Variation of stress levels, burnout, and resilience throughout the academic year in first-year medical students

Jordan, Richard; Shah, Shivam; Desai, Harsh; Tripi, Jennifer; Mitchell, Anthony; Worth, Randall G.

doi:10.1371/journal.pone.0240667

Cited by 41 publications

(27 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another positive finding is that a high proportion (79.6%) reported resilience scores of 3.00–5.00 implying a great proportion having normal to high resilience. The mean BRS score in this study is near similar to those reported among medical students in U.S. [ 40 ] and undergraduate students from a university in Guangzhou, China [ 41 ].…”

Section: Discussionsupporting

confidence: 84%

Effect of the COVID-19 Pandemic on Medical Student Career Perceptions: Perspectives from Medical Students in China

Cai

Lin

Alias

et al. 2021

IJERPH

View full text Add to dashboard Cite

Our aim was to examine perceived occupational turnover intentions among medical students and the associated factors. A cross-sectional study using a Web-based survey was conducted. A total of 2922 completed responses were received (response rate 55.7%). A total of 58.4% (95% CI 56.6–60.2) reported high turnover intention (score of 7–15). The odds of higher total turnover score among the fifth-year students was nearly four times that of first-year students (OR = 3.88, 95% CI 2.62–5.73). Perception of the medical profession as not being of high social status and reputation significantly influenced high turnover intention scores (OR = 2.26, 95% CI 1.90–2.68). All three dimensions of the multidimensional scale of perceived social support (MSPSS) significantly predict turnover intention. Lower scores in the support from Significant Other (OR = 1.47, 95% CI 1.17–1.84), Family (OR = 1.47, 95% CI 1.18–1.83) and Friend (OR = 1.42, 95% CI 1.14–1.77) subscales were associated with higher turnover intention. Low score in the Brief Resilience Scale (BRS) was also associated with higher turnover intention (OR = 1.44, 95% CI 1.17–1.77). The findings shed light on the importance of changing public attitudes towards respecting the medical profession and improving the implementation of policies to protect the well-being of people in the medical profession.

show abstract

Section: Discussionsupporting

confidence: 84%

Effect of the COVID-19 Pandemic on Medical Student Career Perceptions: Perspectives from Medical Students in China

Cai

Lin

Alias

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Improvements in wellbeing metrics of resilience, stress, and satisfaction with life accompanied the above educational gains. This is noteworthy because equipping the next generation of medical and graduate students with tools to decrease stress and improve resilience-two major features of burnout-is of great interest to the academic community (30)(31)(32). Moreover, a greater satisfaction with life among students is paramount to education as a whole and is a cornerstone for cultivating scientific excellence in a wellness environment (33).…”

Section: Discussionmentioning

confidence: 99%

“…Distribution of participant wellbeing responses pre-post SFIR programming. Score cut-offs for categorization as follows: Brief Resilience Scale N = 129 | Low (1.00-2.99), Normal (3.00-4.30), High (4.31-5.00); Perceived Stress Scale N = 125 | High (27-40), Moderate (14-26), Low (0-13); Satisfaction with Life Scale N = 131 | Extremely Dissatisfied (5-9), Dissatisfied (10-14), Slightly Dissatisfied (15-19), Neutral (20), Slightly Satisfied (21-25), Satisfied (26-30),Extremely Satisfied(31)(32)(33)(34)(35). SFIR students report gains across all three wellbeing categories pre-…”

mentioning

confidence: 99%

Rapid adaptation and remote delivery of undergraduate research training during the COVID 19 Pandemic

Yowler

Knier

WareJoncas

et al. 2021

Preprint

View full text Add to dashboard Cite

COVID-19 continues to alter daily life around the globe. Education is particularly affected by shifts to distance learning. This change has poignant effects on all aspects of academic life, including the consequence of increased mental stress reported specifically for students. COVID-19 cancellations of many summer fellowships and internships for undergraduates across the country increased students' uncertainty about their educational opportunities and careers. When the pandemic necessitated elimination of on-campus programming at Mayo Clinic, a new program was developed for remote delivery. Summer Foundations in Research (SFIR) was drafted around 4 aims: 1) support the academic trajectory gap in research science created by COVID-19; 2) build sustainable scientific relationships with mentors, peers, and the community; 3) create opportunities for participants to share and address concerns with their own experiences in the pandemic; and 4) provide support for individual wellbeing. SFIR included research training, but also training in communication through generative Dialogue and resilience through Amit Sood's SMART program. 170 participants were followed for outcomes in these spaces. Knowledge of and interest in careers involving biomedical research rose significantly following SFIR. Participants' mean confidence levels in 12 Key areas of research rose between 0.08 to 1.32 points on a 7-point scale. The strongest gains in mean confidence levels were seen in designing a study and collaborating with others. SFIR participants demonstrated gains in perceived happiness, and measured resilience and a reduction in stress. Participants' qualitative responses indicated exceptionally positive mentor relationships and specific benefit of both the SMART program and Dialogue.

