Association of Sociodemographic and Psychosocial Factors With COVID-19–Related Post-Traumatic Stress Disorder Risk Group Among Medical Students

다국어 초록 (Multilingual Abstract)

Objective Several previous studies have reported the negative psychological impact of the coronavirus disease (COVID-19) pandemic on medical students worldwide. This study investigated the sociodemographic and psychosocial factors associated with COVID-19–related post-traumatic stress disorder (PTSD) risk among medical students in Daegu, a region that experienced a high concentration of infections.Methods A total of 270 students completed the self-reported questionnaires including COVID-19 exposure, psychological measurement, and sociodemographic factors. We evaluated the COVID-19–related PTSD risk group using the Korean version of the Impact of Event Scale-Revised. Logistic regression analysis was performed to evaluate the odds ratio for the COVID-19–related PTSD risk group in sociodemographic and psychosocial factors.Results The prevalence of the COVID-19–related PTSD risk group was 10.4% in medical students. Among sociodemographic factors, lower grades (specially, first-year medical students) and current smokers were associated with the COVID-19–related PTSD risk. Indirect exposure to COVID-19 was also associated with this risk. Meanwhile, having higher resilience, self-esteem, and social support were less likely to be associated with COVID-19–related PTSD risk.Conclusion This study suggested that it is necessary to develop a system for the screening and managing of COVID-19–related PTSD risk group among medical students, especially high-risk groups during the COVID-19 pandemic.

참고문헌 (Reference)

1 이종하 ; 신철민 ; 고영훈 ; 임재형 ; 조숙행 ; 김승현 ; 정인과 ; 한창수, "한글판 스트레스 자각척도의 신뢰도와 타당도 연구" 한국정신신체의학회 20 (20): 127-134, 2012

2 은헌정 ; 권태완 ; 이선미 ; 김태형 ; 최말례 ; 조수진, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구" 대한신경정신의학회 44 (44): 303-310, 2005

3 World Health Organization, "WHO coronavirus (COVID-19) dashboard"

4 Park H, "Validation of multidimensional scale of perceived social support in middle-aged Korean women with diabetes" 22 : 202-213, 2012

5 Garmezy N, "The study of stress and competence in children: a building block for developmental psychopathology" 55 : 97-111, 1984

6 Jo SH, "The psychological impact of the coronavirus disease pandemic on hospital workers in Daegu, South Korea" 103 : 152213-, 2020

7 Kumar A, "The psychological impact of the Covid-19 lockdown on medical students of a college in North India" 11 : 82-87, 2020

8 Zimet GD, "The multidimensional scale of perceived social support" 52 : 30-41, 1988

9 Beck JG, "The impact of event scale-revised: psychometric properties in a sample of motor vehicle accident survivors" 22 : 187-198, 2008

10 Xie L, "The immediate psychological effects of coronavirus disease 2019 on medical and non-medical students in China" 65 : 1445-1453, 2020

11 Quek TT, "The global prevalence of anxiety among medical students: a meta-analysis" 16 : 2735-, 2019

12 Rajkumar RP, "The contributions of pandemic severity, government stringency, cultural values and Internet usage to post-traumatic stress disorder during the COVID-19 pandemic: an analysis of data from 35countries" 7 : 881928-, 2022

13 Liqing Zhang ; Rong Pan ; Yixian Cai ; Jiyang Pan, "The Prevalence of Post-Traumatic Stress Disorder in the General Population during the COVID-19 Pandemic: A Systematic Review and Single-Arm Meta-Analysis" 대한신경정신의학회 18 (18): 426-433, 2021

14 Elmer T, "Students under lockdown: comparisons of students' social networks and mental health before and during the COVID-19 crisis in Switzerland" 15 : e0236337-, 2020

15 Rosenberg M, "Society and the adolescent self-image" Princeton University Press 2015

16 Schug C, "Social support and optimism as protective factors for mental health among 7765 healthcare workers in Germany during the COVID-19pandemic: results of the VOICE study" 18 : 3827-, 2021

17 Umberson D, "Social relationships and health: a flashpoint for health policy" 51 (51): S54-S66, 2010

18 Brown JD, "Self-esteem and emotion: some thoughts about feelings" 27 : 575-584, 2001

19 National Information Society Agency, "Self-Rated Smartphone Addiction Scale for Youth, In Development of Korean Smartphone Addiction Proneness Scale for youth and adults" National Information Society Agency 85-86, 2011

20 Ali S, "Risk assessment of healthcare workers at the frontline against COVID-19" 36 (36): S99-S103, 2020

21 Tugade MM, "Resilient individuals use positive emotions to bounce back from negative emotional experiences" 86 : 320-333, 2004

22 Ye Z, "Resilience, social support, and coping as mediators between COVID‐19‐related stressful experiences and acute stress disorder among college students in China" 12 : 1074-1094, 2020

23 백현숙 ; 이경욱 ; 주은정 ; 이미영 ; 최경숙, "Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale" 대한신경정신의학회 7 (7): 109-115, 2010

24 Liu C, "Relationship between risk perception, social support, and mental health among general Chinese population during the COVID-19 pandemic" 14 : 1843-1853, 2021

