The Mental Health Toll: Medical Trainees Living with Disabilities during the COVID-19 Pandemic

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yael Mayer, Noga Shiffman, Shir Etgar, Ido Lurie, Tal Jarus
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Abstract

Objectives. Throughout the world, medical trainees have experienced psychological distress during the COVID-19 pandemic due to substantial changes in their educational programs and COVID-19 patient care. When medical trainees live with a disability, their psychological distress may be exacerbated. This study aimed to explore how having a disability may be associated with an additional emotional toll for medical trainees during the COVID-19 pandemic. Methods. Participants in the study were 201 medical trainees (62 interns and 138 residents) and 147 medical attending physicians in various fields of medicine. Participants completed an online survey including the Fear of COVID-19 scale, the Depression Anxiety and Stress Scale, and the Mental Health Continuum Scale measuring aspects of wellbeing, including emotional wellbeing, belonging, and sense of psychological meaning. Results. Disabled participants experienced higher levels of fear of COVID-19, depression, anxiety, stress, and lower levels of emotional wellbeing, sense of belonging, and psychological meaning compared to participants with no disabilities. Residents generally experienced higher stress levels and lower wellbeing levels than attendings. Residents living with disabilities were more prone to experience stress and fear of COVID-19, and residents and interns living with disabilities experienced higher levels of depression, anxiety, and stress compared to their peers who live without disabilities and compared to attendings living with disabilities. Conclusions. Medical trainees living with disabilities were more prone to experience high levels of psychological distress and lower levels of wellbeing during the COVID-19 pandemic compared to their peers without disabilities. Therefore, there is a need to address this emotional toll and provide support in medical education programs promoting trainees’ wellbeing, sense of belonging, and psychological meaning.

心理健康的代价:在 COVID-19 大流行期间带着残疾生活的受训医护人员
目的。在 COVID-19 大流行期间,由于教育计划和 COVID-19 患者护理发生了重大变化,世界各地的医学受训人员都经历了心理困扰。如果医学培训生身患残疾,他们的心理压力可能会加剧。本研究旨在探讨在 COVID-19 大流行期间,身患残疾可能会给医学见习生带来哪些额外的情感伤害。研究方法本研究的参与者包括 201 名医学实习生(62 名实习生和 138 名住院医师)和 147 名不同医学领域的主治医师。受试者完成了一项在线调查,包括 COVID-19 恐惧量表、抑郁焦虑和压力量表以及心理健康连续量表,这些量表用于测量受试者的健康状况,包括情绪健康、归属感和心理意义感。结果显示与非残疾参与者相比,残疾参与者对 COVID-19 的恐惧、抑郁、焦虑和压力水平较高,而情感幸福感、归属感和心理意义水平较低。与主治医师相比,住院医师普遍感受到更高的压力和更低的幸福感。与非残疾住院医师和残疾主治医师相比,残疾住院医师更容易体验到压力和对 COVID-19 的恐惧,而残疾住院医师和实习生则体验到更高水平的抑郁、焦虑和压力。结论在COVID-19大流行期间,与非残疾学员相比,残疾医学学员更容易经历高水平的心理压力和低水平的幸福感。因此,有必要解决这种情绪上的损失,并在医学教育计划中提供支持,促进受训者的幸福感、归属感和心理意义。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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