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Psychological distress among health professional students during the COVID-19 outbreak

Li, Yuchen (author)
Mental Health Center, West China Hospital of Sichuan University, Chengdu, China; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
Wang, Yue (author)
Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
Jiang, Jingwen (author)
West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
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Valdimarsdóttir, Unnur A. (author)
Karolinska Institutet
Fall, Katja, 1971- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Clinical Epidemiology and Biostatistics
Fang, Fang (author)
Karolinska Institutet
Song, Huan (author)
West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Center of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland
Lu, Donghao (author)
Karolinska Institutet
Zhang, Wei (author)
Mental Health Center, West China Hospital of Sichuan University, Chengdu, China; West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
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 (creator_code:org_t)
Cambridge University Press, 2021
2021
English.
In: Psychological Medicine. - : Cambridge University Press. - 0033-2917 .- 1469-8978. ; 51:11, s. 1952-1954
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Due to the drastic surge of COVID-19 patients, many countries are considering or already graduating health professional students early to aid professional resources. We aimed to assess outbreak-related psychological distress and symptoms of acute stress reaction (ASR) in health professional students and to characterize individuals with potential need for interventions.Methods: We conducted a prospective cohort study of 1442 health professional students at Sichuan University, China. At baseline (October 2019), participants were assessed for childhood adversity, stressful life events, internet addiction, and family functioning. Using multivariable logistic regression, we examined associations of the above exposures with subsequent psychological distress and ASR in response to the outbreak.Results: Three hundred and eighty-four (26.63%) participants demonstrated clinically significant psychological distress, while 160 (11.10%) met the criterion for a probable ASR. Individuals who scored high on both childhood adversity and stressful life event experiences during the past year were at increased risks of both distress (ORs 2.00-2.66) and probable ASR (ORs 2.23-3.10), respectively. Moreover, internet addiction was associated with elevated risks of distress (OR 2.05, 95% CI 1.60-2.64) and probable ASR (OR 2.15, 95% CI 1.50-3.10). By contrast, good family functioning was associated with decreased risks of distress (OR 0.43, 95% CI 0.33-0.55) and probable ASR (OR 0.48, 95% CI 0.33-0.69). All associations were independent of baseline psychological distress.Conclusions: Our findings suggest that COVID-19 related psychological distress and high symptoms burden of ASR are common among health professional students. Extended family and professional support should be considered for vulnerable individuals during these unprecedented times.

Subject headings

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)
SOCIAL SCIENCES  -- Psychology (hsv//eng)

Keyword

Psychological distress
health professional students
COVID-19
acute stress reaction
trauma

Publication and Content Type

ref (subject category)
art (subject category)

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