EMOTIONAL REACTIONS AND COPING STRATEGIES OF MEDICAL STUDENTS DURING THE COVID-19 PANDEMIC: AN ONLINE CROSS-SECTIONAL STUDY
Introduction: The coronavirus infection (СOVID-19) poses a concern for medical professionals. While attention has been given to front-line clinicians, very little is known about the impact of the pandemic on the health of medical students.
Aim: The study aims at assessment of emotional reactions and basic feelings in association with specific coping strategies among a sample of medical university students in Kazakhstan during the COVID-19.
Material and methods: A cross-sectional self-administered survey was undertaken in 279 students of Semey Medical University. Measurement tools included the visual-analog scales (VAS) for the evaluation of the basic emotions/feelings and coping behaviours and the Hospital Anxiety and Depression Scale to detect potential signs of depression and anxiety. Data comparisons were provided using the ANOVA and Kruskal-Wallis tests. Logistic regressions with odds ratio (OR) calculation were used to identify those demographic characteristics and coping activities that were related to depression and anxiety during the COVID-19 quarantine.
Results: Overall, 17.6% of the respondents had symptoms of anxiety and 30.0% experienced depression, while 3.6% reported intense fear, 5.7% anger, 9.3% boredom, and 5.7% disappointment. The mean of the anxiety score was significantly higher among undergraduate students (p=0.019) and residents trianees (р=0.035). While undergraduate students and interns were more likely to engage in physical activities (p=0.020), write diaries (p=0.029), and play videogames (p=0.008), residents and postgraduate students engaged more with clinical activities as a coping mechanism to reduce stress (p=0.006). The odds of having anxiety symptoms were 1.56 times higher for those who reported active blogging in social media during the lockdown. In contrast, self-education was inversely related to the presence of anxiety symptoms (OR = 0.73). For depressive symptoms, age (OR=0.88), focusing on self-education (OR=0.68) and television watching (OR=0.76) were the alleviating factors in the multivariate regression model. Individuals using alcohol were 1.65 times more likely to develop depression.
Conclusions: The study provides the first insights into the emotional reactions and the coping strategies adopted by Kazakhstani medical students during the COVID-19 quarantine. Findings will inform future preventative efforts to safeguard their health, especially during challenging times.
Mariya Prilutskaya1, https://orcid.org/0000-0002-9099-316X
Tokzhan Mendualieva1, https://orcid.org/0000-0003-1665-3332
Ornella Corazza2,3, https://orcid.org/0000-0001-7371-319X
1 Pavlodar Branch of Semey Medical University, Department of personalized medicine and pediatrics, Pavlodar, Republic of Kazakhstan;
2 University of Hertfordshire, School of Life and Medical Science, Hatfield, United Kingdom;
3 Sapienza University of Rome, Rome, Department of Medico-Surgical Sciences, Italy.
1. Алтыбаева Г.К., Оспанова Н.Н., Молдагалиев Т.М., Сарсембина Ж.Ж., Сексенбаев Н.Ж., Докенова С.В. Факторы аддиктивной предрасположенности у студентов первого курса Государственного медицинского университета города Семей // Наука и Здравоохранение. 2018. 5 (Т.20). С. 135-144.
2. Прилуцкая М. В., Гржибовский А. М. Восприятие чрезвычайного положения в связи с коронавирусной инфекцией учащимися и сотрудниками медицинского вуза в Казахстане // Экология человека. 2020. № 6. С. 4–12.
3. Республиканский центр развития здравоохранения МЗ РК. Клинический протокол диагностики и лечения. Коронавирусная инфекция - COVID-19, 10-я редакция (29.06.2020) - URL: https://diseases.medelement.com - (дата обращения: 18.07.2020).
4. Behrens C.C., Dolmans D.H., Gormley G.J., Driessen E.W. Exploring undergraduate students achievement emotions during ward round simulation: A mixed-method study // BMC Medical Education. 2019. № 1 (19). C. 316.
5. Blake H., Bermingham F., Johnson G., Tabner A. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package // International Journal of Environmental Research and Public Health. 2020. № 9 (17). C. 2997.
