Effects of the COVID-19 pandemic on acute stress disorder and career planning among healthcare students

Luping Zhang, Hongbo Qi, Longqiong Wang, Fulan Wang, Jin Huang, Feifei Li, Zhiwei Zhang, Luping Zhang, Hongbo Qi, Longqiong Wang, Fulan Wang, Jin Huang, Feifei Li, Zhiwei Zhang

Abstract

This study aimed to investigate the effects of COVID-19 on the prevalence of acute stress disorder and subsequent effects on career planning among healthcare students. A cross-sectional survey was conducted among 1158 healthcare students across five medical universities in February 2020. Acute stress disorder was assessed using the Stanford Acute Stress Response Questionnaire. Further data regarding COVID-19 knowledge, individual behaviours, occupational choices, and career planning were collected. Based on the results of the Stanford Acute Stress Response Questionnaire, the students were divided into high-risk and low-risk groups for acute stress disorder. The correlation between acute stress disorder and the impact on career planning was analysed. The high-risk group comprised 143 (12.3%) participants, while 1015 (87.7%) participants were in the low-risk group. Two factors increased the risk of acute stress disorder in the students, including 'I think the pandemic is far away from me' (B: 1.27, 95%CI: 1.60-7.87) and 'Physical contact with confirmed or suspected cases' (B: 2.49, 95%CI: 3.42-42.44). Those who obtained pandemic information from official media sources indicated a lower risk of acute stress disorder (B: -0.24, 95%CI: 0.49-1.26). The high-risk group was more likely to quit the medical profession after graduation. The COVID-19 pandemic may cause acute stress disorder among healthcare students and affect their career planning. Universities and relevant departments should provide more information and moral support for these students.

Keywords: COVID-19; acute stress disorder; career planning; healthcare students; mental health.

© 2021 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.

Figures

Fig. 1
Fig. 1
Distribution of SARSQ scores among healthcare students.

References

    1. Breban, R. , Riou, J. & Fontanet, A. (2013). Interhuman transmissibility of Middle East respiratory syndrome coronavirus: estimation of pandemic risk. Lancet, 382 (9893), 694–699.
    1. Bryant, R. A. (2010). Acute stress disorder as a predictor of posttraumatic stress disorder. Journal of Clinical Psychiatry. 72 (2), 233–239.
    1. Bryant, R. A. (2018). The current evidence for acute stress disorder. Current Psychiatry Reports, 20 (12), 111.
    1. Cardeña, E. , Koopman, C. , Classen, C. , Waelde, L. C. & Spiegel, D. (2010). Psychometric properties of the Stanford Acute Stress Reaction Questionnaire (SASRQ): a valid and reliable measure of acute stress. Journal of Traumatic Stress, 13 (4), 719–734.
    1. Chang, J. (2020). Mental health status and its influencing factors among college students during the epidemic of COVID‐19. Journal of Southern Medical University 40, 171–176.
    1. Cheng . (2014). Investigations and suggestions on current career planning education for junior medical students from NanJing Medical University. Nanjing, China: NanJing Medical University.
    1. Chowell, G. , Abdirizak, F. , Lee, S. et al. (2015). Transmission characteristics of MERS and SARS in the healthcare setting: a comparative study. BMC Medicine, 13 (1), 210–210.
    1. Dubey, S. , Biswas, P. , Ghosh, R. , Chatterjee, S. & Lavie, C. J. (2020). Psychosocial impact of COVID‐19. Diabetes and Metabolic Syndrome Clinical Research and Reviews, 14 (5), 779–788.
    1. Gao, J. , Zheng, P. , Jia, Y. et al. (2020). Mental health problems and social media exposure during COVID‐19 outbreak. PLoS One, 15(4), 1–10.
    1. Gong . (2012). Reflections on the employment of young college students in traditional Chinese medicine colleges and universities. Chinese Worker Education 12, 56‐126.
    1. JHUM (2020). Global Tracking Maps:COVID‐19 Cases and Data Visualization. accessed 13 June 2020.
    1. Kucharski, A. J. & Althaus, C. L. (2015). The role of superspreading in Middle East respiratory syndrome coronavirus (MERS‐CoV) transmission. Eurosurveillance, 20 (25), 21167.
    1. Lee, S. M. , Kang, W. S. , Cho, A. R. , Kim, T. & Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Elsevier Public Health Emergency Collection, 87, 123–127.
    1. Lu, Y. C. , Shu, B. C. , Chang, Y. Y. & Lung, F. W. (2006). The mental health of hospital workers dealing with severe acute respiratory syndrome. Psychotherapy and Psychosomatics, 75 (6), 370–375.
    1. Ma, Z. , Zhao, J. , Li, Y. et al. (2020). Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China. Epidemiology and Psychiatric Sciences, 29, e181.
    1. Meo, S. A. , Abukhalaf, A. A. , Alomar, A. A. , Sattar, K. & Klonoff, D. C. (2020). COVID‐19 pandemic: impact of quarantine on medical students'. Mental Wellbeing and Learning Behaviors. Pakistan Journal of Medical ences, 36 (COVID19‐S4), S43–S48.
    1. Ooi, R. & Ooi, S. Z. Y. (2020). The role of virtual sub‐internships in influencing career perceptions: an international medical graduate perspective. Medical Education Online, 25 (1), 1821463.
    1. Santos, L. M. D. (2020). How does COVID‐19 pandemic influence the sense of belonging and decision‐making process of nursing students: the study of nursing students' experiences. International Journal of Environmental Research and Public Health. 17 (15), 5603.
    1. Su . (2005). Group psychological response and intervention in public health emergencies. Chinese Journal of Behavior Medical Science 14, 1139–1141.
    1. Sun . (2019). Application of positive psychology in college Students'mental health education. Journal of Zaozhuang University 3, 131–135.
    1. Tang, W. , Hu, T. , Hu, B. et al. (2020). Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID‐19 epidemic in a sample of home‐quarantined Chinese university students. Journal of Affective Disorders, 274, 1–7.
    1. Wen, J. T. , Xiang‐Lan, W. , Liang‐Rong, Z. , Lei‐Jun, L. I. , Zhao‐Yu, G. & Hong, S. (2011). Roc curve analysisia of optimal cutoff value of SASRQ for screening acute stress disorder after earthquake. New Medicine, 42(10), 618–620.
    1. Yang, L. S. , Zhang, Z. H. , Sun, L. , Sun, Y. H. & Ye, D. Q. (2015). Prevalence of suicide attempts among college students in China: a meta‐analysis. PLoS One, 10, e0116303.
    1. You . (2014). Research on Career Planning Education of Full‐time Specialized Degree Graduates. Nanjing, China: Shanghai Jiao Tong University.
    1. Zhong, X. (2020). Study on the psychological status of college students and its influencing factors during the epidemic period of COVID‐19. Journal of ChengDu Medical College 2, 1–12.

Source: PubMed

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