A DEAL-based intervention for the reduction of depression, denial, self-blame and academic stress: A randomized controlled trial
Objective: This study aimed to evaluate effectiveness of a DEAL-based based intervention on medical students’ depression symptoms, coping strategies and perceived stressors. Methods: A parallel randomized controlled trial was conducted on a government medical school in Malaysia. A total of 171...
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| フォーマット: | 論文 |
| 言語: | English |
| 出版事項: |
2015
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| 主題: | |
| オンライン･アクセス: | http://eprints.unisza.edu.my/5918/1/FH02-FPSK-15-02828.jpg http://eprints.unisza.edu.my/5918/ |
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| 要約: | Objective: This study aimed to evaluate effectiveness of a
DEAL-based based intervention on medical students’
depression symptoms, coping strategies and perceived
stressors.
Methods: A parallel randomized controlled trial was
conducted on a government medical school in Malaysia.
A total of 171 medical students consented to participate
in the study. A 4-h educational workshop that was
designed based on the DEAL model was conducted on
the medical students. Depression, coping strategies and
perceived stressors were measured by Beck’s Depression
Inventory, Brief COPE and Medical Student Stressor
Questionnaire respectively. The mixed model ANCOVA
was applied to determine the effect of intervention. Partial eta squared (h2partial) was used to estimate effect size.
Results: 171 medical students were randomized into
study groups by draw lots (control ¼ 83 and
intervention ¼ 88). 18 medical students withdrew from
the study before 32nd week, leaving 153 medical students
(control ¼ 80 and intervention ¼ 73) for analysis. The
intervention group significantly experienced lower
depression symptoms (p ¼ 0.017, h2partial ¼ 0.037), less
frequent of denial (p ¼ 0.002, h2partial ¼ 0.063), less
frequent of self-blame (p ¼ 0.002, h2partial ¼ 0.064) and
lower perceived academic stress (p ¼ 0.009,
h2partial ¼ 0.044) than the control group.
Conclusion: The results support the positive impacts of
the DEAL-based intervention on the medical students’
mental health. It is a promising intervention to be
adopted by medical schools due to it consumes minimal amount of time, money, training and man power as well
as simple to be implemented. |
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