6. Cao W., Fang Z., Hou G, Han M., Xu X., Dong J., Zheng J. The psychological impact of the COVID-19 epidemic on college students in China // Psychiatry Research. 2020. (287). C. 112934.
7. Centers for Disease Control and Prevention Interim Guidance for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points (PSAPs) for COVID-19 in the United States. - [Электронный ресурс]. URL: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html (дата обращения: 27.06.2020).
8. Centre for Clinical Research and Biostatistics. Simple Logistic Regression. [Электронный ресурс]. URL: https://www2.ccrb.cuhk.edu.hk/stat/epistudies/reg3.htm (дата обращения: 27.06.2020).
9. Clay J.M., Parker M.O. Alcohol use and misuse during the COVID-19 pandemic: a potential public health crisis? // The Lancet Public Health. 2020. Т. 5. № 5. С. e259.
10. Dubey S., Biswas P., Ghosh R., Chatterjee S., Dubey M.J., Chatterjee S., Lahiri D., Lavie C.J. Psychosocial impact of COVID-19 // Diabetes and Metabolic Syndrome: Clinical Research and Reviews. 2020. № 5 (14). C. 779–788.
11. European Respiratory Society. COVID-19: Guidelines and recommendations directory [Электронный ресурс]. URL: https://www.ersnet.org/covid-19-guidelines-and-recommendations-directory (дата обращения: 27.06.2020).
12. Fares J., Al Tabosh H., Saadeddin Z., El Mouhayyar C., Aridi H. Stress, burnout and coping strategies in preclinical medical students // North American Journal of Medical Sciences. 2016. Т. 8. № 2. С. 75–81.
13. Garlow S.J., Rosenberg J., Moore J.D., Haas A.P., Koestner B., Hendin H., Nemeroff C.B. Depression, desperation, and suicidal ideation in college students: Results from the American Foundation for Suicide Prevention College Screening Project at Emory University // Depression and Anxiety. 2008. № 6 (25). C. 482–488.
14. Geisner I..M., Mallett K., Kilmer J.R. An examination of depressive symptoms and drinking patterns in first year college students // Issues in Mental Health Nursing. 2012. № 5 (33). C. 280–287.
15. Grazioli V.S., Bagge C.L., Studer J., Bertholet N., Rougemont-Bücking A., Mohler-Kuo M., Daeppen J.B., Gmel G. Depressive symptoms, alcohol use and coping drinking motives: Examining various pathways to suicide attempts among young men // Journal of Affective Disorders. 2018. № 232. C. 243–251.
16. Heffer T., Willoughby T. A count of coping strategies: A longitudinal study investigating an alternative method to understanding coping and adjustment // PLoS ONE. 2017. № 10 (12). С. e0186057.
17. Kang L., Ma S., Chen M., Yang J., Wang Y., Li R., Yao L., Bai H., Cai Z., Xiang Yang B., Hu S., Zhang K., Wang G., Ma C., Liu Z. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study // Brain, Behavior, and Immunity. 2020. (87). C. 11.
18. Kar S.K., Arafat S.M.Y, Kabir R., Sharma P., Saxena S.K. Coping with Mental Health Challenges During COVID-19 // Asian J. Psychiatr. 2020. № 51. C. 199–213.
19. Király O., Potenza M.N., Stein D.J., и другие. Preventing problematic internet use during the COVID-19 pandemic: Consensus guidance // Compr Psychiatry. 2020. №100. С.152180.
20. Klerings I., Weinhandl A.S., Thaler K.J. Information overload in healthcare: too much of a good thing? // Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen. 2015. № 4–5 (109). C. 285–290.
21. Knopf A. Alcohol and isolation: Experts comment on drinking behavior during COVID‐19 // Alcoholism & Drug Abuse Weekly. 2020. № 13 (32). C. 1–4.
22. Kuhlmann S.M., Huss M., Bürger A., Hammerle F. Coping with stress in medical students: results of a randomized controlled trial using a mindfulness-based stress prevention training (MediMind) in Germany // BMC Medical Education. 2016. № 1 (16). C. 1–11.
