chinese medical students has become a critical focus of attention for the medical education community. Increasing evidence shows that positive psychology interventions can be effective in the enhancement of psychological well-being, and may help to prevent depressive symptoms in university students. In the present study, we aimed to explore the potential effect of positive psychology education on improving the mental health of Chinese medical students. Methods An 8-week classroom-based positive psychology intervention workshop, which was established as an elective course embedded in the regular school curriculum, was conducted at the School of Medicine, South China University of Technology (SCUT), China. Undergraduate medical students of the institute in year-2 or year-3 of academic study participated in this training course voluntarily. The participants’ self-reported data on the hope scale, life satisfaction scale, subjective happiness scale, and depression and anxiety scale were collected and analyzed at pre-course (n=61) and post-course (n=49) times. The investigation was also validated with an independent cohort of students who enrolled in the course in the year following the preliminary study. Results The analyses showed that the psychological well-being of the participants were improved after the intervention. Their mean scores on the hope scale, life satisfaction scale and subjective happiness scale were significantly improved (P<0.05), while their symptom levels of depression and anxiety were significantly reduced (P<0.01). A similar trend was observed in the validation cohort. Conclusions These preliminary findings suggest that positive psychology education holds promise for improving psychological well-being among Chinese medical students. Further investigations with larger and well-controlled sample cohorts may yield more convincing and reliable results.

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Section: Resultssupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Application of a Classroom-Based Positive Psychology Education Course for Chinese Medical Students to Increase Their Psychological Well-Being: A Pilot Study

Zhang

Wang

2020

Preprint

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“…The issue of mental health among college students is of increasing concern (Karatekin, 2018). The college years are a peak period for the onset of mental disorder in which young people experience a unique stage of psycho-social development and transition from late adolescence to emerging adulthood (Wu et al, 2016;Cuijpers et al, 2019). College students are an important population segment in determining the economic growth and success of a country (Auerbach et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Yang et al (2019) considered the effects of rapid socio-economic transition, increased job competition, immature social values, and feelings of social anomie as sources of uncertainty stress. Drawing on theories of stress diathesis and theories of control and defense mechanisms (Mirowsky and Ross, 1990), they have shown that uncertainty stress and certainty stress like life stress or study stress, although related, are distinct components of stress (Wu et al, 2016(Wu et al, , 2018Yang et al, 2017bYang et al, , 2018Peng et al, 2019). Yang et al (2017a) found that the prevalence of severe uncertainty stress among Chinese college students was 19.6%, while severe life stress prevalence was 8.6%.…”

Section: Introductionmentioning

confidence: 99%

“…Yang et al (2017a) found that the prevalence of severe uncertainty stress among Chinese college students was 19.6%, while severe life stress prevalence was 8.6%. Some studies have provided empirical evidence that uncertainty stress, in particular, was associated with a range of negative health outcomes, including self-reported short-and long-term illness, alcohol abuse, unintentional injuries, deliberate self-harm, and suicidal ideation among Chinese college students (Wu et al, 2016(Wu et al, , 2018Yang et al, 2017bYang et al, , 2018Peng et al, 2019). However, no studies hitherto have examined uncertainty stress, in concert with other types of stress, and their relative impact upon mental health.…”

Section: Introductionmentioning

confidence: 99%

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The Impacts of Uncertainty Stress on Mental Disorders of Chinese College Students: Evidence From a Nationwide Study

Yang

et al. 2020

Front. Psychol.

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Objectives: This study aimed to examine the relationships between the types of stress and students' mental health, to distinguish the effects of stressors on mental health problems, and to explore the important role of uncertainty stress on the development of mental disorders in a nationally representative sample of Chinese college students. Methods: A cross-sectional multistage study was conducted. Participants were 11,954 students, who were recruited from 50 Chinese universities located in 43 cities covering 23 provinces, autonomous regions, and municipalities across China. The Student Daily Stress Questionnaire (SDSQ) was applied to measure the different types of stress, and mental health status was measured using the 12-item Chinese Health Questionnaire (CHQ). Both unadjusted and adjusted logistic regression models were utilized in the statistical analyses. Multilevel analyses were performed to examine the variation of mental disorder at both the individual and university levels. Results: The prevalence of mental disorders was 22.8% (95% CI: 22.0-23.5%). The unadjusted models showed that age, gender, grade, major, and university location and type were the correlates of mental disorders among students. The unadjusted models developed in this research found that study stress, life stress, and uncertainty stress were positively associated with mental disorder. The multilevel logistic regression models showed that uncertainty stress was far more likely to result in students' mental disorders than study or life stress after controlling for university level. The greater the perceived uncertainty stress, the higher the prevalence of mental disorders. Conclusion: This study provides robust evidence of the impact of uncertainty stress on mental disorders among college students. Compared with life and study stress, more attention should be given to uncertainty stress. The information from this study should be helpful when considering effective mental health policies and interventions among college students in China.

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Life stress, uncertainty stress and self-reported illness: a representative nationwide study of Chinese students

Yang

Jiang

et al. 2017

J Public Health

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Deliberate self-harm among Chinese medical students: A population-based study

Cited by 43 publications

References 40 publications

Application of a Classroom-Based Positive Psychology Education Course for Chinese Medical Students to Increase Their Psychological Well-Being: A Pilot Study

Application of a Classroom-Based Positive Psychology Education Course for Chinese Medical Students to Increase Their Psychological Well-Being: A Pilot Study

The Impacts of Uncertainty Stress on Mental Disorders of Chinese College Students: Evidence From a Nationwide Study

Life stress, uncertainty stress and self-reported illness: a representative nationwide study of Chinese students

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