Psychological well-being and academic performance of Ukrainian medical students under the burden of war: a cross-sectional study

Frontiers in Public Health, Год журнала: 2025, Номер 12

Опубликована: Янв. 6, 2025

The mental health of medical students is a key factor for academic performance and the delivery high-quality care in future. Globally, face numerous challenges that can affect their education. Living studying facing war has crucial influence on students' education daily life. study aimed to determine psychological well-being achievements Ukrainian who lived rear areas after 18 months Russian-Ukrainian war. cross-sectional was conducted at I.Ya. Horbachevsky Ternopil National Medical University. We analyzed educational from second fifth year Faculty using self-report scales DASS-21 IES-R. A total 776 filled out scale 491 IES-R scale, respectively. Following first war, 62.5, 59.6, 58.8% self-reported signs stress, anxiety, depression, Severe extremely severe depressive symptoms were observed 25.6% students, anxiety 31.9%, stress 29.7%, with higher prevalence among female students. Additionally, 44.2% responders had significant post-traumatic disorder, highest scores hyperarousal subscale (>37). Academic 2023 significantly lower compared pre-war period 2019 (p < 0.001) = 0.000). multiple linear regression analysis showed positively associated depression 0.003), 0.001), 0.03), negatively 0.002). are various challenges, war-related stressors having profound impact health. Our findings have shown an increasing all which may performance. process during wartime important facilitating qualified personnel quality healthcare. Understanding burden allows development wellness programs support student conflict zones.

Язык: Английский

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Commentary: Psychological distress among healthcare students in Poland from COVID-19 to war on Ukraine: a cross-sectional exploratory study

Frontiers in Public Health, Год журнала: 2025, Номер 13

Опубликована: Янв. 22, 2025

This commentary reflects on the article, "Psychological distress among healthcare students in Poland from COVID-19 to war Ukraine: a cross-sectional exploratory study" [1]. The authors highlight pressing need for mental, psychological, and social support interventions mitigate alarming levels of anxiety, stress, depression students. In this response, we build their findings by sharing recent insights our studies availability accessibility psychological medical Poland.The article rightly underscores pervasive exacerbated dual crises pandemic ongoing Ukraine A substantial number Polish have reported experiencing depressive symptoms, risky alcohol consumption, burnout, high stress [2,3]. Research indicates that during pandemic, 44% considered dropping out due academic while 33.6% experienced suicidal thoughts or self-harm ideation [3]. Another study reveals 39.1% felt psychiatric 26.4% those with pre-existing mental health conditions saw symptoms worsen. Additionally, 28.6% increased use alcohol, cigarettes, other stimulants [4]. These data urgent preventive, intervention programs aimed at improving life satisfaction, enhancing subjective assessments, strengthening coping skills reduce anxiety [1,[5][6][7]. evaluate effectiveness initiatives form has been identified as critical research gap. Such analyses are particularly relevant context, where outcomes these remain scarce. Addressing gap is essential provide evidence-based recommendations students.Despite clear structured regulations student well-being, lacks systemic approach supporting well-being. contrast, countries such United Kingdom implemented guidelines ensure services (6). Since first Poland, landscape education changed significantly, not only unprecedented challenges posed but also increase both admission quotas institutions offering training. 2019, explored several key aspects including financing, issue resistance neutrality, whether universities truly understand students' needs, how effectively they communicate young people [6]. By 2024, observed significant rise demand support, especially following some specifically establishing dedicated after period. However, disparities assess audit services. Some do share information. response rate significantly declined compared edition, highlighting necessity further [7].In light findings, it evident progress made providing gaps ensuring comprehensive accessible across all institutions. inconsistencies unified, national strategy ensures students, ultimately overall absence can be attributed interconnected factors. Financial limitations represent barrier, Organization Economic Cooperation Development (OECD) indicate allocates approximately 3% its budget services, below recommended 5-10% high-income [8][9]. chronic underfunding restricts development limits Bureaucratic inefficiencies exacerbate issue, fragmented structure complicates implementation unified strategies [10]. faces shortage professionals [11,12]. lack trained psychologists counselors capacity timely effective support. requires multi-faceted approach. Increased investment streamlining bureaucratic processes, strategic efforts train retain steps toward building cohesive strategy. Central communication about available through university platforms aware access need. policy standardize systems might helpful. policies should include funding mechanisms consistent quality Collaboration between needs prioritized enable best practices resources, fostering addressing needs. Without measures, likely persist, undermining well-being performance.

