Assessing Psychological Resilience and Distress Among Graduate Health Profession Students During the COVID-19 Pandemic

Shane Clark; Emily Loe; Lisa J Merlo; Irene M Estores

doi:10.1177/27536130231185072

Assessing Psychological Resilience and Distress Among Graduate Health Profession Students During the COVID-19 Pandemic

Glob Adv Integr Med Health. 2023 Jun 23:12:27536130231185072. doi: 10.1177/27536130231185072. eCollection 2023 Jan-Dec.

Authors

Shane Clark¹, Emily Loe², Lisa J Merlo³, Irene M Estores⁴

Affiliations

¹ Internal Medicine-Pediatrics Program, , Durham, NC, USADuke University.
² Pediatrics-Psychiatry-Child Psychiatry Program, , Providence, Rhode IslandBrown University.
³ Department of Psychiatry, , Florida, FL, USAUniversity of Florida.
⁴ Department of Physical Medicine and Rehabilitation, , Florida, FL, USAUniversity of Florida.

Abstract

Background: Resilience, a person's ability to adapt to adverse events, is associated with positive outcomes, especially in the field of healthcare. Research into the effects of the COVID-19 pandemic may help to understand and combat the long-term mental health burden for trainees in health care.

Objective: This cross-sectional study aimed to assess the impact of the pandemic on health profession students' educational experiences, determine the association between their self-reported resilience and psychological distress and assess group differences between students from different graduate health profession programs in an academic medical center.

Methods: Graduate health profession students completed a 44-question online survey and the 10-item Connor Davidson Resilience Scale (CD-RISC-10) during the COVID-19 pandemic period between January-March 2021. We used descriptive statistics, independent samples t test, Related-samples Wilcoxon signed rank test, Pearson correlations test and Analysis of variance (ANOVA) to analyze the data.

Results: Majority of respondents reported that COVID-19 had a negative impact on their education and caused a reduction in educational opportunities (76.6% and 73% respectively). Majority also reported feeling burned out, lonely/isolated, or frustrated by COVID-19 restrictions (70.0%, 67.4%, and 61.8% respectively). Students reported increased use of both avoidant and adaptive coping strategies during the pandemic. Higher resilience scores were associated with higher self-reported stress, fewer burnout symptoms, and better overall well-being.

Conclusion: The COVID-19 pandemic significantly affected students in graduate health profession programs. Instructional quality, educational opportunities, institutional trust, peer socialization, and personal health and wellbeing were perceived to be negatively impacted. Students may require additional support and resources from their training programs to mitigate these concerns. Future studies should evaluate the long-term impact of the COVID-19 pandemic among pandemic-era graduate health profession students.

Keywords: COVID-19; Graduate medical education; coping; health profession education; resilience.