Prevalence of hypochondriac symptoms among health science students in China: A systematic review and meta-analysis
Autoři:
Jingjing Meng aff001; Chang Gao aff001; Chulei Tang aff001; Honghong Wang aff001; Zirong Tao aff002
Působiště autorů:
Xiangya Nursing School of Central South University, Changsha, Hunan, China
aff001; Xiangya Hospital, Central South University, Changsha, Hunan, China
aff002
Vyšlo v časopise:
PLoS ONE 14(9)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0222663
Souhrn
Background
Hypochondriac symptoms are commonly reported in health science students. With their incomplete medical knowledge, they may compare their own bodily symptoms with disease symptoms during the process of learning, which can lead to mental distress and the need for repeated medical reassurance.
Objective
To estimate the prevalence of hypochondriac symptoms in Chinese health science students.
Methods
A systematic literature search was conducted on PubMed, Web of Science, Embase, China National Knowledge Infrastructure, China Biology Medicine disc, and Wanfang Data on July 1, 2018. Additionally, the references of the retrieved papers were searched. Cross-sectional studies published in either English or Chinese that reported the prevalence of hypochondriac symptoms in health science students were included. The selection process was executed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, and study quality was assessed with the checklist recommended by the Agency for Healthcare Research and Quality for cross-sectional studies. A random-effects model according to the DerSimonian-Laird method was used to calculate the pooled prevalence.
Results
Seven cross-sectional studies involving 6,217 Chinese health science students were included. The pooled prevalence of hypochondriac symptoms among health science students was 28.0% (95% CI = 19.0%–38.0%). The symptoms were a little more common in females (30.0%, 95% CI = 19.0%–42.0%) than in males (29.0%, 95% CI = 16.0%–42.0%), but the difference was not significant. No significant differences were found between participants grouped by study year. Only three studies explored the coping styles of students with hypochondriasis, and these revealed a high tendency toward help-seeking behaviors.
Conclusion
Our systematic review and meta-analysis showed a high prevalence of hypochondriac symptoms among health science students, indicating that it is a noteworthy phenomenon. We suggest that counseling and other support services are necessary for health science students.
Klíčová slova:
Physical sciences – Research and analysis methods – Database and informatics methods – Social sciences – Sociology – Mathematics – Medicine and health sciences – Diagnostic medicine – Statistics – Mathematical and statistical techniques – Statistical methods – Metaanalysis – Clinical medicine – Education – Research assessment – Systematic reviews – Mental health and psychiatry – Database searching – Medical education – Medical humanities – Neuropsychiatric disorders – Anxiety disorders – Hypochondriasis – Neuroses
Zdroje
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington: American Psychiatric Association; 1994.
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington (VA): American Psychiatric Association; 2013.
3. Newby JM, Hobbs MJ, Mahoney AEJ, Wong SK, Andrews G. DSM-5 illness anxiety disorder and somatic symptom disorder: comorbidity, correlates, and overlap with DSM-IV hypochondriasis. J Psychosom Res. 2017;101: 31–37. doi: 10.1016/j.jpsychores.2017.07.010 28867421
4. Moss-Morris R, Petrie KJ. Redefining medical students’ disease to reduce morbidity. Med Educ. 2001;35(8): 724–728. doi: 10.1046/j.1365-2923.2001.00958.x 11489098
