Associations between the sense of school belonging and mental health status among medical students during the post-epidemic period

Zhang Chi; Zeng Ping; Wang Tingting; Wang Yuanyuan; Sun Ke; Zeng Lütao; Hao Jinjuan

doi:10.3760/cma.j.cn116021-20220520-01294

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Associations between the sense of school belonging and mental health status among medical students during the post-epidemic period

Investigation Research | 更新时间：2023-06-08

- Associations between the sense of school belonging and mental health status among medical students during the post-epidemic period
- Chinese Journal of Medical Education Research Vol. 22, Issue 5, Pages: 780-785(2023)
- 作者机构：
  
  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
  2.北京大学医学部国际合作交流处留学生办公室，北京　100191
  3.全国医学教育发展中心/北京大学医学部，北京　100191
  4.北京医院院办公室/国家老年医学中心/中国医学科学院老年医学研究院，北京　100730
- 作者简介：
  
  Hao Jinjuan, Email: haojinjuan4536@bjhmoh.cn
- 基金信息：
  
  Education and Teaching Research Project of Peking University Health Science Center(2020YB42)
- DOI：10.3760/cma.j.cn116021-20220520-01294
  CLC： R-05
- Published：20 May 2023，
  
  Received：20 May 2022，
扫描看全文
张驰, 曾平, 王婷婷, 等. 后疫情时期医学生归属感与心理健康状况的相关性研究[J]. 中华医学教育探索杂志, 2023, 22(5): 780-785.

Zhang Chi, Zeng Ping, Wang Tingting, et al. Associations between the sense of school belonging and mental health status among medical students during the post-epidemic period. [J]. Chinese Journal of Medical Education Research 22(5):780-785(2023)
张驰, 曾平, 王婷婷, 等. 后疫情时期医学生归属感与心理健康状况的相关性研究[J]. 中华医学教育探索杂志, 2023, 22(5): 780-785. DOI： 10.3760/cma.j.cn116021-20220520-01294.

Zhang Chi, Zeng Ping, Wang Tingting, et al. Associations between the sense of school belonging and mental health status among medical students during the post-epidemic period. [J]. Chinese Journal of Medical Education Research 22(5):780-785(2023) DOI： 10.3760/cma.j.cn116021-20220520-01294.

摘要

目的

探讨新型冠状病毒疫情防控常态化背景下，医学生的学校归属感现状及与抑郁、焦虑症的关系。

方法

对8所院校的1 629名全日制医学生进行在线问卷调查，测量工具包括学校归属感量表（psychological sense of school membership scale，PSSM-18）、9条条目的患者抑郁自评量表（the 9-item patient health questionnaire，PHQ-9）和7条目广泛性焦虑量表（7-item generalized anxiety disorder scale，GAD-7）。对学校归属感、抑郁症和焦虑症现状进行描述性分析，使用Spearman相关系数分析PSSM-18与PHQ-9、GAD-7得分间的相关性，使用logistic回归分析归属感缺失对抑郁症和焦虑症的影响。

结果

研究对象的学校归属感平均得分为（77.31±14.12），抑郁症和焦虑症的检出率分别为25.97%（423/1 629）和21.92%（357/1 629）。PSSM-18得分与PHQ-9得分（

=-0.52，

0.001）和GAD-7得分（

=-0.49，

0.001）均呈负相关。在校正协变量后，低归属感的学生出现抑郁症的风险是高归属感学生的4.33倍（

=4.33，95%CI=2.48~7.43），出现焦虑症的风险是高归属感学生的5.85倍（

=5.85，95%CI=3.76~8.15）。

结论

归属感缺失增加抑郁症和焦虑症出现的风险，在疫情防控常态化背景下，学校应加强健康宣教和支持服务，提高医学生的归属感，缓解心理健康问题。

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 (

=-0.52

0.001) and GAD-7 scores (

= -0.49

0.001). After adjusting for covariates

students with low school belongingness had 4.33 times the risk of depression symptoms (

=4.33

95%CI=2.48-7.43) and 5.85 times the risk of anxiety symptoms (

= 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.

关键词

学校归属感抑郁焦虑医学生

Keywords

School belongingDepressionAnxietyMedical student

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