{"title":"惊恐障碍在医学生中很常见:使用惊恐障碍筛查(PADIS)评估惊恐障碍在医学生中的患病率","authors":"Laith Ashour , Lama Al-Mehaisen , Nada Freihat , Qusai Al-Anasweh , Hala Al-Miqdadi , Mohammad Al Khreisha , Osama Alrjoob , Afnan Rababa , Malak Al-Rabe’e , Al-Mo’tasem Bellah Al-Rahamneh , Moutaz Amayrh , Ala’ Al-Doaikat , Hamzeh Hatamleh , Fayez Zedat","doi":"10.1016/j.pmip.2025.100152","DOIUrl":null,"url":null,"abstract":"<div><div>This study aims to determine the prevalence of panic disorder among medical students. Using the Panic Disorder Screener (PADIS) Scale for the screening of panic disorder (PD), we conducted a cross-sectional study targeting medical students from 2nd to 6th year at Al-Balqa Applied University, Jordan, with a sample of 361 students. Using convenience sampling method, the questionnaires were disseminated to medical students via social media educational groups and direct contact with the students. To analyze which factors predict PD among medical students, we used a Multiple Firth Logistic regression model, and to check the construct validity of the PADIS scale we used Confirmatory Factor Analysis (CFA), alongside Cronbach’s alpha standardized coefficient for reliability. The scale construct was validated with acceptable CFA fit indices (TLI = 0.996, CFI = 0.999, RMSEA = 0.027, and SRMR = 0.019) and accepted internal consistency (Cronbach’s alpha = 0.733). Interestingly, 140 students reported having recurrent panic attacks (38.8 %). Nevertheless, 103 students (28.5 %) fully satisfied the diagnostic criteria for PD, indicating its high prevalence within this population. The most common method used to overcome the attack was deep breathing or special maneuvers (44 %). According to the regression results, PD was significantly less likely to be present among those who hadn’t experience panic attacks before attending medical school (Odds Ratio (OR) = 0.43; 95 % CI = [0.2–0.91]; P = 0.028), more likely to be in females (OR = 3.12; 95 % CI = [1.53–6.6]; P = 0.002), and significantly more prevalent among students from lower years compared to 6th year students. Interventions should be applied in medical faculties, as PD is not uncommon in this population.</div></div>","PeriodicalId":19837,"journal":{"name":"Personalized Medicine in Psychiatry","volume":"51 ","pages":"Article 100152"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Panic disorder is common in medical students: Assessing the prevalence of panic disorder among medical students using the panic disorder screener (PADIS)\",\"authors\":\"Laith Ashour , Lama Al-Mehaisen , Nada Freihat , Qusai Al-Anasweh , Hala Al-Miqdadi , Mohammad Al Khreisha , Osama Alrjoob , Afnan Rababa , Malak Al-Rabe’e , Al-Mo’tasem Bellah Al-Rahamneh , Moutaz Amayrh , Ala’ Al-Doaikat , Hamzeh Hatamleh , Fayez Zedat\",\"doi\":\"10.1016/j.pmip.2025.100152\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>This study aims to determine the prevalence of panic disorder among medical students. Using the Panic Disorder Screener (PADIS) Scale for the screening of panic disorder (PD), we conducted a cross-sectional study targeting medical students from 2nd to 6th year at Al-Balqa Applied University, Jordan, with a sample of 361 students. Using convenience sampling method, the questionnaires were disseminated to medical students via social media educational groups and direct contact with the students. To analyze which factors predict PD among medical students, we used a Multiple Firth Logistic regression model, and to check the construct validity of the PADIS scale we used Confirmatory Factor Analysis (CFA), alongside Cronbach’s alpha standardized coefficient for reliability. The scale construct was validated with acceptable CFA fit indices (TLI = 0.996, CFI = 0.999, RMSEA = 0.027, and SRMR = 0.019) and accepted internal consistency (Cronbach’s alpha = 0.733). Interestingly, 140 students