5. Talaei A. Hypochondriasis in medical sciences students of mashhad, Iran. Eur Psychiatry. 2009;24: P02–290.
6. Baric H, Trkulja V. Declining health anxiety throughout medical studies: it is mainly about a more relaxed perception of the health-related concerns. Med Teach. 2012;34(12): 1056–1063. doi: 10.3109/0142159X.2012.716180 22934583
7. Hunter RC, Lohrenz JG, Schwartzman AE. Nosophobia and hypochondriasis in medical students. J Nerv Ment Dis. 1964;139: 147–152. doi: 10.1097/00005053-196408000-00008 14206454
8. Melese B, Bayu B, Wondwossen F, Tilahun K, Lema S, Ayehu M, et al. Prevalence of mental distress and associated factors among Hawassa University medical students, Southern Ethiopia: a cross-sectional study. BMC Res Notes. 2016;9(1): 485. doi: 10.1186/s13104-016-2289-7 27821143
9. Howes OD, Salkovskis PM. Health anxiety in medical students. Lancet. 1998;351(9112): 1332. doi: 10.1016/S0140-6736(05)79059-0 9643804
10. Moreira DP, Furegato AR. Stress and depression among students of the last semester in two nursing courses. Rev Lat Am Enfermagem. 2013;21: 155–162. doi: 10.1590/s0104-11692013000700020 23459903
11. Rudman A, Gustavsson JP. Burnout during nursing education predicts lower occupational preparedness and future clinical performance: a longitudinal study. Int J Nurs Stud. 2012;49(8): 988–1001. doi: 10.1016/j.ijnurstu.2012.03.010 22542085
12. Singh G, Hankins M, Weinman JA. Does medical school cause health anxiety and worry in medical students? Med Educ. 2004;38(5): 479–481. doi: 10.1046/j.1365-2929.2004.01813.x 15107081
13. Zhang J, Liu Y, Sun L. Psychological strain and suicidal ideation: a comparison between Chinese and US college students. Psychiatry Res. 2017;255: 256–262. doi: 10.1016/j.psychres.2017.05.046 28595148
14. Zhao F, Yang X, Pan X, Yang C. Prevalence of anxiety symptoms and its correlates among medical students in China: a national survey in 33 universities. Value Health. 2018;211: S182. doi: 10.1016/j.jval.2018.04.1245
15. Yin J. Comparison of academic degree and schooling length of clinical medicine between China and foreign countries. China Medical Education Technology. 2016;30(5): 502–507. doi: 10.13566/j.cnki.cmet.cn61-1317/g4.201605002 [in Chinese]
16. Luo BJ, Shi W, Li Y, Liu JW, Du W. Excellent doctor education and the re-orientation of the development of Chinese medical education. Medicine and Philosophy. 2016;37(7): 74–78. doi: 10.12014/j.issn.1002-0772.2016.07a.20 [in Chinese]
17. Chen SC, Ma XQ. Research progress of medical students’ disease and enlightenment. Medical Education Research and Practice. 2015;23(4): 585–589. doi: 10.13555/j.cnki.c.m.e.2015.04.008 [in Chinese]
18. Yen S, Robins CJ, Lin N. A cross-cultural comparison of depressive symptom manifestation: China and the United States. J Consult Clin Psychol. 2000;68(6): 993–999. doi: 10.1037//0022-006x.68.6.993 11142551
19. van Ravesteijn H, Wittkampf K, Lucassen P, van de Lisdonk E, van den Hoogen H, van Weert H, et al. Detecting somatoform disorders in primary care with the PHQ-15. Ann Fam Med. 2009;7(3): 232–238. doi: 10.1370/afm.985 19433840
20. Sumathipala A, Siribaddana S, Hewege S, Sumathipala K, Prince M, Mann A. Understanding the explanatory model of the patient on their medically unexplained symptoms and its implication on treatment development research: a Sri Lanka study. BMC Psychiatry. 2008;8: 54. doi: 10.1186/1471-244X-8-54 18611253
21. Woods SM, Natterson J, Silverman J. Medical students’ disease: hypochondriasis in medical education. J Med Educ. 1966;41(8): 785–790. 4380602
22. Sarikaya O, Civaner M, Kalaca S. The anxieties of medical students related to clinical training. Int J Clin Pract. 2006;60(11): 1414–1418. doi: 10.1111/j.1742-1241.2006.00869.x 16787438
23. Sunderland M, Newby JM, Andrews G. Health anxiety in Australia: prevalence, comorbidity, disability and service use. Br J Psychiatry. 2013;202(1): 56–61. doi: 10.1192/bjp.bp.111.103960 22500013
24. Bobevski I, Clarke DM, Meadows G. Health anxiety and its relationship to disability and service use: findings from a large epidemiological survey. Psychosom Med. 2016;78(1): 13–25. doi: 10.1097/PSY.0000000000000252 26588821
25. Azuri J, Ackshota N, Vinker S. Reassuring the medical students’ disease-health related anxiety among medical students. Med Teach. 2010; 32(7): e270–e275. doi: 10.3109/0142159X.2010.490282 20653368
26. Kellner R, Wiggins RG, Pathak D. Hypochondriacal fears and beliefs in medical and law students. Arch Gen Psychiatry. 1986;43(5): 487–489. doi: 10.1001/archpsyc.1986.01800050093012 3964027
27. Waterman L, Weinman J. J Psychosom Res. 2012;72(6): 508. doi: 10.1177/2042533313512480
