Table 1.
Wellness survey items
| Survey Items [Maximum Possible Score] | Pre-COVID Median (IQR) (n = 44) | During COVID Median (IQR) (n = 39) | P |
|---|---|---|---|
| Graduate Stress Inventory-Revised (GSI-R) [160] | 58 (14) | 60 (21) | 0.564 |
| Please rate the extent to which the following events have caused stress in your medical school education: | 32 (7.5) | 34 (12) | 0.652 |
| GSI-R Academic Stress Subscale [56] | |||
| 1. Fulfilling responsibilities at home and at school | |||
| 2. Taking exams | |||
| 3. Fear of failing to meet program expectations | |||
| 4. Handling relationships | |||
| 5. Handling the academic workload | |||
| 6. Writing papers | |||
| 7. Meeting deadlines for course assignments | |||
| GSI-R Environmental Stress Subscale [64] | 14 (8) | 15 (7) | 0.664 |
| 8. Trying to meet peers of your race/ethnicity on campus | |||
| 9. Finding support groups sensitive to your needs | |||
| 10. Participating in class | |||
| 11. Meeting with faculty | |||
| 12. Living in the local community | |||
| 13. Peers treating you unlike the way they treat each other | |||
| 14. Faculty treating differently from your peers | |||
| 15. Adjusting to the medical school/hospital environment | |||
| GSI-R Family/Monetary Stress Subscale [40] | 13 (8) | 12 (9.5) | 0.831 |
| 16. Being obligated to participate in family functions | |||
| 17. Arranging childcare | |||
| 18. Paying monthly expenses | |||
| 19. Family having money problems | |||
| 20. Being obligated (now or in the future) to repay loans | |||
| Modified School Burnout Inventory (SBI) [54] | 25 (11) | 24 (12) | 0.392 |
| 1. I feel overwhelmed by the M.D. program | |||
| 2. I feel a lack of motivation in the M.D. program and often think of giving up | |||
| 3. I often have feelings of inadequacy in the M.D. program | |||
| 4. I often sleep badly because of matters related to the M.D. program | |||
| 5. I feel that I am losing interest in the M.D. program | |||
| 6. I am continually wondering whether the M.D. program has any meaning | |||
| 7. I brood over matters related to the M.D. program a lot during my free time | |||
| 8. I used to have higher expectations of the M.D. program than I do now | |||
| 9. The pressure of the M.D. program causes me problems in my close relationships with others | |||
| CDC Healthy Days Measure (CDC HRQOL–4) | 2 (1) | 2 (1) | 0.643 |
| 1. Would you say that IN GENERAL your health is: a. Excellent, b. Very good c. Good d. Fair e. Poor [Best score =1] | |||
| 2. Now thinking about your PHYSICAL HEALTH, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? _______ | 2 (5) | 0 (2) | 0.124 |
| 3. Now thinking about your MENTAL HEALTH, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good? _______ | 5 (8) | 4 (6) | 0.249 |
| 4. During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation? _______ | 7 (10) | 5 (8) | 0.124 |
| Pearlin Mastery Scale [28] | 24 (5) | 24 (5) | 0.738 |
| For the following items: how strongly do you agree or disagree with these statements about yourself? | |||
| 1. There is really no way I can solve some of the problems I have. | |||
| 2. Sometimes I feel that I’m being pushed around in life. | |||
| 3. I have little control over the things that happen to me. | |||
| 4. I can do just about anything I really set my mind to. | |||
| 5. I often feel helpless in dealing with the problems of life. | |||
| 6. What happens to me in the future mostly depends on me. | |||
| 7. There is little I can do to change many of the important things in my life. | |||
| Multidimensional Scale of Perceived Social Support (MSPSS) [84] | 75 (11) | 76 (13) | 0.748 |
| How strongly do you agree or disagree with these statements about yourself? | |||
| 1. There is a special person who is around when I am in need. | |||
| 2. There is a special person with whom I can share my joys and sorrows. | |||
| 3. My family really tries to help me. | |||
| 4. I get the emotional help and support I need from my family. | |||
| 5. I have a special person who is a real source of comfort to me. | |||
| 6. My friends really try to help me. | |||
| 7. I can count on my friends when things go wrong. | |||
| 8. I can talk about my problems with my family. | |||
| 9. I have friends with whom I can share my joys and sorrows. | |||
| 10. There is a special person in my life who cares about my feelings. | |||
| 11. My family is willing to help me make decisions. | |||
| 12. I can talk about my problems with my friends. | |||
| De Jong Gierveld 6-Item Loneliness Scale [6] | 2 (3) | 2 (3) | 0.527 |
| In answering the following questions, it is best to think of your life as it generally is now (we all have some good or bad days): | |||
| 1. I experience a general sense of emptiness | |||
| 2. There are plenty of people I can rely on when I have problems | |||
| 3. There are many people I can trust completely | |||
| 4. I miss having people around me | |||
| 5. There are enough people I feel close to | |||
| 6. I often feel rejected | |||
| Lubben Social Network Scale [30] | 19 (3) | 19 (5) | 0.728 |
| FAMILY: Considering the people to whom you are related, either by birth or marriage . . . | |||
| 1. How many relatives do you see or hear from at least once a month? | |||
| 2. How many relatives do you feel at ease with that you can talk about private matters? | |||
| 3. How many relatives do you feel close to such that you could call on them for help?FRIENDSHIPS: Considering all of your friends, including those who live in your neighborhood . . . | |||
| 4. How many of your friends do you see or hear from at least once a month? | |||
| 5. How many friends do you feel at ease with that you can talk about private matters? | |||
| 6. How many friends do you feel close to such that you could call on them for help? |
IQR, interquartile range; CDC, Centers for Disease Control and Prevention. P values are displayed for Mann-Whitney U tests comparing survey results before and during the COVID-19 lockdown.