Trends in Psychological Stress and the Perceived Belief-Referent Norm Model During Clinical Internships for Medical Students
Objective:This prospective longitudinal study aimed to examine trends in psychological stress among medical students during clinical internships and the influence of the perceived belief-referent norm model.Methods:A random selection of medical students about to begin their clinical internships participated in the study.Anonymous paper questionnaires were administered four times at different stages to measure the variables,and data from students who completed all four observations were included in the analysis.Descriptive statistics and linear mixed models were used for analysis.Results:A total of 27 students were initially recruited,with 25 completing all four observations.Psychological stress and peers'perceptions of doctors showed significant increases over time,with β values of 3.73 and5.80,respectively,and P values＜0.01.Other variables did not show significant changes.Factors significantly influencing psychological stress included the complexity of oral technical procedures,work pressure,family or relatives'opinions of oral doctors,friends'opinions of oral doctors,and classmates'opinions of oral doctors,with parameter estimates of 27.12,23.98,20.12,and 21.87,respectively,and P values all＜0.0001.Conclusion:This study examined the trends in psychological stress among medical students during clinical internships and the perceived belief-referent norm model,offering new insights into the understanding and management of psychological stress in medical students.
Medical StudentsPsychological StressPerceived Belief-Referent Norm
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