28. Chinawa JM, Nwokocha ARC, Manyike PC, Chinawa AT, Aniwada EC, Ndukuba AC. Psychosomatic problems among medical students: a myth or reality? Int J Ment Health Syst. 2016;10: 72. doi: 10.1186/s13033-016-0105-3 27933098
29. Zahid MF, Haque A, Aslam M, Aleem NA, Hussain S, Fahad H, et al. Health-related anxiety and hypochondriacal concerns in medical students: a cross-sectional study from Pakistan. Teach Learn Med. 2016;28(3): 252–259. doi: 10.1080/10401334.2016.1155459 27092575
30. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6(7): e1000100. doi: 10.1371/journal.pmed.1000100 19621070
31. Rostom A, Dube C, Cranney A, et al. Celiac disease. Evidence Reports/Technology Assessments, No. 104. Agency for Healthcare Research and Quality (US); 2004. Available from: https://www.ncbi.nlm.nih.gov/books/NBK35156/
32. Li QL, Yang YF, Yi MC, Fang L, He XY. Analysis on MMPI test results of medical students. Chinese Journal of Rehabilitation. 2011;26(1): 39–41. doi: 10.3870/zgkf.2011.01.0018 [in Chinese]
33. Zhu QF, Yun QP, Wu ZG, Hu M. Help-seeking of hypochondriasis of medical students. China Journal of Health Psychology. 2017;25(9): 1292–1297. doi: 10.13342/J.cnki.cjhp.2017.09.004 [in Chinese]
34. Wu H, Wei XQ, Liao YY, Xie JF, Zhou Q, Lai Q. Influencing factors of medical students’ hypochondria psychology and coping style. Modern Preventive Medicine. 2017;44(3): 490–494. [in Chinese]
35. Liu HJ, Qin Z, Li X, Huang PD. Personality characteristics of hypochondriac trend and the coping style among medical students. Soft Science of Health. 2011;25(1): 47–49. [in Chinese]
36. Meng JJ, Li T, Zhang L, Li SQ, Yang J, Yuan H. The analysis of hypochondriac state of medical students and its influencing factors. China Higher Medical Education. 2017;(12): 1–2. doi: 10.3969/j.issn.1002-1701.2017.12.001 [in Chinese]
37. Puthran R, Zhang MWB, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4): 456–468. doi: 10.1111/medu.12962 26995484
38. Chen L, Wang L, Qiu XH, Yang XX, Qiao ZX, Yang YJ, et al. Depression among Chinese university students: prevalence and socio-demographic correlates. PLOS ONE. 2013;8(3): e58379. doi: 10.1371/journal.pone.0058379 23516468
39. Alers M, van Leerdam L, Dielissen P, Lagro-Janssen A. Gendered specialities during medical education: a literature review. Perspect Med Educ. 2014;3(3): 163–178. doi: 10.1007/s40037-014-0132-1 24980516
40. Pattani R, Marquez C, Dinyarian C, Sharma M, Bain J, Moore JE, et al. The perceived organizational impact of the gender gap across a Canadian department of medicine and proposed strategies to combat it: a qualitative study. BMC Med. 2018;16(1): 48. doi: 10.1186/s12916-018-1032-8 29631578
41. Pololi LH, Civian JT, Brennan RT, Dottolo AL, Krupat E. Experiencing the culture of academic medicine: gender matters, a national study. J Gen Intern Med. 2013;28(2): 201–207. doi: 10.1007/s11606-012-2207-1 22936291
42. Zhang Q, Lee L, Gruppen LD, Ba D. Medical education: changes and perspectives. Med Teach. 2013;35(8): 621–627. doi: 10.3109/0142159X.2013.789495 23631405
43. Song P, Jin C, Tang W. New medical education reform in China: towards healthy China 2030. Biosci Trends. 2017;11(4): 366–369. doi: 10.5582/bst.2017.01198 28904325
44. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Text revision. Washington: American Psychiatric Association; 2000.
45. Doherty-Torstrick ER, Walton KE, Fallon BA. Cyberchondria: parsing health anxiety from online behavior. Psychosomatics. 2016;57(4): 390–400. doi: 10.1016/j.psym.2016.02.002 27044514
46. Bati AH, Mandiracioglu A, Govsa F, Cam O. Health anxiety and cyberchondria among Ege University health science students. Nurse Educ Today. 2018;71: 169–173. doi: 10.1016/j.nedt.2018.09.029 30290320
47. Mathes BM, Norr AM, Allan NP, Albanese BJ, Schmidt NB. Cyberchondria: overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Res. 2018;261: 204–211. doi: 10.1016/j.psychres.2018.01.002 29324396
48. Zaki N, Ibrahim J. Psychiatric morbidity among third year medical students at the Ain Shams University, Cairo, Egypt. Middle East Current Psychiatry. 2011;18(1): 51–56. doi: 10.1097/01.xme.0000392849.84304.97
Článok vyšiel v časopise
PLOS One
2019 Číslo 9
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Úspěšná resuscitativní thorakotomie v přednemocniční neodkladné péči
- Fixní kombinace paracetamol/kodein nabízí synergické analgetické účinky
Najčítanejšie v tomto čísle
- Graviola (Annona muricata) attenuates behavioural alterations and testicular oxidative stress induced by streptozotocin in diabetic rats
- CH(II), a cerebroprotein hydrolysate, exhibits potential neuro-protective effect on Alzheimer’s disease
- Comparison between Aptima Assays (Hologic) and the Allplex STI Essential Assay (Seegene) for the diagnosis of Sexually transmitted infections
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania