An Online Survey on the Relationship Between Positive Coping and Post-Traumatic Stress Symptoms (PTSS) of Medical Students in China During the COVID-19 Pandemic: The Mediating Role of Social Support.

Autor: Song HT; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland).; Department of Mental Health, Bengbu First People's Hospital, Bengbu, Anhui, China (mainland)., Xia LL; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Ma Y; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Jiao D; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Chen S; School of Educational Science, Anhui Normal University, Wuhu, Anhui, China (mainland)., Wang L; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Wang W; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Song P; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Mu L; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Li L; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Pan M; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Zhang L; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Zhao J; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland)., Li JD; School of Mental Health, Bengbu Medical College, Bengbu, Anhui, China (mainland).
Jazyk: angličtina
Zdroj: Medical science monitor : international medical journal of experimental and clinical research [Med Sci Monit] 2023 Jun 01; Vol. 29, pp. e939485. Date of Electronic Publication: 2023 Jun 01.
DOI: 10.12659/MSM.939485
Abstrakt: BACKGROUND The COVID-19 pandemic has caused varying degrees of psychological stress among medical students. This research explored the post-traumatic stress symptoms (PTSS) of medical students in China and their relationship with positive coping and social support. MATERIAL AND METHODS In the form of cross-sectional online survey, 2280 medical students locked down at home were selected by random cluster method to investigate social support, coping style, and PTSS using the Social Support Rating Scale (SSRS), Simplified Coping Style Questionnaire (SCSQ), and Post-traumatic Stress Disorder (PTSD) Checklist-Civilian Version (PCL-C), respectively. RESULTS This research found that the PTSS detection rate in medical students was 10.42% during the COVID-19 pandemic. The PTSS scores of females were significantly higher than that of the males. However, the PTSS detection rate in females (9.71%) was not significantly different from that in males (11.24%). Compared with those of the non-PTSS group, the total score and its all-factor score of social support, the total score of coping style and the positive coping score of the PTSS group were much lower, while the negative coping score of the PTSS group was much higher (P<0.01). Positive coping was positively correlated with social support, while positive coping and social support were negatively correlated with PTSS. The total effect of positive coping on PTSS was -0.310 (P<0.001), the direct effect was -0.128 (P<0.01), and the indirect effect was -0.182 (P<0.001). Social support played a mediating role between positive coping and PTSS, with the mediating effect accounting for 58.81% of the total effect. CONCLUSIONS Social support plays a mediating role between positive coping and post-traumatic stress symptoms. Objective support and positive coping are the 2 main protective factors of PTSS.
Databáze: MEDLINE