Browsing by Subject "psychological distress"
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Item Open Access Mental Well-Being in Students at University of Ruhuna Faculty of Medicine: A Cross-Sectional Study(2019) Wimberly, Courtney EliseObjective: Though the role of negative mental health has been investigated, positive mental health in medical students remains an under-investigated topic. This study sought to describe and explore mental well-being in a population of medical students in Sri Lanka, by investigating the range and level of both positive and negative mental health and covariates and by comparing the results with those of US studies. Methods: Students at University of Ruhuna Faculty of Medicine completed paper-based, cross-sectional questionnaires that included demographic items, the Mental Health Continuum-Short Form (MHC-SF), the Kessler 10 Psychological Distress Scale (K10), and the Oldenburg Burnout Inventory (OLBI). Analysis took place in Stata and RStudio. Results: Most students were categorized with moderate positive mental health (64.8%) and severe psychological distress (40.4%). Negative and positive mental health outcomes were moderately associated. None of the demographic factors was a significant predictor of positive mental health nor academic performance, and none of the mental health outcomes predicted academic performance. Females reported significantly higher levels of burnout. Conclusions: Medical students in Sri Lanka may experience different levels of positive and negative mental health by year in school. In the current study, final year students reported significantly higher levels of psychological distress and burnout than first year students. Males and older students were significantly more likely to have poor academic performance. Institutions should monitor medical student well-being and direct resources toward evidence-based activities, allowing students to continue along the upward spiral of well-being and flourish into successful medical practitioners.
Item Open Access Understanding veterans' experiences with lung cancer and psychological distress: A multimethod approach.(Psychological services, 2024-03) Ramos, Katherine; King, Heather A; Gladney, Micaela N; Woolson, Sandra L; Coffman, Cynthia; Bosworth, Hayden B; Porter, Laura S; Hastings, S NicolePsychological distress while coping with cancer is a highly prevalent and yet underrecognized and burdensome adverse effect of cancer diagnosis and treatment. Left unaddressed, psychological distress can further exacerbate poor mental health, negatively influence health management behaviors, and lead to a worsening quality of life. This multimethod study primarily focused on understanding veterans' psychological distress and personal experiences living with lung cancer (an underrepresented patient population). In a sample of 60 veterans diagnosed with either nonsmall cell lung cancer (NSCLC) or small cell lung cancer (SCLC), we found that distress is common across clinical psychology measures of depression (37% [using the Patient Health Questionnaire, PHQ-9 measure]), anxiety (35% [using the Generalized Anxiety Disorder, GAD-7 measure]), and cancer-related posttraumatic stress (13% [using the Posttraumatic Stress Symptom Checklist measure]). A total of 23% of the sample endorsed distress scores on two or more mental health screeners. Using a broader cancer-specific distress measure (National Comprehensive Cancer Network), 67% of our sample scored above the clinical cutoff (i.e., ≥ 3), and in the follow-up symptom checklist of the National Comprehensive Cancer Network measure, a majority endorsed feeling sadness (75%), worry (73%), and depression (60%). Qualitative analysis with a subset of 25 veterans highlighted that psychological distress is common, variable in nature, and quite bothersome. Future research should (a) identify veterans at risk for distress while living with lung cancer and (b) test supportive mental health interventions to target psychological distress among this vulnerable veteran population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).