23. Lewnard J.A., Lo N.C. Scientific and ethical basis for social-distancing interventions against COVID-19 // The Lancet Infectious Diseases. 2020. Т. 20. № 6. С. 631.
24. National Institute of Health. What’s new. Coronavirus Disease COVID-19 // COVID treatment Guidelines [Электронный ресурс]. URL: https://www.covid19treatmentguidelines.nih.gov/whats-new/ (дата обращения: 27.06.2020).
25. Nicola M., O'Neill N., Sohrabi C., Khan M., Agha M., Agha R. Evidence based management guideline for the COVID-19 pandemic - Review article // International Journal of Surgery. 2020. Т. 77. С. 206–216.
26. Puthran R., Zhang M.W., Tam W.W., Ho R.C. Prevalence of depression amongst medical students: A meta-analysis // Medical Education. 2016. № 4 (50). C. 456–468.
27. Ramsey S.E., Engler P.A., Stein M.D. Alcohol use among depressed patients: The need for assessment and intervention // Professional Psychology: Research and Practice. 2005. № 2 (36). C. 203–207.
28. Rehm J., Kilian C., Ferreira-Borges C., Jernigan D., Monteiro M., Parry C.D.H., Sanchez Z.M., Manthey J.. Alcohol use in times of the COVID 19: Implications for monitoring and policy // Drug and Alcohol Review. 2020. Т. 39. № 4. С. 301–304.
29. Spoorthy M.S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review // Asian Journal of Psychiatry. 2020. Т. 51. С. 102119.
30. Sundararajan S., Gopichandran V. Emotional intelligence among medical students: a mixed methods study from Chennai, India // BMC Medical Education. 2018. № 1 (18). C. 97.
31. Tobaiqy M., Qashqary M., Al-Dahery S., Mujallad A., Hershan A.A., Kamal M.A., Helmif N. Therapeutic management of patients with COVID-19: a systematic review // Infection Prevention in Practice. 2020. № 3 (2). C. 100061.
32. Umucu E., Lee B. Examining the Impact of COVID-19 on Stress and Coping Strategies in Individuals With Disabilities and Chronic Conditions // Rehabilitation Psychology. 2020. В печати.
33. Vries-Erich J.M. de, Dornan T., Boerboom T.B., Jaarsma A.D., Helmich E. Dealing with emotions: medical undergraduates’ preferences in sharing their experiences // Medical Education. 2016. № 8 (50). C. 817–828.
34. World Health Organization. Country & Technical Guidance - Coronavirus disease (COVID-19) [Электронный ресурс]. URL: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (дата обращения: 27.06.2020).
35. Wyper G.M.A., Assunção R., Cuschieri S., Devleeschauwer B., Fletcher E., Haagsma J.A., Hilderink H.B.M, Idavain J., Lesnik T., Von der Lippe E., Majdan M., Milicevic M.S., Pallari E., Peñalvo J.L., Pires S.M., Plaß D., Santos J.V., Stockton D.L., Thomsen S.T., Grant I. Population vulnerability to COVID-19 in Europe: A burden of disease analysis // Archives of Public Health. 2020. № 1 (78). С. 1-8.
References:
1. Altybaeva G.K., Ospanova N.N., Moldagaliyev T.M., Sarsembina Zh.Zh., Seksenbayev N.Zh., Dokenova S.V. Faktory addiktivnoi predraspolozhennosti u studentov pervogo kursa Gosudarstvennogo meditsinskogo universiteta goroda Semei [Factors of addictive predisposition among first-year students of Semey state medical university]. Nauka i Zdravookhranenie [Science & Healthcare]. 2018, (Vol.20) 5, pp. 135-144 [in Russian].
2. Prilutskaya M. V., Grjibovski A. M. Vospriyatie chrezvychainogo polozheniya v svyazi s koronavirusnoi infektsiei uchashchimisya i sotrudnikami meditsinskogo vuza v Kazakhstane [Perception of the State of Emergency Due to Covid-19 by Medical Students and Staff in a Kazakhstani University]. Ekologiya cheloveka [Human Ecology]. 2020, 6, pp. 4-12 [in Russian].
