본문 바로가기
KERD
논문KCI 등재

코로나19 팬데믹 상황에서 국내 의과대학생이 경험한 일상생활 변화, 정신건강 문제 및 스트레스 대처

Medical Students’ Perceived Changes in Life, Mental Health Problems, and Strategies for Coping with Stress during the COVID-19 Pandemic

김혜원|여상희|안신기
연세대학교 의과대학 (Yonsei University College of Medicine)|2022.10|의학교육논단 (Korean Medical Education Review)|제24권 제3호|pp. 231-239

1

조회

0

다운로드

4

인용

0

참고문헌

키워드

COVID-19Mental healthMedical studentsStress coping

초록

This study aimed to examine the influence of the coronavirus disease 2019 (COVID-19) pandemic on areas of Korean medical students’ lives, assess concerns, and investigate the strategies they used to cope with stress due to the pandemic. An online survey with a total of 53 items on the impact of COVID-19, concerns, and coping strategies was sent to medical students, and responses were collected from April 27, 2021 to May 30, 2021. In total, 1,329 students were included in the study. Analysis was performed using the chi-square test, independent-sample t-test, and one-way analysis of variance, and the post-hoc Scheffé test or Games-Howell test was performed for multiple comparisons. The main negative impacts of the pandemic were on hobbies/leisure activities and mental health, and medical students expressed the highest levels of concern regarding restriction of movement, returning to everyday life, and risk of infection for family and friends. Female students more strongly agreed that COVID-19 had increased their depressed mood and anxiety (p<0.001 and p=0.003, respectively). Furthermore, the negative impacts of the pandemic on different areas of life significantly affected current levels of depressed mood and anxiety. To cope with pandemic-related stress, students used several strategies such as talking with family or friends (91.5%), sleeping (83.1%), exercising (72.8%), using social networking services (60.8%), drinking alcohol (37.8%), and practicing meditation/mindfulness (24.4%); the effectiveness of these strategies ranged from 3.45 to 4.19 on a 5-point Likert-type scale (1–5). The study findings suggest that COVID-19 has influenced the mental health of medical students and raised concerns in many areas of their lives. Students used various strategies to cope with the pandemic-related stress; since the effectiveness of frequently used approaches varied, it is essential to guide medical students to develop effective coping strategies.

Abstract

This study aimed to examine the influence of the coronavirus disease 2019 (COVID-19) pandemic on areas of Korean medical students’ lives, assess concerns, and investigate the strategies they used to cope with stress due to the pandemic. An online survey with a total of 53 items on the impact of COVID-19, concerns, and coping strategies was sent to medical students, and responses were collected from April 27, 2021 to May 30, 2021. In total, 1,329 students were included in the study. Analysis was performed using the chi-square test, independent-sample t-test, and one-way analysis of variance, and the post-hoc Scheffé test or Games-Howell test was performed for multiple comparisons. The main negative impacts of the pandemic were on hobbies/leisure activities and mental health, and medical students expressed the highest levels of concern regarding restriction of movement, returning to everyday life, and risk of infection for family and friends. Female students more strongly agreed that COVID-19 had increased their depressed mood and anxiety (p<0.001 and p=0.003, respectively). Furthermore, the negative impacts of the pandemic on different areas of life significantly affected current levels of depressed mood and anxiety. To cope with pandemic-related stress, students used several strategies such as talking with family or friends (91.5%), sleeping (83.1%), exercising (72.8%), using social networking services (60.8%), drinking alcohol (37.8%), and practicing meditation/mindfulness (24.4%); the effectiveness of these strategies ranged from 3.45 to 4.19 on a 5-point Likert-type scale (1–5). The study findings suggest that COVID-19 has influenced the mental health of medical students and raised concerns in many areas of their lives. Students used various strategies to cope with the pandemic-related stress; since the effectiveness of frequently used approaches varied, it is essential to guide medical students to develop effective coping strategies.