Язык: Английский

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Work-related stress of nurses in Poland and Lithuania: countries under the influence of war circumstances in Ukraine

BMC Nursing, Год журнала: 2025, Номер 24(1)

Опубликована: Апрель 15, 2025

Nursing is a challenging profession, often associated with high levels of work-related stress. Recent geopolitical events, such as the conflict in Ukraine, may further exacerbate stress among healthcare workers neighbouring regions. Understanding nurses crucial for enhancing patient care and improving well-being medical staff. This study aims to assess Poland Lithuania, taking into account potential impact regional factors. cross-sectional was conducted 482 Polish 380 Lithuanian nurses. The online survey performed using standardized Expanded Stress Scale (ENSS). To compare quantitative variables between groups, Mann-Whitney Kruskal-Wallis test (with Dunn's post-hoc test) were used. significance level set at 0.05, effect sizes calculated Pearson's correlation coefficient (r) eta-squared (η²). overall (ENSS total score), well scores across all analyzed subscales, significantly higher (mean = 168.44, SD 38.56), compared 144.13, 34.15), statistically significant difference (p < 0.001). In factors influencing included age 0.049) place work 0.026), while Poland, gender 0.034), seniority 0.002), education 0.01), shift 0.004), workload 0.001) notable Increased both countries impacts their quality, highlighting need targeted psychological support better working conditions. Nurses play critical role healthcare, mitigating through workplace improvements can enhance quality they provide, especially during crises. Implementing management programs providing mental health resources are steps high-stress environments.

Язык: Английский

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Psychological distress among students in Egypt and Jordan during the initial months of the Gaza war

BMC Psychology, Год журнала: 2024, Номер 12(1)

Опубликована: Ноя. 20, 2024

Abstract Background Psychological distress has significantly impacted students in Egypt and Jordan. These countries have faced many challenges, including the COVID-19 pandemic, fallout from conflict Syria, war Ukraine. crises had far-reaching consequences, affecting economy, food security, energy supplies, particularly with increased number of refugees these countries. Amid existing complexities, ongoing Gaza further exacerbates situation, compounding mental health challenges. Therefore, this study aimed to analyze how Methods We conducted a cross-sectional involving Jordan between December 2023 January 2024. The questionnaire incorporated Brief Symptom Inventory 18 (BSI-18) assess overall general score, as well domains anxiety, somatization, depression. Results A total 1509 Jordanian Egyptian were included study, which 66% female. Approximately 18% an elevation (≥ 50) their BSI-18 score. Females scored higher [30 (18–44.25) vs. 24 (11–41), p < 0.001], all three dimensions. univariate predictors for elevated being (OR 1.49, 95% CI 1.08 2.08, = 0.014), watching social media multiple times day 3.04, 1.97 4.69, 0.001), having Palestinian connection (friend, neighbor, colleague, or relative) 1.63, 1.23 2.16, 0.001). retained backward stepwise multivariate regression analysis model. moderate marked 57) 3.26, 1.78 5.99, 0.001) 1.05 2.14, 0.026). Only former was analysis. Conclusion General among throughout War Gaza. Mental, psychological, support activities are necessary students, those daily. development coping skills manage additional stressors socioeconomic status necessitates research within group students.