3. Respublikanskii tsentr razvitiya zdravookhraneniya MZ RK. Klinicheskii protokol diagnostiki i lecheniya. Koronavirusnaya infektsiya - COVID-19, 10-ya redaktsiya (29.06.2020) [Republican centre of health care development of Ministry of Public health of the republic of Kazakhstan. Clinical protocol of diagnostics and treatment. Coronavirus infection - COVID-19, 10th edition (29.06.2020)] - Available: https://diseases.medelement.com - (accessed:18.07.2020) [in Russian].
4. Behrens C.C., Dolmans D.H., Gormley G.J., Driessen E.W. Exploring undergraduate students achievement emotions during ward round simulation: A mixed-method study // BMC Medical Education. 2019. V 1. N 19. P. 316.
5. Blake H., Bermingham F., Johnson G., Tabner A. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package // International Journal of Environmental Research and Public Health. 2020. V 9. N 17. P. 2997.
6. Cao W., Fang Z., Hou G, Han M., Xu X., Dong J., Zheng J. The psychological impact of the COVID-19 epidemic on college students in China // Psychiatry Research. 2020. N 287. P. 112934.
7. Centers for Disease Control and Prevention. Interim Guidance for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points (PSAPs) for COVID-19 in the United States. - Available: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html (accessed: 27.06.2020).
8. Centre for Clinical Research and Biostatistics. Simple Logistic Regression. Available: https://www2.ccrb.cuhk.edu.hk/stat/epistudies/reg3.htm (accessed: 27.06.2020).
9. Clay J.M., Parker M.O. Alcohol use and misuse during the COVID-19 pandemic: a potential public health crisis? // The Lancet Public Health. 2020. V.5. N 5. P. e259.
10. Dubey S., Biswas P., Ghosh R., Chatterjee S., Dubey M.J., Chatterjee S., Lahiri D., Lavie C.J. Psychosocial impact of COVID-19 // Diabetes and Metabolic Syndrome: Clinical Research and Reviews. 2020. N 5 (14). P. 779–788.
11. European Respiratory Society. COVID-19: Guidelines and recommendations directory Available: https://www.ersnet.org/covid-19-guidelines-and-recommendations-directory (accessed: 27.06.2020).
12. Fares J., Al Tabosh H., Saadeddin Z., El Mouhayyar C., Aridi H. Stress, burnout and coping strategies in preclinical medical students // North American Journal of Medical Sciences. 2016. V. 8. N 2. P. 75–81.
13. Garlow S.J., Rosenberg J., Moore J.D., Haas A.P., Koestner B., Hendin H., Nemeroff C.B. Depression, desperation, and suicidal ideation in college students: Results from the American Foundation for Suicide Prevention College Screening Project at Emory University // Depression and Anxiety. 2008. N 6 (25). P. 482–488.
14. Geisner I..M., Mallett K., Kilmer J.R. An examination of depressive symptoms and drinking patterns in first year college students // Issues in Mental Health Nursing. 2012. N 5 (33). P. 280–287.
15. Grazioli V.S., Bagge C.L., Studer J., Bertholet N., Rougemont-Bücking A., Mohler-Kuo M., Daeppen J.B., Gmel G. Depressive symptoms, alcohol use and coping drinking motives: Examining various pathways to suicide attempts among young men // Journal of Affective Disorders. 2018. N 232. P. 243–251.
16. Heffer T., Willoughby T. A count of coping strategies: A longitudinal study investigating an alternative method to understanding coping and adjustment // PLoS ONE. 2017. N 10 (12). P. e0186057.
17. Kang L., Ma S., Chen M., Yang J., Wang Y., Li R., Yao L., Bai H., Cai Z., Xiang Yang B., Hu S., Zhang K., Wang G., Ma C., Liu Z. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study // Brain, Behavior, and Immunity. 2020. V 87. P. 11.
18. Kar S.K., Arafat S.M.Y, Kabir R., Sharma P., Saxena S.K. Coping with Mental Health Challenges During COVID-19 // Asian J. Psychiatr. 2020. V 51. P. 199–213.
19. Király O., Potenza M.N., Stein D.J., et al.. Preventing problematic internet use during the COVID-19 pandemic: Consensus guidance // Compr Psychiatry. 2020. V 100. P.152180.
