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Factors influencing mental health of medical students based on an ecological systems theory perspective
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Chenchen XU1, Ruoxiu WU2, Lizhu WANG2, Moxuan LI2, Zhihao ZHANG*, 1, 3, 4
Chinese Journal of School Health | 2025, 46(3) : 402 - 405
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Chinese Journal of School Health | 2025, 46(3): 402-405
• Mental Health •
Factors influencing mental health of medical students based on an ecological systems theory perspective
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Chenchen XU1, Ruoxiu WU2, Lizhu WANG2, Moxuan LI2, Zhihao ZHANG*, 1, 3, 4
Affiliations
  • 1The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing (211166), Jiangsu Province, China
Published: 2025-03-25 doi: 10.16835/j.cnki.1000-9817.2025093
Outline
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Objective

To analyze factors impacting mental health status of medical students based on ecological systems theory, so as to provide reference for the mental health promotion system for medical students.

Methods

In June 2024, 1 760 medical school students randomly selected from 19 different kinds of medical colleges in eastern China by stratified cluster were surveyed using questionnaires and expert interviews. Descriptive statistics, cross-analysis, hierarchical linear regression analysis, structural equation models were used for data analysis.

Results

Medical school students had higher satisfaction with the school (65.85%) and a great sense of perceived social support (57.16%). Furthermore, 91.14% of the students had normal interpersonal relationships. However, 44.89% reported that their mental health was impacted by high level of depression. The hierarchical linear regression analysis showed that the mental health outcomes of the medical students were positively predicted by higher perceived social support scores (β=-11.40), institutional satisfaction (β=-4.85), and lower help-seeking stigma scores (β=9.31) (P < 0.05). The structural equation modeling showed that the status of both perceived social support and self-help-seeking stigma had significant impacts on depression severity (β=-0.32, -0.53) and interpersonal relationship sensitivity (β=-0.31, 0.58) among medical students (P < 0.01).Through expert interviews, collaborations between the school and the tripartite organization (families, universities and society) was of growing importance.

Conclusions

Perceived social support and self-stigma have a significant impact on the mental health status of medical students. The problem of self-stigma of medical students should be paid attention to. Therefore, families, universities and society should work together to improve the mental health of medical students.

Mental health  /  Regression analysis  /  Models, structural  /  Students
许晨晨, 吴若脩, 王瓅珠, 李墨萱, 张志豪. 生态系统理论下医学生心理健康状况影响因素分析. 中国学校卫生, 2025 , 46 (3) : 402 -405 . DOI: 10.16835/j.cnki.1000-9817.2025093
Chenchen XU, Ruoxiu WU, Lizhu WANG, Moxuan LI, Zhihao ZHANG. Factors influencing mental health of medical students based on an ecological systems theory perspective[J]. Chinese Journal of School Health, 2025 , 46 (3) : 402 -405 . DOI: 10.16835/j.cnki.1000-9817.2025093
Year 2025 volume 46 Issue 3
7
4
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Article Info
doi: 10.16835/j.cnki.1000-9817.2025093
  • Receive Date:2024-10-12
  • Online Date:2026-11-06
  • Published:2025-03-25
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History
  • Received:2024-10-12
  • Revised:2025-01-31
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    1The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing (211166), Jiangsu Province, China
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表12种不同金属材料的力学参数
科
Family
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Number of
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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