Associations between the sense of school belonging and mental health status among medical students during the post-epidemic period
10.3760/cma.j.cn116021-20220520-01294
- VernacularTitle:后疫情时期医学生归属感与心理健康状况的相关性研究
- Author:
Chi ZHANG
1
;
Ping ZENG
;
Tingting WANG
;
Yuanyuan WANG
;
Ke SUN
;
Lütao ZENG
;
Jinjuan HAO
Author Information
1. 北京医院国家老年医学中心/国家卫生健康委北京老年医学研究所/国家卫生健康委老年医学重点实验室/中国医学科学院老年医学研究院，北京 100730
- Keywords:
School belonging;
Depression;
Anxiety;
Medical student
- From:
Chinese Journal of Medical Education Research
2023;22(5):780-785
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status of medical students' sense of school belonging and its relationship with depression and anxiety symptoms in the context of COVID-19 prevention and control.Methods:An online questionnaire survey was conducted among 1 629 full-time students from 8 medical universities. The 18-item psychological sense of school membership scale (PSSM-18), 9-item patient health questionnaire (PHQ-9), and 7-item generalized anxiety disorder scale (GAD-7) were used as measurements. Spearman correlation coefficients were used to analyze the correlations between PSSM-18, PHQ-9, and GAD-7 scores. Logistic regressions were used to analyze the impact of lack of school belonging on depression and anxiety symptoms.Results:The mean score of school belonging was (77.31±14.12), and the detection rates of depression and anxiety symptoms were 25.97% (423/1 629) and 21.92% (357/1 629), respectively. PSSM-18 score was negatively correlated with PHQ-9 scores ( r=-0.52, P<0.001) and GAD-7 scores ( r= -0.49, P < 0.001). After adjusting for covariates, students with low school belongingness had 4.33 times the risk of depression symptoms ( OR=4.33, 95%CI=2.48-7.43) and 5.85 times the risk of anxiety symptoms ( OR= 5.85, 95%CI=3.76-8.15) compared to students with high school belongingness. Conclusion:Lack of school belonging increases the risk of depression and anxiety symptoms. Under the normalization of COVID-19 prevention and control, the school should strengthen health education and support services to improve the students' sense of belonging and alleviate their mental health problems.
