Abstract
The aim of this study was to assess psychological morbidity and symptoms of burnout in medical students during their undergraduate training, and to identify baseline factors that predict psychological morbidity in students in the final year of the course. It was a 5-year prospective longitudinal cohort study. Students were assessed in years 1, 4 and 5 of their medical undergraduate training by means of the GHQ-12 and the Maslach Burnout Inventory. 172 (84.3%), 157 (77.0%) and 155 (75.9%) students out of an original group of 204 completed assessments in years 1, 4 and 5, respectively. 18 students were above threshold on the GHQ-12 on all three occasions, 25 on two occasions and 43 on one occasion; 69 students were never a 'case'. Students who were cases on two or more occasions were more likely to find the medical course stressful during the first year, but not subsequent years. There was no significant difference between the percentages of men and women who scored as cases on the GHQ-12 in any of the years. The best predictor of psychological morbidity in the final year of the course was the GHQ-12 score in year 1. This study suggests that a small group of students repeatedly experience psychological distress during their medical training.
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- Banks M. H. Validation of the General Health Questionnaire in a young community sample. Psychol Med. 1983 May;13(2):349–353. doi: 10.1017/s0033291700050972. [DOI] [PubMed] [Google Scholar]
- Firth-Cozens J. Emotional distress in junior house officers. Br Med J (Clin Res Ed) 1987 Aug 29;295(6597):533–536. doi: 10.1136/bmj.295.6597.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Firth-Cozens J. Predicting stress in general practitioners: 10 year follow up postal survey. BMJ. 1997 Jul 5;315(7099):34–35. doi: 10.1136/bmj.315.7099.34. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Firth J. Levels and sources of stress in medical students. Br Med J (Clin Res Ed) 1986 May 3;292(6529):1177–1180. doi: 10.1136/bmj.292.6529.1177. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Guthrie E. A., Black D., Shaw C. M., Hamilton J., Creed F. H., Tomenson B. Embarking upon a medical career: psychological morbidity in first year medical students. Med Educ. 1995 Sep;29(5):337–341. doi: 10.1111/j.1365-2923.1995.tb00022.x. [DOI] [PubMed] [Google Scholar]
- Miller P. M., Surtees P. G. Psychological symptoms and their course in first-year medical students as assessed by the Interval General Health Questionnaire (I-GHQ). Br J Psychiatry. 1991 Aug;159:199–207. doi: 10.1192/bjp.159.2.199. [DOI] [PubMed] [Google Scholar]
- Radovanović Z., Erić L. Validity of the General Health Questionnaire in a Yogoslav student population. Psychol Med. 1983 Feb;13(1):205–207. doi: 10.1017/s0033291700050224. [DOI] [PubMed] [Google Scholar]
- Ramirez A. J., Graham J., Richards M. A., Cull A., Gregory W. M. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet. 1996 Mar 16;347(9003):724–728. doi: 10.1016/s0140-6736(96)90077-x. [DOI] [PubMed] [Google Scholar]