Mental health self-care in medical students: A comprehensive look at help-seeking

Jessica A. Gold, Benjamin Johnson, Gary Leydon, Robert M. Rohrbaugh, Kirsten M. Wilkins

Research output: Contribution to journalArticlepeer-review

39 Scopus citations

Abstract

Objective: The authors characterize medical student help-seeking behaviors and examine the relationship with stress, burnout, stigma, depression, and personal health behaviors. Methods: In 2013, the authors administered an electronic survey of all enrolled students at Yale School of Medicine (183 responders, response rate=35 %), inquiring about students' primary medical and mental health care, personal health behaviors, support systems, and help-seeking behaviors. Students completed the Attitudes to Mental Health Questionnaire, the Patient Health Questionnaire-2, and a modified Maslach Burnout Inventory. The authors analyzed the results with logistic regression, the Wilcoxon rank-sum test, the Kruskal-Wallis test, or a test for significance of Kendall rank correlation. Results: Most students reported having a primary care provider (PCP), yet few reported seeking care when sick (33 %). Nineteen percent of students reported having a mental health provider, fewer than reported having a PCP (p < 0.0001). Twenty-five percent of students reported increased mental health needs since beginning medical school, and these students were more likely to agree that their needs were untreated. The majority of students endorsed stress, which correlated with increased and unmet mental health needs (p < 0.001). Burnout peaked in second- and third-year students and correlated with stress and increased and untreated needs. Most students reported comfort with asking for academic help; those uncomfortable were more likely to have mental health needs for which they did not seek treatment (p=0.004). Mental health stigma was low. Conclusions: Medical students had a significant unmet need for health care, influenced by barriers to accessing care, stress, burnout, and depression. Academic help seeking and supportive faculty relationships appear related to mental health treatment seeking. Targeted interventions for stress and burnout reduction, as well as incorporation of reflective practice, may have an impact on overall care seeking among medical students. Future studies should expand to other medical and professional schools.

Original languageEnglish
Pages (from-to)37-46
Number of pages10
JournalAcademic Psychiatry
Volume39
Issue number1
DOIs
StatePublished - Feb 5 2015

Keywords

  • Burnout
  • Medical students
  • Mental health
  • Self-care
  • Stress

Fingerprint

Dive into the research topics of 'Mental health self-care in medical students: A comprehensive look at help-seeking'. Together they form a unique fingerprint.

Cite this