show abstract

“…Therefore, stress may weaken the resistance of the organism to infection with SARS-CoV-2 and lead to more serious illness with complications. Second, stress triggers anxiety (Jordan et al 2020). Anxiety may be due to direct CNS infection with SARS-CoV-2 since coronaviruses can use the trans-olfactory route to enter the CNS (Steardo, Steardo et al 2020).…”

Section: Factors Contributing To Anxiety In Covid-19 Patientsmentioning

confidence: 99%

Presentation and management of anxiety in individuals with acute symptomatic or asymptomatic COVID-19 infection, and in the post-COVID-19 recovery phase

Uzunova

Pallanti

Hollander

2021

International Journal of Psychiatry in Clinical Practice

View full text Add to dashboard Cite

COVID-19 is associated with neuropsychiatric complications, the most frequent one being anxiety. Multiple biological and psychosocial factors contribute to anxiety in COVID-19. Among the biological factors, stress, genetics, gender, immune system, resilience, anosmia, hypogeusia, and central nervous system infection with SARS-CoV-2 are key. Anxiety is a complication of COVID-19 that may exacerbate the infection course, and the infection may exacerbate anxiety. We present the mechanisms of anxiety in symptomatic or asymptomatic COVID-19. We discuss the presentation of anxiety in patients without or with prior psychiatric illness, and with co-morbidities. Timely diagnosis and management of anxiety in COVID-19 patients is important. Given the frequent complication of COVID-19 with Acute Respiratory Distress Syndrome and Intensive Care Unit stay, anxiety may be a long-term complication. We review the diagnostic tools for anxiety in COVID-19, and summarise pharmacologic and non-pharmacologic treatments. We provide recommendations for diagnosis, treatment, prevention and follow up of anxiety in COVID-19. KEY POINTS Patients with COVID-19 (symptomatic or asymptomatic) exhibit a high frequency of neuropsychiatric complications with highest percentage attributed to anxiety. Multiple biological and psychosocial risk factors for anxiety exist in COVID-19-ill individuals. Biological risk factors include stress, resilience, genetics, gender, age, immune system, direct infection of the central nervous system (CNS) with SARS-CoV-2, comorbid psychiatric and general medical illnesses, ARDS and ICU stay. Anosmia and hypogeusia are COVID-19-specific anxiety risk factors. Knowledge of the anxiety risk factors is essential to focus on timely interventions, because anxiety may be a complication of and exacerbate the COVID-19 course. An inverse correlation exists between resilience and anxiety because of COVID-19, and therefore efforts should be made to increase resilience in COVID-19 patients. In COVID-19, important anxiety mechanism is neuroinflammation resulting from activation of the immune system and an ensuing cytokine storm. The general approach to management of anxiety in COVID-19 should be compassionate, similar to that during trauma or disaster, with efforts focussed on instilling a sense of hope and resilience. In selecting pharmacological treatment of anxiety, the stress response and immune system effects should be key. Medications with cardio-respiratory adverse effects should be avoided in patients with respiratory problems. Anxiety is a disorder that will require for long-term follow up at least one month after COVID-19.

show abstract

Variation of stress levels, burnout, and resilience throughout the academic year in first-year medical students

Cited by 41 publications

References 37 publications

Effect of the COVID-19 Pandemic on Medical Student Career Perceptions: Perspectives from Medical Students in China

Effect of the COVID-19 Pandemic on Medical Student Career Perceptions: Perspectives from Medical Students in China

Rapid adaptation and remote delivery of undergraduate research training during the COVID 19 Pandemic

Presentation and management of anxiety in individuals with acute symptomatic or asymptomatic COVID-19 infection, and in the post-COVID-19 recovery phase

Contact Info

Product

Resources

About