Background:The COVID-19 pandemic profoundly impacted medical education and caused psychological distress and worry about clinical learning for those who received clinical medical education during this period.Although ...Background:The COVID-19 pandemic profoundly impacted medical education and caused psychological distress and worry about clinical learning for those who received clinical medical education during this period.Although the acute phase of COVID-19 has now ended,understanding its impact is essential for strengthening medical system preparedness.Therefore,the present study examined the association between changes in medical education and worry about clinical learning,considering the mediating role of psychological distress among participants who received clinical training.Methods:A cross-sectional online survey was conducted with 542 post-graduate year(PGY)doctors and allied health students from the 2020 and 2021 cohorts in Taiwan.The survey assessed changes in clinical training modes,direct patient care,learning stress,psychological distress,and worry about clinical learning.Results:Among the participants,76.0%experienced changes in clinical training mode,and 84.3%had direct patient care experience.Direct patient care/contact was significantly correlated with lower levels of worry about clinical learning.Learning stress was positively correlated with increased psychological distress and worry about clinical learning.Psychological distress partially mediated the relationship between learning stress and worry about clinical learning.Conclusion:The findings highlight the importance of direct contact with patients because it was associated with lower levels of worry about clinical learning.Moreover,increased learning stress was associated with psychological distress and worry about clinical learning.Therefore,effective support systems are essential to mitigate these impacts and enhance clinical training during national health crises.The findings provide valuable insights for improving medical education and support systems in future health emergencies.However,the present study used a cross-sectional study design.Therefore,the mediation findings should be interpreted with caution(i.e.,no causal relationships can be determined based on cross-sectional data).展开更多
Background:Physical inactivity is a major public health problem worldwide that results in physical and mental health problems.One major issue for physical inactivity is weight stigma(WS),especially perceived WS,which ...Background:Physical inactivity is a major public health problem worldwide that results in physical and mental health problems.One major issue for physical inactivity is weight stigma(WS),especially perceived WS,which could lead to a tendency to avoid physical activity(PA).To better understand the association between perceived WS and PA,knowledge of the likely mediators in this association such as weight bias internalization(WBI)and psychological distress were investigated in the present study.Methods:Using a two-wave longitudinal study and convenient sampling,388 Taiwan residents participants(55%females;mean age=29.7 years[SD±6.3])completed two surveys six months apart.Body mass index(BMI),Perceived Weight Stigma Scale(PWSS),Weight Bias Internalization Scale(WBIS),Depression,Anxiety,Stress Scale(DASS-21),and Tendency to Avoid Physical Activity and Sport Scale(TAPAS)were assessed.Results:A mediation model controlling for age,gender,and BMI with 5000 bootstrapping resamples was performed.Perceived WS exerted significant direct effects on WBI(β=0.25;p<0.001),psychological distress(β=0.15;p=0.003),and tendency to avoid PA(β=0.10;p=0.027);WBI exerted a significant direct effect on tendency to avoid PA(β=0.47;p<0.001).Standardized indirect effects of WBI and psychological distress on the association between perceived WS and tendency to avoid PA were 0.12 and 0.01,respectively.Conclusion:Given the direct association of perceived WS on the tendency to avoid PA and the mediating role of WBI in this association,interventions addressing perceived WS and WBI may contribute to promoting PA.Therefore,health interventionists(both when planning and executing PA programs)need to consider weight stigmawhen encouraging physical activity.展开更多
基金supported in part by(received funding from)the National Science and Technology Council,Taiwan(NSTC 113-2321-B-006-007)and the E-Da Hospital(EDAHS113037).
文摘Background:The COVID-19 pandemic profoundly impacted medical education and caused psychological distress and worry about clinical learning for those who received clinical medical education during this period.Although the acute phase of COVID-19 has now ended,understanding its impact is essential for strengthening medical system preparedness.Therefore,the present study examined the association between changes in medical education and worry about clinical learning,considering the mediating role of psychological distress among participants who received clinical training.Methods:A cross-sectional online survey was conducted with 542 post-graduate year(PGY)doctors and allied health students from the 2020 and 2021 cohorts in Taiwan.The survey assessed changes in clinical training modes,direct patient care,learning stress,psychological distress,and worry about clinical learning.Results:Among the participants,76.0%experienced changes in clinical training mode,and 84.3%had direct patient care experience.Direct patient care/contact was significantly correlated with lower levels of worry about clinical learning.Learning stress was positively correlated with increased psychological distress and worry about clinical learning.Psychological distress partially mediated the relationship between learning stress and worry about clinical learning.Conclusion:The findings highlight the importance of direct contact with patients because it was associated with lower levels of worry about clinical learning.Moreover,increased learning stress was associated with psychological distress and worry about clinical learning.Therefore,effective support systems are essential to mitigate these impacts and enhance clinical training during national health crises.The findings provide valuable insights for improving medical education and support systems in future health emergencies.However,the present study used a cross-sectional study design.Therefore,the mediation findings should be interpreted with caution(i.e.,no causal relationships can be determined based on cross-sectional data).
基金funded by the Ministry of Science and Technology,Taiwan(MOST 110-2410-H-006-115,MOST 111-2410-H-006-100,NSTC 112-2410-H-006-089-SS2)E-Da Hospital(EDAHS112032,EDAHS113021 and EDAHS113036)the Higher Education Sprout Project,Ministry of Education to the Headquarters of University Advancement at National Cheng Kung University(NCKU).
文摘Background:Physical inactivity is a major public health problem worldwide that results in physical and mental health problems.One major issue for physical inactivity is weight stigma(WS),especially perceived WS,which could lead to a tendency to avoid physical activity(PA).To better understand the association between perceived WS and PA,knowledge of the likely mediators in this association such as weight bias internalization(WBI)and psychological distress were investigated in the present study.Methods:Using a two-wave longitudinal study and convenient sampling,388 Taiwan residents participants(55%females;mean age=29.7 years[SD±6.3])completed two surveys six months apart.Body mass index(BMI),Perceived Weight Stigma Scale(PWSS),Weight Bias Internalization Scale(WBIS),Depression,Anxiety,Stress Scale(DASS-21),and Tendency to Avoid Physical Activity and Sport Scale(TAPAS)were assessed.Results:A mediation model controlling for age,gender,and BMI with 5000 bootstrapping resamples was performed.Perceived WS exerted significant direct effects on WBI(β=0.25;p<0.001),psychological distress(β=0.15;p=0.003),and tendency to avoid PA(β=0.10;p=0.027);WBI exerted a significant direct effect on tendency to avoid PA(β=0.47;p<0.001).Standardized indirect effects of WBI and psychological distress on the association between perceived WS and tendency to avoid PA were 0.12 and 0.01,respectively.Conclusion:Given the direct association of perceived WS on the tendency to avoid PA and the mediating role of WBI in this association,interventions addressing perceived WS and WBI may contribute to promoting PA.Therefore,health interventionists(both when planning and executing PA programs)need to consider weight stigmawhen encouraging physical activity.
