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| Investigation in cognition, behavior and mental health status of medical students at different stages of COVID-19 epidemic prevention and control |
| Asimuguli KELIMU1, Adila ABULAITI1, Abida ABULAITI2, Munire NUERMAIMAITI3, WU Xiaoyan4, TAO Fangbiao4 |
| 1.Department of Child and Maternal Health, School of Public Health, Xinjiang Medical University, Key Laboratory of Specical Environment and Health Research in Xinjiang, Urumqi 830011, Xinjiang Uygur Autonomous Region, China; 2.School of Pediatrics, Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China; 3.Department of Students' Affairs, School of Public Health, Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China; 4. School of Public Health, Anhui Medical University, Hefei 230032, Anhui Province, China |
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Abstract Objective To understand the dynamic changes of cognition, corresponding protective behavior, and emotional status of medical undergraduates during COVID-19 epidemic, and provide reference for psychological counseling of students. Methods A questionnaire survey was conducted on 595 undergraduates of one medical college in Xinjiang on February 4-5, 2020 (emergency stage) and May 25-26, 2020 (normalization stage), respectively. Self-made questionnaire, patient health questionnaire-9 (PHQ-9), and generalized anxiety disorder-7 (GAD-7) were used to evaluate the recognition of COVID-19 and behavior and mental health status of the students. Results In the two stages of epidemic prevention and control, symptoms of depression were observed in 22.7% and 23.9% of the medical students, while anxiety was observed in 15.3% and 19.8% of the medical students(P>0.05). Compared to the emergency stage, the students' cognition of transmission route, mortality rate, vulnerable population of COVID-19 epidemic was improved (P<0.05); students paid more attention to disinfection at home and avoided visiting relatives and friends, but their performance of hand washing was poor; lower grade students and female students showed better performance (P<0.05) in the normalization stage. Multiple linear regression analysis showed that age, isolation days, and cognitive and behavioral scores could explain 33.1% and 32.8% of symptoms of depression or anxiety. Conclusion Compared to the emergency stage, the incidence of depression and anxiety symptoms of medical students was still higher in the normalization stage. Their cognition of COVID-19 epidemic was improved, but inaccurate protective behavior and irregular living rhythm appeared. The mental health status of medical students is related to age, cognition, behavior, and living rhythm.
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