20. Klerings I., Weinhandl A.S., Thaler K.J. Information overload in healthcare: too much of a good thing? // Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen. 2015. N 4–5 (109). P. 285–290.
21. Knopf A. Alcohol and isolation: Experts comment on drinking behavior during COVID‐19 // Alcoholism & Drug Abuse Weekly. 2020. N 13 (32). P. 1–4.
22. Kuhlmann S.M., Huss M., Bürger A., Hammerle F. Coping with stress in medical students: results of a randomized controlled trial using a mindfulness-based stress prevention training (MediMind) in Germany // BMC Medical Education. 2016. N 1 (16). P. 1–11.
23. Lewnard J.A., Lo N.C. Scientific and ethical basis for social-distancing interventions against COVID-19 // The Lancet Infectious Diseases. 2020. V. 20. N 6. P. 631.
24. National Institute of Health. What’s new. Coronavirus Disease COVID-19 // COVID treatment Guidelines - Available: https://www.covid19treatmentguidelines.nih.gov/whats-new/ (accessed: 27.06.2020).
25. Nicola M., O'Neill N., Sohrabi C., Khan M., Agha M., Agha R. Evidence based management guideline for the COVID-19 pandemic - Review article // International Journal of Surgery. 2020. V. 77. P. 206–216.
26. Puthran R., Zhang M.W., Tam W.W., Ho R.C. Prevalence of depression amongst medical students: A meta-analysis // Medical Education. 2016. N 4 (50). P. 456–468.
27. Ramsey S.E., Engler P.A., Stein M.D. Alcohol use among depressed patients: The need for assessment and intervention // Professional Psychology: Research and Practice. 2005. N 2 (36). P. 203–207.
28. Rehm J., Kilian C., Ferreira-Borges C., Jernigan D., Monteiro M., Parry C.D.H., Sanchez Z.M., Manthey J. Alcohol use in times of the COVID 19: Implications for monitoring and policy // Drug and Alcohol Review. 2020. V. 39. N 4. P. 301–304.
29. Spoorthy M.S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review // Asian Journal of Psychiatry. 2020. V 51. P. 102119.
30. Sundararajan S., Gopichandran V. Emotional intelligence among medical students: a mixed methods study from Chennai, India // BMC Medical Education. 2018. N 1 (18). P. 97.
31. Tobaiqy M., Qashqary M., Al-Dahery S., Mujallad A., Hershan A.A., Kamal M.A., Helmif N. Therapeutic management of patients with COVID-19: a systematic review // Infection Prevention in Practice. 2020. N 3 (2). P. 100061.
32. Umucu E., Lee B. Examining the Impact of COVID-19 on Stress and Coping Strategies in Individuals With Disabilities and Chronic Conditions // Rehabilitation Psychology. 2020. Online ahead of print.
33. Vries-Erich J.M. de, Dornan T., Boerboom T.B., Jaarsma A.D., Helmich E. Dealing with emotions: medical undergraduates’ preferences in sharing their experiences // Medical Education. 2016. N 8 (50). P. 817–828.
34. World Health Organization. Country & Technical Guidance - Coronavirus disease (COVID-19) Available: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (accessed 27.06.2020).
35. Wyper G.M.A., Assunção R., Cuschieri S., Devleeschauwer B., Fletcher E., Haagsma J.A., Hilderink H.B.M, Idavain J., Lesnik T., Von der Lippe E., Majdan M., Milicevic M.S., Pallari E., Peñalvo J.L., Pires S.M., Plaß D., Santos J.V., Stockton D.L., Thomsen S.T., Grant I. Population vulnerability to COVID-19 in Europe: A burden of disease analysis // Archives of Public Health. 2020. N 1 (78). P. 1-8.
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Актуальная тема COVID-19
Библиографическая ссылка
Prilutskaya M., Mendualieva T., Corazza O. Emotional reactions and coping strategies of medical students during the COVID-19 pandemic: an online cross-sectional study // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 4, pp. 5-14. doi 10.34689/SH.2020.22.4.001Похожие публикации:
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