Psychische Gesundheit von Studierenden der Medizin

Seliger, Kerstin; Brähler, Elmar

doi:10.1007/s00278-006-0529-3

Cited by 32 publications

(16 citation statements)

References 39 publications

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“…In accordance with former studies [2, 3, 7], our data confirm the high experience of stress and the vulnerability for psychological disorders in students of German medical schools. Since this is still evident in later professional life [5, 56], appropriate preventive interventions should already be provided during the time of studies to decrease the risk of suffering from mental disorders and to guarantee a stable performance of future doctors in patient care.…”

Section: Resultssupporting

confidence: 92%

“…Studies from Germany and other western countries revealed increased risks for the development of psychological disorders in populations of medical students. Depressive symptoms, for example, are reported to affect 8.8 to 58.2% of the student population [2–6]. The prevalence of burnout ranges between 17.2 and 71% [5, 7–9] and between 5.1 and 32% for anxiety disorders.…”

Section: Introductionmentioning

confidence: 99%

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Coping with stress in medical students: results of a randomized controlled trial using a mindfulness-based stress prevention training (MediMind) in Germany

Kuhlmann

Huß

Bürger³

et al. 2016

BMC Med Educ

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BackgroundHigh prevalence rates of psychological distress in medical training and later professional life indicate a need for prevention. Different types of intervention were shown to have good effects, but little is known about the relative efficacy of different types of stress management interventions, and methodological limitations have been reported. In order to overcome some of these limitations, the present study aimed at evaluating the effect of a specifically developed mindfulness-based stress prevention training for medical students (MediMind) on measures of distress, coping and psychological morbidity.MethodsWe report on a prospective randomized controlled trial with three study conditions: experimental treatment (MediMind), standard treatment (Autogenic Training) and a control group without treatment. The sample consisted of medical or dental students in the second or eighth semester. They completed self-report questionnaires at baseline, after the training and at one year follow-up. Distress (Trier Inventory for the Assessment of Chronic Stress, TICS) was assessed as the primary outcome and coping (Brief COPE) as a co-primary outcome. Effects on the psychological morbidity (Brief Symptom Inventory, BSI) as a secondary outcome were expected one year after the trainings.ResultsInitially, N = 183 students were randomly allocated to the study groups. At one year follow-up N = 80 could be included into the per-protocol analysis: MediMind (n =31), Autogenic Training (n = 32) and control group (n = 17). A selective drop-out for students who suffered more often from psychological symptoms was detected (p = .020). MANCOVA’s on TICS and Brief COPE revealed no significant interaction effects. On the BSI, a significant overall interaction effect became apparent (p = .002, η2partial = .382), but post hoc analyses were not significant. Means of the Global Severity Index (BSI) indicated that MediMind may contribute to a decrease in psychological morbidity.ConclusionDue to the high and selective dropout rates, the results cannot be generalized and further research is necessary. Since the participation rate of the trainings was high, a need for further prevention programs is indicated. The study gives important suggestions on further implementation and evaluation of stress prevention in medical schools.Trial registrationThis trial is recorded at German Clinical Trials Register under the number DRKS00005354 (08.11.2013).

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Section: Resultssupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Coping with stress in medical students: results of a randomized controlled trial using a mindfulness-based stress prevention training (MediMind) in Germany

Kuhlmann

Huß

Bürger³

et al. 2016

BMC Med Educ

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“…Medical students might be regarded as an especially vulnerable group to the development of mental health problems due to: high pressures to perform [3], high workloads [4], the need for continuous learning [5], and confrontation with human suffering and death [6] during their medical education. National [7,8] and international [5,9,10] studies on the mental health of medical students A. Weigel and D. Hofmeister equally contributed to this paper. found higher rates of depression, anxiety, and substance abuse in this group compared to the general population.…”

Section: Introductionmentioning

confidence: 99%

Eating pathology in medical students in Eastern Germany: comparison with general population and a sample at the time of the German reunification

Weigel

Hofmeister

Pröbster³

et al. 2015

Eat Weight Disord

Self Cite

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“…[7, 13–16]) and German studies (e.g. [8], [17–19]), report on psychosocial consequences such as increased levels of depression and anxiety as well as burnout and reduced quality of life. Study-related stressors experienced by medical students include high workloads, tight time schedules, dissection of corpses, contact with severely ill, suffering and dying patients, and financial problems, as well as language barriers, communication difficulties and cultural differences especially for international students [7, 20–24].…”

Section: Introductionmentioning

confidence: 99%

“…[8, 17, 18]). We also expected to find higher levels of perceived stress, emotional distress and fewer personal resources in female as compared to male students [17, 20, 21], in students with migration background as compared to German students [20] and in students who work part time as compared to students who do not work [7, 20, 21].…”

Section: Introductionmentioning

confidence: 99%

Perceived stress in first year medical students - associations with personal resources and emotional distress

2017

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BackgroundMedical students have been found to report high levels of perceived stress, yet there is a lack of theoretical frameworks examining possible reasons. This cross-sectional study examines correlates of perceived stress in medical students on the basis of a conceptual stress model originally developed for and applied to the general population. The aim was to identify via structural equation modeling the associations between perceived stress and emotional distress (anxiety and depression), taking into account the activation of personal resources (optimism, self-efficacy and resilient coping).MethodsWithin this cross-sectional study, 321 first year medical students (age 22 ± 4 years, 39.3% men) completed the Perceived Stress Questionnaire (PSQ-20), the Self-Efficacy Optimism Scale (SWOP) and the Brief Resilient Coping Scale (BRCS) as well as the Patient Health Questionnaire (PHQ-4). The statistical analyses used t-tests, ANOVA, Spearman Rho correlation and multiple regression analysis as well as structural equation modeling.ResultsMedical students reported higher levels of perceived stress and higher levels of anxiety and depression than reference samples. No statistically significant differences in stress levels were found within the sample according to gender, migration background or employment status. Students reported more self-efficacy, optimism, and resilient coping and higher emotional distress compared to validation samples and results in other studies. Structural equation analysis revealed a satisfactory fit between empirical data and the proposed stress model indicating that personal resources modulated perceived stress, which in turn had an impact on emotional distress.ConclusionsMedical students’ perceived stress and emotional distress levels are generally high, with personal resources acting as a buffer, thus supporting the population-based general stress model. Results suggest providing individual interventions for those students, who need support in dealing with the challenges of the medical curriculum as well as addressing structural determinants of student stress such as course load and timing of exams.

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Psychische Gesundheit von Studierenden der Medizin

Cited by 32 publications

References 39 publications

Coping with stress in medical students: results of a randomized controlled trial using a mindfulness-based stress prevention training (MediMind) in Germany

Coping with stress in medical students: results of a randomized controlled trial using a mindfulness-based stress prevention training (MediMind) in Germany

Eating pathology in medical students in Eastern Germany: comparison with general population and a sample at the time of the German reunification

Perceived stress in first year medical students - associations with personal resources and emotional distress

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