Evidence map›Paper›PMID 34033579›Full record

ArticleJournal of medical Internet research2021

Coping Styles for Mediating the Effect of Resilience on Depression Among Medical Students in Web-Based Classes During the COVID-19 Pandemic: Cross-sectional Questionnaire Study.

Lina Zhao, Kristin Sznajder, Dan Cheng, Shimeng Wang, Can Cui, Xiaoshi Yang

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Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

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31citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lina ZhaoInstitute of Foreign Languages, China Medical University, Shenyang, China.ORCID 0000-0002-8764-3281
Kristin SznajderDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, Philadelphia, PA, United States.ORCID 0000-0002-9680-4497
Dan ChengHospital of Stomatology, China Medical University, Shenyang, China.ORCID 0000-0001-6092-932X
Shimeng WangDepartment of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, China.ORCID 0000-0003-4786-3260
Can CuiDepartment of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning Province, China.ORCID 0000-0003-4917-9606
Xiaoshi YangDepartment of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning Province, China.ORCID 0000-0003-1426-128X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to strict, nationwide, comprehensive COVID-19 protective measures, including home quarantine, all Chinese medical students began taking web-based classes beginning in the spring semester of 2020. Home quarantine, web-based classes, and the stress surrounding the COVID-19 pandemic may have triggered an increased incidence of mental health problems among medical students. Although there have been increasing amounts of literature on depression among medical students, studies focusing on positive psychological resources, such as resilience during the COVID-19 pandemic, still need to be expanded.

objectiveThis study aims to assess depression among medical students who are taking web-based classes during the COVID-19 pandemic and to investigate the role of coping styles as mediators between resilience and depression.

methodsA cross-sectional study of 666 medical students involving stratified sampling in Shenyang, Liaoning Province, China, was completed between March 20 and April 10, 2020. The participants responded to a self-administered, smartphone-based questionnaire, which included the Patient Health Questionnaire-9, Simplified Coping Style Questionnaire, and Ego Resilience 89 Scale. Hierarchical linear regression and structural equation modeling were used in this study.

resultsThe prevalence of depression among the participants was 9.6% (64/666) in this study. The regression analysis revealed that grade (the year in which the medical student was in training) (P=.013), how well students adapted to web-based classes (P<.001), their levels of resilience (P=.04), and their coping styles were independent predictors for depression (P<.001). Resilience and positive coping styles were negatively related to depression (resilience: P=.04; positive coping styles: P<.001), and negative coping styles were positively related to depression (P<.001). The structural equation modeling analysis showed that the effect of resilience on depression was partially mediated by coping styles (P=.007).

conclusionsIn this study, it was found that the prevalence of depression was slightly low and coping styles mediated the association between resilience and depression among medical students during the COVID-19 pandemic. These findings have significant implications for future studies. Future studies and interventions should aim to improve resilience and promote positive coping styles.

Indexed as

Adaptation, PsychologicalEducation, DistanceInternetResilience, PsychologicalSurveys and QuestionnairesChinaCOVID-19Cross-Sectional StudiesDepressionFemaleHumansMalePandemicsPrevalenceQuarantineStudents, Medicalcopingcoping stylesCOVID-19cross-sectionaldepressione-learningmediationmedical studentsresiliencesmartphoneweb-based education

Identifiers

PMID34033579
PMCPMC8189284

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.