참고문헌 (39)

  1. Xiong J, "Impact of COVID-19 pandemic on mental health in the general population : a systematic review", J Affect Disord, 277, pp.55~64 (2020)
  2. Elbay RY, "Depression, anxiety, stress levels of physicians and associated factors in COVID-19 pandemics", Psychiatry Res, 290, pp.113130~ (2020)
  3. Salazar de Pablo G, "Impact of coronavirus syndromes on physical and mental health of health care workers : systematic review and meta-analysis", J Affect Disord, 275, pp.48~57 (2020)
  4. Tam CW, "Severe acute respiratory syndrome(SARS)in Hong Kong in 2003 : stress and psychological impact among frontline healthcare workers", Psychol Med, 34(7), pp.1197~1204 (2004)
  5. Khalid I, "Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak", Clin Med Res, 14(1), pp.7~14 (2016)
  6. Lee SM, "Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients", Compr Psychiatry, 87, pp.123~127 (2018)
  7. Mosheva M, "Anxiety, pandemic-related stress and resilience among physicians during the COVID-19 pandemic", Depress Anxiety, 37(10), pp.965~971 (2020)
  8. Galbraith N, "The mental health of doctors during the COVID-19 pandemic", BJPsych Bull, 45(2), pp.93~97 (2021)
  9. Cao W, "The psychological impact of the COVID-19 epidemic on college students in China", Psychiatry Res, 287, pp.112934~ (2020)
  10. Li Z, "Psychological distress, social support, coping style, and perceived stress among medical staffand medical students in the early stages of the COVID-19 epidemic in China", Front Psychiatry, 12, pp.664808~ (2021)
  11. Wu S, "The mental state and risk factors of Chinese medical staffand medical students in early stages of the COVID-19 epidemic", Compr Psychiatry, 102, pp.152202~ (2020)
  12. Lorcan O'Byrne, "Levels of stress in medical students due to COVID-19", Journal of Medical Ethics, 47(6), pp.383~388 (2021), BMJ[DOI]
  13. Arima M, "Factors associated with the mental health status of medical students during the COVID-19 pandemic : a cross-sectional study in Japan", BMJ Open, 10(12), pp.e043728~ (2020)
  14. Nishimura Y, "Impact of the COVID-19 pandemic on the psychological distress of medical students in Japan : cross-sectional survey study", J Med Internet Res, 23(2), pp.e25232~ (2021)
  15. Pelissier C, "Factors associated with psychological distress in French medical students during the COVID-19 health crisis : a cross-sectional study", Int J Environ Res Public Health, 18(24), pp.12951~ (2021)
  16. Zhao L, "Coping styles for mediating the effect of resilience on depression among medical students in web-based classes during the COVID-19 pandemic : crosssectional questionnaire study", J Med Internet Res, 23(6), pp.e25259~ (2021)
  17. Lyons Z, "COVID-19 and the mental well-being of Australian medical students : impact, concerns and coping strategies used", Australas Psychiatry, 28(6), pp.649~652 (2020)
  18. Wieczorek T, "Class of 2020 in Poland : students’ mental health during the COVID-19 outbreak in an academic setting", Int J Environ Res Public Health, 18(6), pp.2884~ (2021)
  19. Faul F, "G*Power 3 : a flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behav Res Methods, 39(2), pp.175~191 (2007)
  20. Wang X, "Investigating mental health of US college students during the COVID-19 pandemic : cross-sectional survey study", J Med Internet Res, 22(9), pp.e22817~ (2020)
  21. Kecojevic A, "The impact of the COVID-19 epidemic on mental health of undergraduate students in New Jersey, cross-sectional study", PLoS One, 15(9), pp.e0239696~ (2020)
  22. Korean Society for Traumatic Stress Studies; Ministry of Health and Welfare, "2020 National Mental Health Survey report" (2020), Korean Society for Traumatic Stress Studies
  23. Daegu Regional Mental Health Welfare Center, "COVID-19-related Mental Health Survey report" (2020), Daegu Regional Mental Health Welfare Center
  24. 신재현, "한글판 우울증 선별 도구 (Patient Health Qustionnaire-2)의 표준화 연구", 신경정신의학, 52(3), pp.115~121 (2013), 대한신경정신의학회
  25. Ahn JK, "The psychometric properties and clinical utility of the Korean version of GAD-7 and GAD-2", Front Psychiatry, 10, pp.127~ (2019)
  26. Moon SB, "Successful dissertations and theses: a practical and comprehensive guide to content and process" (2003), Hakjisa
  27. Lynn MR, "Determination and quantification of content validity", Nurs Res, 35(6), pp.382~385 (1986)
  28. 이은현, "측정도구의 심리계량적 속성 1: 내용타당도", 여성건강간호학회지, 27(1), pp.10~13 (2021), 한국여성건강간호학회[DOI]
  29. Benham G, "Stress and sleep in college students prior to and during the COVID-19 pandemic", Stress Health, 37(3), pp.504~515 (2021)
  30. Hall SS, ""I hate it here" : mental health changes of college students living with parents during the COVID-19 quarantine", Emerg Adulthood, 9(5), pp.449~461 (2021)
  31. Gallegos MI, "COVID-19 pandemic stresses and relationships in college students", Fam Relat, 71(1), pp.29~45 (2022)
  32. Seetan K, "Impact of COVID-19 on medical students’ mental wellbeing in Jordan", PLoS One, 16(6), pp.e0253295~ (2021)
  33. Guse J, "Mental burden and perception of the study situation among undergraduate students during the COVID-19 pandemic : a cross-sectional study and comparison of dental and medical students", BMJ Open, 11(12), pp.e054728~ (2021)
  34. Byrnes YM, "Effect of the COVID-19 pandemic on medical student career perceptions : a national survey study", Med Educ Online, 25(1), pp.1798088~ (2020)
  35. "A new doctor’s fast track from med student to COVID-19fighter, in a hospital filled with loss" (2020)[URL]
  36. Sharif SP, "UK medical students graduating early to work during the COVID-19 pandemic", Psychol Med, 51(11), pp.1951~ (2021)
  37. Jewel Park, "Medical students’ perspectives on recommencing clinical rotations during coronavirus disease 2019 at one institution in South Korea", Korean Journal of Medical Education, 32(3), pp.223~229 (2020), 한국의학교육학회
  38. Wurth S, "Medical students’ perceptions and coping strategies during the first wave of the COVID-19 pandemic : studies, clinical implication, and professional identity", BMC Med Educ, 21(1), pp.620~ (2021)
  39. Rose S, "Healthcare worker’s emotions, perceived stressors and coping mechanisms during the COVID-19 pandemic", PLoS One, 16(7), pp.e0254252~ (2021)

