在第一年医学学生中发现心理健康变化的异质性
Sabine Polujanski1, Ulrike Nett2, Thomas Rotthoff1
1Medical Didactics and Education Research, DEMEDA (Department of Medical Education), Medical Faculty, University of Augsburg, Augsburg, Germany.
Medical education online
|February 23, 2024
概括
一年级医学学生表现出各种心理健康变化,初始状态影响结果. 量身定制的预防对于在这个充满挑战的时期支持学生福祉至关重要.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 医学院的第一年与心理健康的下降有关.
- 以前的研究经常单独研究精神病理学和积极的心理健康.
- 双因素模型为心理健康提供了一个全面的观点.
研究的目的:
- 通过使用双因素模型,研究一年级医学学生的心理健康轨迹.
- 识别不同的心理健康状况及其在第一学年的变化.
主要方法:
- 在三个时间点 (年初,年中和年底) 调查了450名医学学生.
- 评估了抑郁症 (PHQ-9),福祉 (FAHW-12) 和生活满意度 (L1).
- 利用潜质分析来识别心理健康群体并分析轨迹.
主要成果:
- 确定了五个不同的心理健康群体:完全的心理健康,中度的心理健康,有症状但满意,易受伤害和困扰.
- 观察到不同的轨迹,包括恢复和恶化.
- 拥有完整心理健康的学生表现出更大的稳定性和恢复潜力.
结论:
- 最初的心理健康状况显著影响医学院第一年期间的轨迹.
- 心理健康的变化是多样化的,需要个性化的预防策略.
- 结果为医学生福祉和学术支持提供了干预信息.
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