25 Fahrenkopf AM, "Rates of medication errors among depressed and burnt out residents: prospective cohort study" 336 : 488-491, 2008

26 이한경 ; 이은호 ; 황순택 ; 홍상황 ; 김지혜, "Psychometric Properties of the Beck Anxiety Inventory in the Community-dwelling Sample of Korean Adults" 한국임상심리학회 35 (35): 822-830, 2016

27 Rahman MM, "Psychological impact of Covid-19 pandemic on mental health among medical students in Malaysia" 17 : 119-128, 2021

28 박혜윤 ; 정종탁 ; 박혜연 ; 이소희 ; 김의석 ; 김홍빈 ; 송경호, "Psychological Consequences of Survivors of COVID-19 Pneumonia 1 Month after Discharge" 대한의학회 35 (35): 1-5, 2020

29 Rotenstein LS, "Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis" 316 : 2214-2236, 2016

30 Halperin SJ, "Prevalence of anxiety and depression among medical students during the Covid-19pandemic: a cross-sectional study" 8 : 2382120521991150-, 2021

31 Lee Jimin ; Won Seunghee ; Chang Sung Man ; Kim Byung-Soo ; Lee Seung Jae, "Prevalence of Addictive Behaviors in Medical Students and Their Association With Stress" 대한신경정신의학회 19 (19): 44-53, 2022

32 Borsari B, "Predictors of alcohol use during the first year of college: implications for prevention" 32 : 2062-2086, 2007

33 Pericot-Valverde I, "Posttraumatic stress disorder and tobacco use: a systematic review and meta-analysis" 84 : 238-247, 2018

34 Ferber SG, "Perceived social support in the social distancing era: the association between circles of potential support and COVID-19 reactive psychopathology" 35 : 58-71, 2022

35 Dutheil F, "PTSD as the second tsunami of the SARS-Cov-2 pandemic" 51 : 1773-1774, 2021

36 Joe KH, "Optimum cut-offscore for screening of hazardous drinking using the Korean version of alcohol use disorder identification test (AUDIT-K)" 13 : 34-40, 2009

37 Thorndike FP, "Nicotine dependence, PTSD symptoms, and depression proneness among male and female smokers" 31 : 223-231, 2006

38 Bilal A, "Mental health and its association with perceived social support during Covid-19 pandemic among pakistani doctors: a comparative study" 11 : 11-16, 2021

39 World Health Organization, "Listings of WHO's response to COVID-19"

40 O’Byrne L, "Levels of stress in medical students due to COVID-19" 47 : 383-388, 2021

41 Robertson TW, "Is resilience a protective factor of internet addiction?" 78 : 255-260, 2018

42 Park KH, "Impact of the COVID-19 pandemic on medical students of clinical clerkship in South Korea: a qualitative study exploring medical students' experiences" 38 : 469-475, 2022

43 Loh LC, "Impact of a spreading epidemic on medical students" 13 : 30-36, 2006

44 Kessler RC, "How well can post-traumatic stress disorder be predicted from pretrauma risk factors? An exploratory study in the WHO World Mental Health Surveys" 13 : 265-274, 2014

45 National Institute on Alcohol Abuse and Alcoholism, "Helping patients who drink too much: a clinician’s guide"

46 Yoo JS, "Gender difference in self-esteem of medical students" 15 : 241-248, 2003

47 Arima M, "Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan" 10 : e043728-, 2020

48 Shalev AY, "Estimating the risk of PTSD in recent trauma survivors:results of the International Consortium to Predict PTSD (ICPP)" 18 : 77-87, 2019

49 Lee JY, "Epidemiological and clinical characteristics of coronavirus disease 2019 in Daegu, South Korea" 98 : 462-466, 2020

50 Patel I, "Effects of Ebola virus disease education on student health professionals" 10 : 651-656, 2018

51 Hao F, "Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry" 87 : 100-106, 2020

52 Al-Balas M, "Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives" 20 : 341-, 2020

53 Connor KM, "Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)" 18 : 76-82, 2003

54 Lee BO, "Development of Korean version of alcohol use disorders identification test (AUDIT-K): its reliability and validity" 4 : 83-92, 2000

55 Korea Disease Control and Prevention Agency, "Coronavirus disease-19, Republic of Korea"

56 Zhu K, "COVID-19 related symptoms of anxiety, depression, and PTSD among US adults" 301 : 113959-, 2021

57 Shuja KH, "COVID-19 pandemic and impending global mental health implications" 32 : 32-35, 2020

58 Center for Behavioral Health Statistics and Quality, "Behavioral health trends in the United States: results from the 2014 national survey on drug use and health"

59 Weiss DS, "Assessing psychological trauma and PTSD" The Guilford Press 399-411, 1997

60 Lee CM, "Anxiety, PTSD, and stressors in medical students during the initial peak of the COVID-19 pandemic" 16 : e0255013-, 2021

61 Duan L, "An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19" 275 : 112-118, 2020

62 Wang C, "A longitudinal study on the mental health of general population during the COVID-19 epidemic in China" 87 : 40-48, 2020

63 Galanakis MJ, "A literature review on the connection between stress and self-esteem" 7 : 687-694, 2016

64 Cohen S, "A global measure of perceived stress" 24 : 385-396, 1983