reported having recurrent panic attacks (38.8 %). Nevertheless, 103 students (28.5 %) fully satisfied the diagnostic criteria for PD, indicating its high prevalence within this population. The most common method used to overcome the attack was deep breathing or special maneuvers (44 %). According to the regression results, PD was significantly less likely to be present among those who hadn’t experience panic attacks before attending medical school (Odds Ratio (OR) = 0.43; 95 % CI = [0.2–0.91]; P = 0.028), more likely to be in females (OR = 3.12; 95 % CI = [1.53–6.6]; P = 0.002), and significantly more prevalent among students from lower years compared to 6th year students. Interventions should be applied in medical faculties, as PD is not uncommon in this population.</div></div>\",\"PeriodicalId\":19837,\"journal\":{\"name\":\"Personalized Medicine in Psychiatry\",\"volume\":\"51 \",\"pages\":\"Article 100152\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Personalized Medicine in Psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2468171725000055\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Personalized Medicine in Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468171725000055","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
本研究旨在确定惊恐障碍在医学生中的患病率。我们使用恐慌症筛查量表(PADIS)筛查恐慌症(PD),针对约旦巴勒卡应用大学二年级至六年级的医学生开展了一项横断面研究,样本为 361 名学生。研究采用方便抽样法,通过社交媒体教育小组和与学生直接接触的方式向医学生发放问卷。为了分析哪些因素可以预测医学生的肢端麻痹症,我们使用了多元费思逻辑回归模型;为了检验 PADIS 量表的结构效度,我们使用了确认性因子分析(CFA),并使用 Cronbach's alpha 标准化系数来检验其可靠性。量表结构得到了验证,CFA拟合指数(TLI = 0.996、CFI = 0.999、RMSEA = 0.027 和 SRMR = 0.019)和内部一致性(Cronbach's alpha = 0.733)均可接受。有趣的是,有 140 名学生(38.8%)表示曾反复出现恐慌发作。然而,有 103 名学生(28.5%)完全符合恐慌症的诊断标准,这表明恐慌症在这一人群中的发病率很高。最常用的克服发作的方法是深呼吸或特殊动作(44%)。回归结果显示,在就读医学院之前未经历过恐慌症发作的人中,出现恐慌症的几率明显较低(Odds Ratio (OR) = 0.43; 95 % CI = [0.2-0.91]; P = 0.028),女性出现恐慌症的几率更高(OR = 3.12; 95 % CI = [1.53-6.6]; P = 0.002),低年级学生的发病率明显高于六年级学生。应在医学院校采取干预措施,因为在这一人群中,帕金森病并不罕见。
Panic disorder is common in medical students: Assessing the prevalence of panic disorder among medical students using the panic disorder screener (PADIS)
This study aims to determine the prevalence of panic disorder among medical students. Using the Panic Disorder Screener (PADIS) Scale for the screening of panic disorder (PD), we conducted a cross-sectional study targeting medical students from 2nd to 6th year at Al-Balqa Applied University, Jordan, with a sample of 361 students. Using convenience sampling method, the questionnaires were disseminated to medical students via social media educational groups and direct contact with the students. To analyze which factors predict PD among medical students, we used a Multiple Firth Logistic regression model, and to check the construct validity of the PADIS scale we used Confirmatory Factor Analysis (CFA), alongside Cronbach’s alpha standardized coefficient for reliability. The scale construct was validated with acceptable CFA fit indices (TLI = 0.996, CFI = 0.999, RMSEA = 0.027, and SRMR = 0.019) and accepted internal consistency (Cronbach’s alpha = 0.733). Interestingly, 140 students reported having recurrent panic attacks (38.8 %). Nevertheless, 103 students (28.5 %) fully satisfied the diagnostic criteria for PD, indicating its high prevalence within this population. The most common method used to overcome the attack was deep breathing or special maneuvers (44 %). According to the regression results, PD was significantly less likely to be present among those who hadn’t experience panic attacks before attending medical school (Odds Ratio (OR) = 0.43; 95 % CI = [0.2–0.91]; P = 0.028), more likely to be in females (OR = 3.12; 95 % CI = [1.53–6.6]; P = 0.002), and significantly more prevalent among students from lower years compared to 6th year students. Interventions should be applied in medical faculties, as PD is not uncommon in this population.