Perceived Stress Among Chinese Medical Students Engaging in Online Learning in Light of COVID-19

Wang, Jun; Liu, Weichu; Zhang, Yunmei; Xie, Shiqi; Yang, Bing Xiang

doi:10.2147/prbm.s308497

Cited by 51 publications

(56 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several other studies have pointed to a significant difference between genders in terms of anxiety, pointing to higher levels of anxiety and stress in females just like in our sample [12,15,[17][18][19][20]23,24,[27][28][29]37]. However, we also found some studies that did not observe statistically significant differences between genders in terms of anxiety and stress in their samples [13,14,16].…”

Section: Comparison Of Results By Genderssupporting

confidence: 51%

“…Anxiety symptoms were also higher in the first year of training among our sample and decreased in the fourth and fifth years of training. We found several studies that had statistically significant differences between year of training for anxiety symptoms, even though the years of training with the highest levels of anxiety differed from study to study [18,23,24,[42][43][44][45][46].…”

Section: Comparison Of Results By Year Of Trainingmentioning

confidence: 99%

“…The year of study the medical program also showed to be associated with anxiety and depression [18], specially first years [23,24,30,31] and last years [15] of enrollment. Nevertheless, some research did not demonstrate this correlation [12][13][14].…”

Section: Introductionmentioning

confidence: 98%

“…In fact, various studies have consistently showed an increase in anxiety and stress symptoms associated with the COVID-19 pandemic among medical students [12][13][14][15][16][17][18][19][20][21][22][23][24] as well an increase in depressive symptom [15,17,21,22,24,25]. The factors attributable to the pandemic explaining anxiety and depression may be due to being afraid of getting the infection and the risk of the development of severe illness and complications [26].…”

Section: Introductionmentioning

confidence: 99%

“…Gender, especially being female, was shown in several studies to be a risk factor for anxiety and stress [12,15,[17][18][19][20]23,24,[27][28][29] as well as depressive symptoms [17] during the COVID-19 pandemic. Females tend to be more predisposed to express their feelings and are more likely to experience different social expectations, pressures, and gender equalityrelated positions [23]. However, other studies did not confirm this trend [13,14,16,26].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Campos¹,

Pinto²,

Alves³

et al. 2021

JPM

View full text Add to dashboard Cite

(1) Background: The purpose of this article is to assess the impact of the COVID-19 pandemic on the mental health of medical students in Portugal in the period after returning to face-to-face classes during the COVID-19 pandemic, in the 2020/2021 academic year. (2) Methods: We conducted an observational, descriptive, and cross-sectional study, between December 2020 and February 2021 with a representative sample of Portuguese medical students (n = 649), applying an anonymous questionnaire which was composed by a sociodemographic characterization, The Brief Symptoms Inventory–18, The Fear of COVID-19 Scale and the Negative Impact Assessment Scale. For statistical processing, Statistical Package for Social Sciences (SPSS ©) was used. (3) Results: 65.3% of participants said that self-perceived relevant anxiety symptoms, and around 10% said that they had a physical or a mental illness diagnosis. Significant differences (p < 0.05) were found for Fear of COVID-19, Somatization, Anxiety and Overall Mental Health, indicating that women, students from the 1st and last years of training had higher scores. Age, year of training, Fear of COVID-19 and Negative Impact of COVID-19 were significant predictors of overall mental health. (4) Conclusion: In our sample of Portuguese medical students, age, year of training, but mostly fear of COVID-19 and the negative impact of COVID-19 contributed to mental health symptoms.

show abstract

Section: Comparison Of Results By Genderssupporting

confidence: 51%

Section: Comparison Of Results By Year Of Trainingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Campos¹,

Pinto²,

Alves³

et al. 2021

JPM

View full text Add to dashboard Cite

show abstract

Shift to emergency remote preclinical medical education amidst the Covid‐19 pandemic: A single‐institution study

Nikas

Lamnisos

Meletiou-Mavrotheris

et al. 2022

Anatomical Sciences Ed

View full text Add to dashboard Cite

The Covid‐19 pandemic disrupted medical education, shifting it towards emergency remote delivery. This cross‐sectional study aimed to assess the impact of the pandemic on preclinical medical education and identify predictors of the virtual learning experience and perceived stress. An anonymous survey was delivered electronically to the students of the authors' medical school that attended either histology or pathology. This survey contained two scales, the virtual learning experience (VLE) and the perceived stress scale‐10 (PSS‐10). A total of 173/255 (68%) responded, showing a positive perception towards the remote delivery of both courses. An exploratory factor analysis was performed on the VLE scale items and four new dimensions were formed: “course quality and learning outcomes”, “student motivation”, virtual against F2F learning”, and “virtual laboratory sessions”. The following significant predictors of enhanced VLE, in at least one dimension, were identified: female gender, pathology course, final examination grade >80%, lower perceived stress levels, studying in home country, and holding of another degree before medical school. In addition, the following predictors were significantly associated with higher levels of student perceived stress: female gender, pathology course, studying away from home, and suboptimal internet connection. Notably, the quality of internet connection was significantly associated with the students' final examination performance. Concerning the best mode for future delivery of both courses, most students proposed a blended, rather than an entirely on‐campus or online approach. In conclusion, despite its problems, a high‐quality remote preclinical medical education was possible in the authors' school and offered tremendous opportunities for future improvement.

show abstract

Decreased sympathetic cardiovascular influences and hormone‐physiological changes in response to Covid‐19‐related adaptations under different learning environments

Gellisch

Wolf

Minkley

et al. 2022

Anatomical Sciences Ed

View full text Add to dashboard Cite

To examine the implications of the transition from face‐to‐face to online learning from a psychobiological perspective, this study investigated potential differences in physiological stress parameters of students engaged in online or face‐to‐face learning and determined whether these can be identified as possible mediators between learning experience and achievement emotions. In a randomized experimental field study, medical students (n = 82) attended either regular face‐to‐face classes of the microscopic anatomy course or the same practical course online using Zoom videoconferencing platform. The present study investigated Heart Rate Variability (HRV) and salivary cortisol concentration as stress correlates, within the contexts of online and face‐to‐face learning and compared these parameters with a control group that was measured at rest. Additionally, participants completed a standardized questionnaire about their experienced emotions in relation to task achievement and subjective stress levels. A significant reduction in HRV was found in face‐to‐face learning, suggesting stronger stress responses in the face‐to‐face learning environment (η2 = 0.421, P < 0.001). Furthermore, participants engaged in face‐to‐face learning showed significantly higher cortisol concentrations (η2 = 0.115, P = 0.032). Additionally, increased sympathetic activation correlated with the discrete positive emotion of enjoyment exclusively within the face‐to‐face condition (r = 0.365, P = 0.043). These results indicate that the transfer of a face‐to‐face practical course in microscopic anatomy to an online learning environment is associated with decreased sympathetic and enhanced vagal cardiovascular influences, together with lower cortisol concentrations in healthy medical students.

show abstract

Perceived Stress Among Chinese Medical Students Engaging in Online Learning in Light of COVID-19

Cited by 51 publications

References 64 publications

Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Shift to emergency remote preclinical medical education amidst the Covid‐19 pandemic: A single‐institution study

Decreased sympathetic cardiovascular influences and hormone‐physiological changes in response to Covid‐19‐related adaptations under different learning environments

Contact Info

Product

Resources

About