Язык: Английский

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Quantitative and qualitative analysis of medical students’ symptoms and feelings during COVID-19 pandemic

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Янв. 25, 2024

Background Due to the COVID-19 pandemic, traditional face-to-face teaching was disrupted, leading a transition online activities. Social restrictions and isolation during this period may have contributed various physical emotional disorders, such as anxiety, depression, reduced perception of happiness, decline in overall quality life. The objective our study assess perceptions medical students regarding their emotions, anxiety depression symptoms, daily experiences pandemic. Methods We conducted prospective with both quantitative qualitative components involving 1st 4th year medicine at private university São Paulo, Brazil 2020 2021. Participants completed questionnaires, including State-Trait Anxiety Inventory (STAI), Beck Depression (BDI), Oxford Happiness Questionnaire (OHQ), Medical Student Quality-of-Life (VERAS-Q). Additionally, they engaged focus group discussions. Results A total 313 200 participated group. Women exhibited higher scores for (p = 0.002) 0.007), while men demonstrated better life 0.042). aged 18 24 years 0.048) presented lower trait 0.001). Both state were strongly associated < 0.01) inversely related life, showing moderate association happiness 0.01). linked moderately negatively correlated groups revealed recurring negative feelings among students, tiredness, discouragement, loneliness, difficulty managing time, poor sleep quality, exacerbation harmful habits, challenges relationships, resulting mental health Coping strategies discussed, adoption new healthy religious practices, reconnection family. Conclusion symptoms more prevalent females, improved younger male students. analysis enhanced understanding determinants consequences students' feelings, also showed positive aspects like greater proximity family religiosity.

Язык: Английский

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Quantitative and qualitative analysis of medical students’ symptoms and feelings during a catastrophic event

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Апрель 26, 2024

Background: Due to the COVID-19 pandemic, traditional face-to-face teaching has been disrupted. Social restrictions and isolation during this period may have contributed various physical emotional disorders. We aimed assess perceptions of medical students regarding their emotions, anxiety depression symptoms, daily experiences pandemic. Methods: conducted a prospective mixed methods study involving in 1st 4th years medicine at university São Paulo, Brazil,in 2020 2021. Participants completed online questionnaires, including State-Trait Anxiety Inventory (STAI), Beck Depression (BDI), Oxford Happiness Questionnaire (OHQ), Medical Student Quality-of-Life (VERAS-Q) participated an focus group. Results:313 finished 200 were involved Women exhibited higher scores for (p=0.002) (p=0.007); men demonstrated better quality life (p=0.042). The aged 18 24 (p=0.048) presented lower trait (p=0.001). Both state strongly associated with (p<0.01) inversely related life, showing moderate association happiness (p<0.01). was linked both moderately negatively correlated groups revealed recurring negative feelings, such as anxiety, depression, tiredness, loneliness, difficulty managing time others, resulting reduced mental health Coping strategies discussed, adoption new healthy habits, religious practices, reconnection family. Conclusion: symptoms more prevalent among females, while improved younger male students. qualitative analysis enhanced our understanding determinants consequences students' feelings positive aspects greater proximity family religiosity.

Язык: Английский

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Quantitative and qualitative analysis of medical students’ symptoms and feelings during the COVID-19 pandemic

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Апрель 26, 2024

Background: Due to the COVID-19 pandemic, traditional face-to-face teaching has been disrupted. Social restrictions and isolation during this period may have contributed various physical emotional disorders. We aimed assess perceptions of medical students regarding their emotions, anxiety depression symptoms, daily experiences pandemic. Methods: conducted a prospective mixed methods study involving in 1st 4th years medicine at university São Paulo, Brazil,in 2020 2021. Participants completed online questionnaires, including State-Trait Anxiety Inventory (STAI), Beck Depression (BDI), Oxford Happiness Questionnaire (OHQ), Medical Student Quality-of-Life (VERAS-Q) participated an focus group. Results:313 finished 200 were involved Women exhibited higher scores for (p=0.002) (p=0.007); men demonstrated better quality life (p=0.042). The aged 18 24 (p=0.048) presented lower trait (p=0.001). Both state strongly associated with (p<0.01) inversely related life, showing moderate association happiness (p<0.01). was linked both moderately negatively correlated groups revealed recurring negative feelings, such as anxiety, depression, tiredness, loneliness, difficulty managing time others, resulting reduced mental health Coping strategies discussed, adoption new healthy habits, religious practices, reconnection family. Conclusion: symptoms more prevalent among females, while improved younger male students. qualitative analysis enhanced our understanding determinants consequences students' feelings positive aspects greater proximity family religiosity.