관련 논문AI추천

COVID-19 사회적 거리두기 시행과 완화로 인한 의과대학생의 심리사회적 변화김도영, 박귀화, 양우진, 윤소정, 이수헌, 이승현대한의료커뮤니케이션학회 · 의료커뮤니케이션2022 · 제17권 제2호The mental health of medical students in Daegu during the 2020 COVID-19 pandemic여상희, Eunkyung Choi, Jungmin Kim, Seung-Hee Won한국의학교육학회 · Korean Journal of Medical Education2023 · 제35권 제2호의과대학 학생들의 생활실태 및 학생지원 방안김선경, 배재훈, 이재호연세대학교 의과대학 · 의학교육논단2022 · 제24권 제3호A study on the mental health of students at a medical school during COVID-19 outbreak: a retrospective study구본훈, 김유라, 박혜진, 이영환, Ji Young Hwang영남대학교 의과대학 · Journal of Yeungnam Medical Science2022 · 제39권 제4호의과대학생의 정신건강과 스트레스 대처방식강경희, 강재구, 고유경, 이금호, 이혜경, 허예라한국의학교육학회 · Korean Journal of Medical Education2012 · 제24권 제1호의과대학생의 정신건강 증진을 위한 지원의 틀과 방안김민경, 김혜원연세대학교 의과대학 · 의학교육논단2022 · 제24권 제3호

이 간행물의 다른 논문 (9건)

의과대학의 학생 지원정은경pp. 179-179의과대학생의 정신건강 증진을 위한 지원의 틀과 방안김민경, 김혜원pp. 180-192의과대학생을 위한 체제적 진로상담 모델과 전략이영희pp. 193-204의과대학 학생들의 생활실태 및 학생지원 방안김선경, 배재훈, 이재호pp. 205-214의과대학 학업부적응 학생의 심리사회적 특성과 체계적 지원방안에 대한 탐색천경희, 이태희, 박영순pp. 215-230
원문 보기