A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples

BackgroundThe psychological health problems are becoming increasingly prominent among medical students under the heavy academic stress and high-intensity clinical internships. This study examines the psychological health of medical students in a Chinese university and its impact on academic performa...

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Main Authors: Han Chunhong, Ding Jingjing, He Huan, Zheng Peiyao, Zhang Xiaona, Yang Xiaowen, Zheng Aiming
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1496248/full
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author Han Chunhong
Han Chunhong
Ding Jingjing
He Huan
Zheng Peiyao
Zhang Xiaona
Yang Xiaowen
Zheng Aiming
author_facet Han Chunhong
Han Chunhong
Ding Jingjing
He Huan
Zheng Peiyao
Zhang Xiaona
Yang Xiaowen
Zheng Aiming
author_sort Han Chunhong
collection DOAJ
description BackgroundThe psychological health problems are becoming increasingly prominent among medical students under the heavy academic stress and high-intensity clinical internships. This study examines the psychological health of medical students in a Chinese university and its impact on academic performance, aiming to inform targeted interventions.Methods2022 undergraduate and postgraduates from an independent medical university in Eastern China were selected to score using the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7(GAD-7), Insomnia Severity Index (ISI), Perceived Stress Scale (PSS), and Beck Scale for Suicide Ideation(BSSI); and the total grade point averages (GPAs) of 2022 undergraduates in the first and second academic years were determined to analyse the main psychological influencing factors.ResultsThe general survey of 2022 new medical students at admission showed that the various scores of postgraduates were higher than those of undergraduates. After two semesters, the percentage of students scored higher in unhealthy psychology indicators was increased in both postgraduates and undergraduates, but the differences between two groups were decreased. Analysis of the first and second-year academic performances of 2022 undergraduates revealed that assessment scores of PHQ-9, PSS, ISI, and BSSI had a correlation with the total GPA. However, no correlation was found between the GAD-7 values and the GPA. The PHQ-9 scores and major categories were identified as independent factors influencing the average GPA.ConclusionThe undergraduates face significant challenges in depression, anxiety, insomnia, and perceived stress, and these have negative effects on their academic performances; in particular, the depressive symptoms and perceived stress can significantly reduce their academic performances. In contrast, the psychological health statuses in the postgraduates tend to deteriorate as the semester progress.
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spelling doaj-art-cdbf382d5d0f422183a11da16d2484712025-02-11T06:59:02ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.14962481496248A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examplesHan Chunhong0Han Chunhong1Ding Jingjing2He Huan3Zheng Peiyao4Zhang Xiaona5Yang Xiaowen6Zheng Aiming7School of Education Science, Nanjing Normal University (ED.D), Nanjing, Jiangsu, ChinaDepartment of Teaching Management, Nanjing Medical University, Nanjing, Jiangsu, ChinaMedical Education Institution, Nanjing Medical University, Nanjing, Jiangsu, ChinaStudent Affairs Department, Nanjing Medical University, Nanjing, Jiangsu, ChinaSchool of Public Health, University of Sydney, Sydney, NSW, AustraliaSchool of Stomatology, Nanjing Medical University, Nanjing, Jiangsu, ChinaLibrary, Nanjing Medical University, Nanjing, Jiangsu, ChinaPsychological Health Education and Counseling Center, Nanjing Medical University, Nanjing, Jiangsu, ChinaBackgroundThe psychological health problems are becoming increasingly prominent among medical students under the heavy academic stress and high-intensity clinical internships. This study examines the psychological health of medical students in a Chinese university and its impact on academic performance, aiming to inform targeted interventions.Methods2022 undergraduate and postgraduates from an independent medical university in Eastern China were selected to score using the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7(GAD-7), Insomnia Severity Index (ISI), Perceived Stress Scale (PSS), and Beck Scale for Suicide Ideation(BSSI); and the total grade point averages (GPAs) of 2022 undergraduates in the first and second academic years were determined to analyse the main psychological influencing factors.ResultsThe general survey of 2022 new medical students at admission showed that the various scores of postgraduates were higher than those of undergraduates. After two semesters, the percentage of students scored higher in unhealthy psychology indicators was increased in both postgraduates and undergraduates, but the differences between two groups were decreased. Analysis of the first and second-year academic performances of 2022 undergraduates revealed that assessment scores of PHQ-9, PSS, ISI, and BSSI had a correlation with the total GPA. However, no correlation was found between the GAD-7 values and the GPA. The PHQ-9 scores and major categories were identified as independent factors influencing the average GPA.ConclusionThe undergraduates face significant challenges in depression, anxiety, insomnia, and perceived stress, and these have negative effects on their academic performances; in particular, the depressive symptoms and perceived stress can significantly reduce their academic performances. In contrast, the psychological health statuses in the postgraduates tend to deteriorate as the semester progress.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1496248/fullmedical studentscurrent status of mental healthacademic performancedepressionperceived stress scale
spellingShingle Han Chunhong
Han Chunhong
Ding Jingjing
He Huan
Zheng Peiyao
Zhang Xiaona
Yang Xiaowen
Zheng Aiming
A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples
Frontiers in Psychiatry
medical students
current status of mental health
academic performance
depression
perceived stress scale
title A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples
title_full A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples
title_fullStr A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples
title_full_unstemmed A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples
title_short A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples
title_sort cross sectional study of the current status of psychological health and its correlation with academic performance in medical students taking medical students in a medical university in china as examples
topic medical students
current status of mental health
academic performance
depression
perceived stress scale
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1496248/full
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