Язык: Английский

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Mixed methods analysis of medical students' symptoms and feelings during a catastrophic period

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Май 14, 2024

Background: Social restrictions and isolation during pandemic may have contributed to various physical emotional disorders. We aimed assess the perceptions of medical students regarding their emotions, anxiety depression symptoms, daily experiences pandemic. Methods: a prospective mixed methods study involving in 1st 4th years medicine at university São Paulo, Brazil(2020-2021). Participants completed standardized questionnaires online about anxiety, depression, happiness, quality life, participated an focus group. Results: A total 313 questionnaires, 200 were involved Women exhibited higher scores for (p=0.002) (p=0.007); men demonstrated better life (p=0.042). Younger presented (p=0.048) lower (p=0.001). The groups revealed recurring negative feelings: tiredness, loneliness, difficulty managing time others, resulting reduced mental health Coping strategies discussed, including adoption new healthy habits, religious practices, reconnection with family. Limitations:while there are moderate correlations, instruments utilized do not provide diagnoses suggest causal link. Nonparametric processes can cause bias correlational like this one. Conclusion: Depression symptoms more prevalent among females, while improved younger male students. qualitative analysis enhanced our understanding determinants consequences students' feelings positive aspects such asgreater proximity family religiosity.

Язык: Английский

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Impact of the Great East Japan Earthquake followed by the nuclear power plant accident on the nursing students’ academic progress in Soma, Fukushima, Japan: a retrospective cohort study with questionnaire survey

BMC Nursing, Год журнала: 2024, Номер 23(1)

Опубликована: Авг. 26, 2024

The Great East Japan Earthquake and the subsequent Fukushima nuclear power plant accident in 2011 posed significant challenges to educational sector, particularly affecting nursing students disaster area. However, best of our knowledge, there are no reports on effects natural coupled with students. Therefore, this study aimed determine impact disasters rate academic failure events education. A retrospective cohort approach was conducted, focusing 677 from Soma Nursing School admitted between 2001 2017. Four events—failure pass national examination, student retention, suspension, withdrawal school—were compared three time periods: pre-disaster, early peri-disaster, later peri-disaster. This analysis followed by a questionnaire survey among an interview faculty members gain further insights. Of cohort, 17% had at least one event. Students peri-disaster phase faced elevated 29%. Variables such as being male, admission during period, local pre-admission residence played role these multivariate logistic regression (adjusted odds ratio [95% confidence interval, p value]; 2.63 [1.49–4.64, < 0.001], 3.207 [2.00–5.15, 1.84 [1.12–3.02, 0.02], respectively). highlights following rates period emphasize continuing phases. Thus, is need for intensified tailored strategies education disaster-affected regions.

Язык: Английский

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Sleep Disturbances in Health Professional Students During the COVID‐19 Pandemic: A Concept Analysis

Nursing Open, Год журнала: 2024, Номер 11(10)

Опубликована: Окт. 1, 2024

ABSTRACT Aim The aim is to delineate the concept of sleep disturbances in health professional students during COVID‐19 pandemic. Design A analysis was conducted. Methods systematic search conducted for relevant articles published and performed from inception July 5, 2024. Electronic databases searched included PubMed, Cumulative Index Nursing Allied Health Literature (CINAHL), Embase Web Science. Rodgers' method evolutionary used. Results total 50 pertinent were our analysis. Utilising inductive thematic analysis, this study identified attributes, antecedents consequences disturbances. Important attributes insomnia, disrupted patterns, altered duration/nocturnal duration poor quality. Antecedents encompassed factors such as gender, age/grade levels, physical activity, screen time digital production, mental issues, COVID‐19‐related stressors, financial strain academic stress. Consequences both implications. By addressing promoting better among students, we can enhance their learning performance, which could translate improved patient care outcomes. Additionally, understanding mitigating contribute development a more resilient effective workforce, capable providing high‐quality even crises like Patient or Public Contribution No public contribution.

Язык: Английский

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