■在COVID-19限制后,中国口腔医学专业研究生的心理状况仍不清楚。本研究的目的是通过横断面调查来评估心理状态,并收集相关的理论证据,以对口腔医学专业的研究生进行心理干预。
■进行了一项在线调查,和主观幸福感,焦虑,使用5项世界卫生组织福祉指数(WHO-5)评估压力和抑郁症状,项目广泛性焦虑症量表(GAD-7),10项感知压力量表(PSS-10),和患者健康问卷-9(PHQ-9),分别,其中使用PHQ-9和失眠严重程度指数(ISI)测量自杀意念和睡眠相关问题。
■共有208名参与者完成了一份问卷被认为是有效的。研究发现,女性受访者的PSS-10,PHQ-9和GAD-7得分水平普遍高于男性学生,体育锻炼时间较短。来自农村地区的学生表现出更高水平的PHQ-9,自杀意念,以及较少部分良好或公平的家庭经济支持。此外,来自独生子女家庭的个人报告活动小时数增加(1.78±2.07,p=0.045)和更高的部分(55.10%,p=0.007)与多胎家庭相比,有明确的未来计划。焦虑症状的危险因素(GAD-7评分)为PSS-10评分较高(OR=1.15,95%CI=1.09~1.22),PHQ-9(OR=1.35,95%CI=1.22-1.49),和ISI-7(OR=1.14,95%CI=1.06-1.23),而拥有明确的毕业计划是保护因素(OR=0.55,95%CI=0.31-0.98)。此外,抑郁症状(PHQ-9)的危险因素包括PSS-10(OR=1.10,95%CI=1.04-1.16),GAD-7(OR=1.38,95%CI=1.25-1.52),自杀意念(OR=5.66,95%CI=3.37-9.51),和ISI-7(OR=1.17,95%CI=1.09-1.25)。大约98.08%的中国口腔医学研究生报告说,在COVID-19限制后,至少经历了中等压力。
■在本研究的局限性内,高年级学生更倾向于压力,虽然焦虑症状与更严重的压力有关,抑郁症,和失眠。抑郁症状与较高的压力水平有关,焦虑,失眠,自杀意念,自我报告的幸福感较低。因此,应通过增强幸福感,及时适当地实施研究生的心理干预措施,合理规划未来,和良好的体格,从而减轻了COVID-19限制后的心理问题。
UNASSIGNED: The psychological status of Chinese postgraduate students majoring in stomatology after the COVID-19 restrictions still remains unclear. The objective of this study is to evaluate the mental status through a cross-sectional survey and gather related theoretical evidence for psychological intervention on postgraduate students majoring in stomatology.
UNASSIGNED: An online survey was administered, and subjective well-being, anxiety, stress and depression symptoms were assessed using the 5-item World Health Organization Well-Being Index (WHO-5), item Generalized Anxiety Disorder Scale (GAD-7), 10-item Perceived Stress Scale (PSS-10), and Patient Health Questionnaire-9 (PHQ-9), respectively, wherein suicidal ideation and sleep-related problems were measured with PHQ-9 and Insomnia Severity Index (ISI).
UNASSIGNED: A total of 208 participants who completed one questionnaire were considered as valid. It was found that female respondents generally exhibited significantly higher levels of PSS-10, PHQ-9, and GAD-7 scores and shorter physical activity hours than male students. Students from rural areas demonstrated significantly higher levels of PHQ-9, suicidal ideation, and less portion of good or fair family economic support. Additionally, individuals from only-child families reported increased levels of activity hours (1.78 ± 2.07, p = 0.045) and a higher portion (55.10%, p = 0.007) of having clear future plan as compared with multiple-child families. The risk factors for anxiety symptoms (GAD-7 score) were higher scores of PSS-10 (OR = 1.15, 95% CI = 1.09-1.22), PHQ-9 (OR = 1.35, 95% CI = 1.22-1.49), and ISI-7 (OR = 1.14, 95% CI = 1.06-1.23), while owning a clear graduation plan was the protective factor (OR = 0.55, 95% CI = 0.31-0.98). Moreover, the risk factors for depressive symptoms (PHQ-9) included PSS-10 (OR = 1.10, 95% CI = 1.04-1.16), GAD-7 (OR = 1.38, 95% CI = 1.25-1.52), suicidal ideation (OR = 5.66, 95% CI = 3.37-9.51), and ISI-7 (OR = 1.17, 95% CI = 1.09-1.25). Approximately 98.08% of Chinese postgraduates studying stomatology reported experiencing at least moderate stress after the COVID-19 restrictions.
UNASSIGNED: Within the limitations of this study, senior students were more inclined to stress, while anxiety symptoms were related to severer levels of stress, depression, and insomnia. Depressive symptoms were associated with higher levels of stress, anxiety, insomnia, suicidal ideation, and lower levels of self-reported well-being. Thus, psychological interventions for postgraduates should be timely and appropriately implemented by strengthening well-being, reasonably planning for the future, and good physique, thereby mitigating the psychological issues after COVID-19 restrictions.